Do psychiatric disorders continue during pregnancy in women with hyperemesis gravidarum: a prospective study

Do psychiatric disorders continue during pregnancy in women with hyperemesis gravidarum: a prospective study
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DOI:
10.1016/j.genhosppsych.2013.05.008
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发表时间:
2013-09-01
影响因子:
7
通讯作者:
Gunduz, Sule
Gunduz, Sule
中科院分区:
医学2区
文献类型:
--
作者:
Annagur, Bilge Burcak;Tazegul, Aybike;Gunduz, Sule

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目的:我们的目的是确定轴I精神障碍的妇女与妊娠剧吐(HG),并随访精神障碍的过程中,其与恶心和呕吐(NV)在pregnancy.Methods:研究样本组成的47例HG。精神病学访谈采用精神疾病诊断和统计手册第四版(SCID-I)结构化临床访谈进行。其他的精神病学访谈在第二和第三个三个月进行。在每次访问时,受试者完成Beck抑郁量表和Beck焦虑量表。结果:任何焦虑障碍的患病率为25.5%,任何情绪障碍的患病率为14.9%的妇女与HG在孕早期。三分之二患有HG并被诊断为精神病的女性在整个怀孕期间持续存在精神疾病。在妊娠早期,NV部分消退的妇女的任何SCID诊断均高于NV完全消退的妇女(P
Objective: We aimed to determine Axis I psychiatric disorders in women with hyperemesis gravidarum (HG) and to follow up the course of psychiatric disorder and its association with nausea and vomiting (NV) during pregnancy.Methods: The study sample was composed of 47 patients with HG. Psychiatric interviews were conducted using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (SCID-I). Other psychiatric interviews were performed in the second and third trimesters. On each visit, the subjects completed the Beck Depression Inventory and the Beck Anxiety Inventory.Results: The prevalence of any anxiety disorder was 25.5%, and the prevalence of any mood disorder was 14.9% in women with HG in the first trimester. Psychiatric disorders continued throughout the pregnancy in two thirds of the women who had HG and a psychiatric diagnosis. Any SCID diagnosis in the first trimester was higher in women whose NV had partially resolved than in women whose NV had fully resolved (P