Maternal anxiety: Course and antecedents during the early postpartum period
Maternal anxiety: Course and antecedents during the early postpartum period
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DOI：
10.1002/da.20325
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发表时间：
2008-01-01
影响因子：
7.4
通讯作者：
Britton, John R.
中科院分区：
文献类型：
--
作者：
Britton, John R.
产后焦虑的早期病程和成因尚不清楚。本研究旨在确定产后第一个月产妇焦虑的过程和前因，并利用围产期出院前可获得的信息建立一个模型来预测产后1个月的焦虑。采用状态-特质焦虑量表（STAI）的状态（SS）和特质（TS）量表对2996名母亲进行出院前筛查。通过问卷调查和医疗记录审查评估人口统计学特征，并通过重点问题和正式工具确定精神病史、围产期压力测量和弹性因素。产后1个月，再次进行SS检查。产后1个月时的SS得分显著高于产后立即（35.30+/-0.68比33.38+/-0.60，平均+/-标准误差P = 0.004），但只有58.6%的产后高度焦虑母亲在产后1个月时出现高度焦虑。一个月的焦虑与出院前SS和TS评分、精神病史包括抑郁情绪、医疗和负面社会生活事件、缺乏怀孕计划和产前课程出勤、感知围产期相关。压力，产后住院时间。与教育、家庭收入和弹性因素呈负相关。在。多变量建模、焦虑特质、教育程度、>= 2年抑郁史、围产期感知、压力占1个月SS评分方差的50%。在产后的第一个月，母亲的焦虑会增加。具有高特质焦虑、低教育水平、抑郁情绪史和高围生期压力的妇女在这个时候有经历焦虑的风险。
The early course and antecedents of postpartum anxiety are unknown. This study sought to determine the course and antecedents of maternal anxiety during the first month postpartum and to develop a model to predict I 1-month anxiety using information obtainable before perinatal hospital discharge. Two hundred and ninety-six mothers were screened before discharge with the State (SS) and Trait (TS) Scales of the State Trait Anxiety Inventory (STAI). Demographic characteristics were assessed by questionnaire and medical record review, and psychiatric history, measures of perinatal stress, and resilient factors were determined by focused questions and formal instruments. At I-month postpartum, the SS was repeated. Scores on the SS were significantly higher at I month than immediately postpartum (35.30+/-0.68 versus 33.38+/-0.60, mean +/- standard error P = .004), but only 58.6% of mothers with high pre-discharge anxiety, had high anxiety at I month. One-month anxiety correlated with pre-discharge SS and TS scores, a history of psychiatric problems including depressed mood, medical and negative social life events, lack of pregnancy planning and prenatal class attendance, perceived peripartum. stress, and duration of postpartum, hospital stay. Inverse correlations were observed with education, household income, and resiliency factors. In. multivariate modeling, anxiety trait, education, history >= 2 years of depression, and perception of peripartum, stress accounted for 50% of the valiance in the 1-month SS score. Maternal anxiety increases during the first postpartum month. Women with high trait anxiety, low education, a history of depressed mood, and a perception of high peripartum stress are at risk for experiencing anxiety at this time.