Anxiety and depression in women and men from early pregnancy to 3-months postpartum

Anxiety and depression in women and men from early pregnancy to 3-months postpartum
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DOI:
10.1007/s00737-011-0217-3
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发表时间:
2011-06-01
影响因子:
4.5
通讯作者:
Conde, Ana
Conde, Ana
中科院分区:
医学2区
文献类型:
--
作者:
Figueiredo, Barbara;Conde, Ana

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为了解女性和男性从妊娠早期到产后3个月的焦虑和抑郁情绪,对2 6 0对葡萄牙夫妇(N=5 2 0)在妊娠1、2、3个月、分娩和产后3个月进行状态焦虑量表(STAI-S)和爱丁堡产后抑郁量表(EPDS)调查。在女性(13.1%;12.2%;18.2%;18.6%;4.7%)和男性(10.1%;8.0%,7.8%;8.5%;4.4%)和女性(20.0%,19.6%,17.4%,17.6%;11.1%)和男性(11.3%;6.6%;5.5%;7.5%;7.2%)较高。抑郁症的发生率仅在怀孕早期和产后高于高度焦虑的比率,但在妊娠晚期和分娩时不是。在怀孕/分娩期间,女性的高度焦虑和抑郁的发生率高于男性,但在产后3个月时不是这样。与产后3个月相比,怀孕/分娩期间高焦虑但不抑郁的比率更高,而且仅在女性中如此。考虑到15.9%的准父母在怀孕期间高度焦虑和/或抑郁--相比之下,产后3个月的这一比例为9.3%--应该特别关注怀孕早期女性和男性的心理健康。
To investigate high-anxiety and depression in women and men from early pregnancy to 3-months postpartum, 260 Portuguese couples (N = 520) filled in the State-Anxiety Inventory (STAI-S) and the Edinburgh Post-Natal Depression Scale (EPDS) at the first, second, and third pregnancy trimesters, childbirth, and 3-months postpartum. Rates for high-anxiety (STAI-S a parts per thousand yenaEuro parts per thousand 45) in women (13.1%; 12.2%; 18.2%; 18.6%; 4.7%) and men (10.1%; 8.0%, 7.8%; 8.5%; 4.4%) and for depression (EPDS a parts per thousand yenaEuro parts per thousand 10) in women (20.0%, 19.6%, 17.4%, 17.6%; 11.1%) and men (11.3%; 6.6%; 5.5%; 7.5%; 7.2%) were high. Rates for depression were higher than rates for high-anxiety only in women during early pregnancy and the postpartum, but not at the third pregnancy trimester and childbirth. Rates for high-anxiety and depression were higher in women than in men during pregnancy/childbirth, but not at 3-months postpartum. Rates for high-anxiety but not rates for depression were higher during pregnancy/childbirth compared to 3-months postpartum and only in women. Considering that 15.9% of the parents-to-be were highly anxious and/or depressed during pregnancy-comparing to 9.3% at 3-months postpartum-particular attention should be drawn to both women's and men's mental health early in pregnancy.