Prevalence and predictors of post-traumatic stress symptoms following childbirth
Prevalence and predictors of post-traumatic stress symptoms following childbirth
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DOI：
10.1348/014466500163095
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发表时间：
2000-03-01
影响因子：
3.1
通讯作者：
Slade, P
中科院分区：
文献类型：
--
作者：
Czarnocka, J;Slade, P
目标.目的：探讨产后创伤后应激障碍的发生率及其潜在的预测因素。一个大样本，在参与者的设计与初步评估和邮政后续利用。264名“正常”分娩的妇女在72小时内根据潜在的预测指标进行评估，并在分娩6周时根据DSM-IV（美国精神病学协会，标准）评估侵入、回避和过度觉醒问卷的症状水平。抑郁和焦虑的症状也进行了评估。是在1994年发布的）结果。3%的人在问卷调查中显示了临床显著水平或所有三个创伤后应激维度，另有24%的人至少在其中一个维度上。前向逐步回归分析建立了预测结局变量的模型。从合作伙伴和工作人员的低水平的支持，模式的指责和低感知控制劳动的看法被认为是特别相关的创伤后应激反应症状的经验。个人脆弱性因素如既往生活困难和特质焦虑也与这些症状相关，并且是焦虑和抑郁的相关预测因子。有一部分妇女报告说，她们在分娩后出现了创伤后应激障碍类型症状的所有三个方面，更多的妇女报告说，她们出现了某些症状。需要对产后痛苦有一个更广泛的概念，考虑到分娩的影响。通过提供分娩护理，增强控制和支持的观念，可能有机会进行预防。
Objectives. To identify the prevalence and potential predictors of post-traumatic stress type symptoms following labour.Design. A large sample, within-participants design with initial assessment and postal follow-up was utilized.Method. Two hundred and sixty-four women who had 'normal' births assessed within 72 hours on potential predictive measures and at 6 weeks partum for levels of symptoms of intrusions, avoidance and hyperarousal questionnaire derived from DSM-IV (American Psychiatric Association, criteria. Symptoms of depression and anxiety were also assessed. were post- on a 1994)Results. Three per cent showed questionnaire responses suggesting clinically significant levels or, all three post-traumatic stress dimensions and a further 24% on at least one of these dimensions. Forward stepwise regression analysis yielded models fur predicting outcome variables. Perceptions of low levels of support from partner and staff, patterns of blame and low perceived control in labour were found to be particularly related to experience of post-traumatic stress symptoms. Personal vulnerability factors such as previous menial health difficulties and trait anxiety were also related tc such symptoms as well as being relevant predictors for anxiety and depression.Conclusions. A proportion of women reports all three aspects of post-traumatic stress type symptoms following childbirth with many more reporting some components. A broader conceptualization of post-partum distress which takes account of the impact of labour is required. There may be opportunities for prevention through providing care in labour that enhances perceptions of control and support.