Identifying expectant parents at risk for psychological distress in response to a confirmed fetal abnormality
Identifying expectant parents at risk for psychological distress in response to a confirmed fetal abnormality
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DOI：
10.1007/s00737-015-0580-6
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发表时间：
2016-06-01
影响因子：
4.5
通讯作者：
Howell, Lori J.
中科院分区：
文献类型：
--
作者：
Cole, Joanna C. M.;Moldenhauer, Julie S.;Howell, Lori J.
这项研究的目的是确定怀有产前诊断异常胎儿的孕妇及其伴侣的心理困扰发生率。对1032名孕妇和788名完成了CFDT心理健康筛查工具的孕妇进行了为期2年的回顾性医学图表回顾。此外，19.3%的女性和13.1%的男性报告了明显的创伤后应激症状，14%的男性和23%的女性在重度抑郁症方面得分为阳性。在年龄较小、少数种族/民族的准父母中，以及受过大学以上教育、目前或以前使用过抗抑郁药物的妇女中，风险较高。在胎儿诊断亚组中，包括颈部肿块、骶尾骨畸胎瘤、神经缺陷和其他诊断，都注意到加重的窘迫。将筛查工具纳入产前实践可以帮助临床医生更好地识别高危胎儿环境中准父母心理困扰的潜在风险。
The aim of the study was to determine the incidence of psychological distress among expectant women carrying fetuses with prenatal diagnosed abnormalities and their partners. A 2-year retrospective medical chart review was completed of 1032 expectant mothers carrying fetuses with a confirmed anomaly, and 788 expectant fathers, who completed the CFDT Mental Health Screening Tool. Furthermore, 19.3 % of women and 13.1 % of men reported significant post-traumatic stress symptoms, and 14 % of men and 23 % of women scored positive for a major depressive disorder. Higher risk was noted among expectant parents of younger age and minority racial/ethnic status, and women with post-college level education and current or prior use of antidepressant medications. Heightened distress was noted within fetal diagnostic subgroups including neck masses, sacrococcygeal teratomas, neurological defects, and miscellaneous diagnoses. Incorporating screening tools into prenatal practice can help clinicians better identify the potential risk for psychological distress among expectant parents within high-risk fetal settings.