Risk factors and course patterns of anxiety and depressive disorders during pregnancy and after delivery: A prospective-longitudinal study
Risk factors and course patterns of anxiety and depressive disorders during pregnancy and after delivery: A prospective-longitudinal study
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DOI：
10.1016/j.jad.2015.01.012
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发表时间：
2015-04-01
影响因子：
6.6
通讯作者：
Wittchen, Hans-Ulrich
中科院分区：
文献类型：
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作者：
Martini, Julia;Petzoldt, Johanna;Wittchen, Hans-Ulrich
背景：围产期焦虑和抑郁障碍与母亲和孩子的不良后果有关。因此，重要的是要检查的风险因素，相关因素和过程模式的焦虑和抑郁症在怀孕期间和分娩后output.Methods：在前瞻性纵向产妇焦虑与婴儿发育（MARI）研究，n=306准妈妈被招募从妇科门诊设置在德国，并完成了7波的评估，从怀孕早期，直到产后16个月。焦虑和抑郁障碍和潜在的危险因素/相关因素进行了评估与复合国际诊断访谈妇女（CIDI-V），医疗记录和额外的questionnaire.Results：虽然围产期焦虑和抑郁障碍似乎是持久的一些妇女，其他报告的重大变化与异质性课程和诊断和内容之间的转变。有相当多的意外事件。围产期焦虑和抑郁障碍的最强预测因子是怀孕前的焦虑和抑郁障碍，但心理社会（母亲教育），个人（如低自尊）和人际关系（如伴侣满意度，社会支持）因素也相关。限制条件：[知道的目的的研究，一些参与者可能会更鼓励报告特定的症状，但如果是这样，这一点的重要性，全面评估在pet纳塔尔care.Conclusion：宠物拍时间是一个敏感的时期，相当大的发病率或持续/复发的焦虑和抑郁症，虽然过程可能是相当异质性。需要进行干预性研究，以检查相关因素的改变是否有助于预防宠物的焦虑和抑郁症。(C)2015 Elsevier B. V.版权所有。
Background: Peripartum anxiety and depressive disorders are associated with adverse consequences for mother and child. Thus, it is important to examine risk factors, correlates and course patterns of anxiety and depressive disorders during pregnancy and after delivery.Methods: In the prospective longitudinal Maternal Anxiety in Relation to Infant Development (MARI) Study, n=306 expectant mothers were recruited from gynaecological outpatient settings in Germany and completed up to seven waves of assessment from early pregnancy until 16 months postpartum. Anxiety and depressive disorders and potential risk factors/correlates were assessed with the Composite International Diagnostic Interview for Women (CIDI-V), medical records and additional questionnaires.Results: Although peripartum anxiety and depressive disorders appeared to be persistent in some women, others reported major changes with heterogeneous courses and shifts between diagnoses and contents. There was a considerable amount of incident disorders. Strongest predictors for peripartum anxiety and depressive disorders were anxiety and depressive disorders prior to pregnancy, but psychosocial maternal education), individual (e.g. low self-esteem), and interpersonal (e.g. partnership satisfaction, social support) factors were also related. Limitation: [Knowing the aims of the study, some participants may have been more encouraged to report particular symptoms, but if so, this points to the importance of a comprehensive assessment in pet natal care.Conclusion: Pet pat time is a sensitive period for a considerable incidence or persistence/recurrence of anxiety and depressive disorders albeit the course may be rather heterogeneous. Interventional studies are needed to examine whether an alteration of associated factors could help to prevent pet pat anxiety and depressive disorders. (C) 2015 Elsevier B.V. All rights reserved.