Perinatal anxiety disorder prevalence and incidence
Perinatal anxiety disorder prevalence and incidence
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DOI：
10.1016/j.jad.2015.12.082
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发表时间：
2016-08-01
影响因子：
6.6
通讯作者：
Young, Allan H.
中科院分区：
文献类型：
--
作者：
Fairbrother, Nichole;Janssen, Patricia;Young, Allan H.
背景：焦虑和相关疾病（AD）不成比例地影响女性，并且是所有心理健康状况中最普遍的。目前的研究是第一次研究产妇产后AD患病率，其中所有的AD进行评估，这种类型的研究，其中产妇产前AD发病率assessed.Methods：加拿大的孕妇样本（N=310）被招募从一个定义的地理区域2007年11月至2010年11月。参与者首先进行产后情绪和焦虑筛查措施。那些在一个或多个这些措施中得分或高于截止值的人在产后约三个月时进行抑郁和焦虑的诊断性访谈（n=115）。诊断访谈的结果用于估计妊娠期以及产后前三个月内情绪和AD的患病率和发病率。结果：妊娠期和产后早期AD患病率（分别为15.8%和17.1%）高于抑郁症患病率（分别为3.9%和4.8%）。在我们的样本中，强迫症的患病率超过了18-64岁成年人中的强迫症患病率。产次与AD患病率无关。略低于5%的参与者共病AD，和depression.Limitations：这项研究是有限的，一个相对较小的样本量的患病率研究，和nonrandom样本选择。由于只有在一项或多项筛查指标上得分高于临界值的妇女才接受采访，因此患病率估计是保守的。最后，产前患病率估计的基础上提供postparton.Conclusions回顾性报告：这项研究提供的证据表明，作为一个群体，焦虑和相关的条件影响一个显着比例的产后妇女，更普遍的产后抑郁症。(C)2016由Elsevier B. V.出版
Background: Anxiety and related disorders (AD) disproportionately affect women, and are the most prevalent of all mental health conditions. The current research represents the first study of maternal postpartum AD prevalence in which all of the AD are assessed, and one of few studies of this type in which maternal prenatal AD incidence is assessed.Methods: A Canadian sample of pregnant women (N=310) was recruited from a defined geographical area between November 2007 and November 2010. Participants were first administered postnatal mood and anxiety screening measures. Those who scored at or above cutoff on one or more of these measures were administered a diagnostic interview for depression and anxiety at approximately three months postpartum (n=115). Findings from the diagnostic interview were used to estimate the prevalence and incidence of mood and AD in pregnancy, as well as at and during the first three months postpartum. Period prevalence and incidence estimates were obtained retrospectively from interview data collected postnatally.Results: The prevalence of AD during pregnancy and the early postpartum period (15.8% and 17.1% respectively) exceeded that of depression (3.9% and 4.8% respectively). The prevalence of OCD in our sample exceeded that of OCD among adults aged 18-64. Parity was unrelated to AD prevalence. Slightly less than 5% of participants were comorbid for both AD, and depression.Limitations: This study is limited by a relatively small sample size for a prevalence study, and nonrandom sample selection. As only women who scored above cutoff on one or more screening measures were interviewed, prevalence estimates are conservative. Finally, prenatal prevalence estimates are based on retrospective report provided postpartum.Conclusions: This study provides evidence that, as a group, anxiety and related conditions affect a significant proportion of postpartum women, and are more prevalent than is postpartum depression. (C) 2016 Published by Elsevier B.V.