Peritraumatic Distress Mediates the Effect of Severity of Disaster Exposure on Perinatal Depression: The Iowa Flood Study.
Peritraumatic Distress Mediates the Effect of Severity of Disaster Exposure on Perinatal Depression: The Iowa Flood Study.
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DOI：
10.1002/jts.22056
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发表时间：
2015-12
影响因子：
3.3
通讯作者：
King S
中科院分区：
文献类型：
--
作者：
Brock RL;O'Hara MW;Hart KJ;McCabe-Beane JE;Williamson JA;Brunet A;Laplante DP;Yu C;King S
怀孕期间的灾害暴露受到的关注有限。本研究探讨了2008年爱荷华州洪水对围产期母亲抑郁和幸福的影响，以及围创伤性痛苦作为解释这种联系的可能机制的作用。围产期妇女（N = 171）完成了抑郁症状和一般幸福的措施，在5个时间点，从怀孕到产后30个月。客观评估产前洪水暴露与更大的抑郁症（r = 0.15）。此外，洪水相关的创伤周围的痛苦是唯一与更大的抑郁症（r = 0.23），是一个关键的机制，通过洪水暴露导致抑郁症。产前洪水暴露也与一般福祉（r = 0.18），然而，一种机制以外的围创伤性痛苦似乎是负责洪水暴露对福祉的影响。我们讨论了这些发现的意义，为病因学模型提供信息，并提高孕产妇精神病理学干预的有效性。
Disaster exposure during pregnancy has received limited attention. This study examined the impact of the 2008 Iowa Floods on perinatal maternal depression and well-being, and the role of peritraumatic distress as a possible mechanism explaining this link. Perinatal women (N = 171) completed measures of depressive symptoms and general well-being at 5 timepoints from pregnancy to 30 months postpartum. Objectively assessed prenatal flood exposure was associated with greater depression (r = .15). Further, flood-related peritraumatic distress was uniquely associated with greater depression (r = .23), and was a key mechanism through which flood exposure led to depression. Prenatal flood exposure was also associated with general well-being (r = .18); however, a mechanism other than peritraumatic distress appears to have been responsible for the effect of flood exposure on well-being. We discuss the implications of these findings for informing etiological models and enhancing the efficacy of interventions for maternal psychopathology.