A prospective cohort study of post-traumatic stress disorder and maternal-infant bonding after first childbirth.
A prospective cohort study of post-traumatic stress disorder and maternal-infant bonding after first childbirth.
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DOI：
10.1016/j.jpsychores.2021.110424
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发表时间：
2021-05
影响因子：
4.7
通讯作者：
Brubaker LH
中科院分区：
文献类型：
--
作者：
Kjerulff KH;Attanasio LB;Sznajder KK;Brubaker LH
目的探讨分娩相关创伤后应激障碍（CR-PTSD）的危险因素，以及CR-PTSD与母婴关系的关系。在这项前瞻性队列研究中，3006名生活在美国宾夕法尼亚州的未生育妇女在产后1个月被问及CR-PTSD，以及产后1、6和12个月的母婴关系。多变量logistic回归模型确定了产后1、6和12个月CR-PTSD的危险因素以及CR-PTSD与母婴关系之间的关系，控制了混杂变量-包括产后抑郁、压力和社会支持。近一半（47.5%）的妇女报告说，在分娩和分娩期间，她们担心自己或孩子可能会受伤或死亡，225名妇女（7.5%）报告说，在产后1个月出现了一种或多种CR-PTSD症状。妊娠期抑郁、压力和低社会支持与CR-PTSD、引产、分娩并发症、疼痛控制不良和计划外剖宫产相关。患有CR-PTSD的妇女报告的积极分娩经历较少，共同决策较少，并且在产后1个月时，母婴关系得分较低（调整优势比[aOR] 2.5, 95% CI 1.8-3.3, p < .001）；产后6个月（aOR 2.1, 95% CI 1.5 ~ 2.8, p < 0.001）；产后12个月（aOR 2.2, 95% CI 1.6 ~ 3.0, p < 0.001）。在这项大规模的前瞻性队列研究中，我们发现，CR-PTSD与产后一年内较低水平的母婴关系始终相关。
To investigate risk factors for childbirth-related post-traumatic stress disorder (CR-PTSD) measured 1-month after first childbirth, and the association between CR-PTSD and maternal-infant bonding. In this prospective cohort study 3006 nulliparous women living in Pennsylvania, USA, were asked about CR-PTSD at 1-month postpartum, and maternal-infant bonding at 1, 6 and 12-months postpartum. Multivariable logistic regression models identified risk factors for CR-PTSD and associations between CR-PTSD and maternal-infant bonding at 1, 6 and 12-months postpartum, controlling for confounding variables - including postpartum depression, stress and social support. Nearly half (47.5%) of the women reported that during labor and delivery they were afraid that they or their baby might be hurt or die, and 225 women (7.5%) reported experiencing one or more CR-PTSD symptoms at 1-month postpartum. Depression, stress and low social support during pregnancy were associated with CR-PTSD, as well as labor induction, delivery complications, poor pain control, and unplanned cesarean delivery. Women with CR-PTSD reported a less positive childbirth experience, less shared decision-making, and were more likely to score in the bottom third on maternal-infant bonding at 1-month postpartum (adjusted odds ratio [aOR] 2.5, 95% CI 1.8–3.3, p < .001); at 6-months postpartum (aOR 2.1, 95% CI 1.5–2.8, p < .001); and at 12-months postpartum (aOR 2.2, 95% CI 1.6–3.0, p < .001). In this large-scale prospective cohort study we found that CR-PTSD was consistently associated with lower levels of maternal-infant bonding over the course of the first year after first childbirth.
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影响因子：
6.6
作者：
Cox, JL;Chapman, G;Jones, P
通讯作者：
Jones, P
DOI：
10.1037/tra0000521
发表时间：
2022-09-01
影响因子：
6.3
作者：
Handelzalts, Jonathan E.;Hairston, Ilana S.;Levy, Sigal
通讯作者：
Levy, Sigal
DOI：
10.1080/13548500600708409
发表时间：
2006-11-01
期刊：
Psychology, health & medicine
影响因子：
--
作者：
Ayers, Susan;Eagle, Andrew;Waring, Helen
通讯作者：
Waring, Helen
影响因子：
4.5
作者：
Dekel, Sharon;Thiel, Freya;Ashenfarb, Alyssa L.
通讯作者：
Ashenfarb, Alyssa L.
影响因子：
7.2
作者：
Canfield, Dana;Silver, Robert M.
通讯作者：
Silver, Robert M.