Childhood adversity and sleep are associated with symptom severity in perinatal women presenting for psychiatric care.
Childhood adversity and sleep are associated with symptom severity in perinatal women presenting for psychiatric care.
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DOI：
10.1007/s00737-018-0914-2
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发表时间：
2019-08
期刊：
影响因子：
--
通讯作者：
WIMH Group at University of Michigan
中科院分区：
文献类型：
--
作者：
Menke RA;Swanson L;Erickson NL;Reglan G;Thompson S;Bullard KH;Rosenblum K;Lopez JP;Muzik M;WIMH Group at University of Michigan
本研究利用寻求治疗的围产期妇女的精神病学摄入数据，旨在探索该人群的童年逆境、睡眠质量和围产期精神疾病严重程度之间尚未得到充分研究的关联。样本是 578 名围产期妇女，她们到大学围产期精神病诊所接受初步评估。在入学时，我们收集了人口统计数据、不良童年经历 (ACE)、睡眠质量以及抑郁、焦虑和创伤后应激障碍 (PTSD) 的诊断和症状严重程度。临床医生评定的诊断显示，65% 的女性符合重度抑郁症的标准，23% 的女性符合广泛性焦虑症的标准，4% 的女性符合创伤后应激障碍 (PTSD) 的标准；近 30% 的女性童年经历过不幸，98.2% 的女性报告围产期睡眠质量较差。回归分析揭示了 ACE 与睡眠质量和围产期情绪症状之间的差异关联； ACE 与妊娠和产后 PTSD 显着相关，而睡眠质量与围产期抑郁和广泛性焦虑相关。围产期摄入期间的 ACE 和睡眠质量筛查具有很高的临床实用性，因为这两个因素对围产期症状的严重程度有显着影响。
This study leverages psychiatric intake data from treatment-seeking perinatal women aiming to explore the understudied associations between childhood adversity, sleep quality and severity of perinatal mental illness in this population. The sample are 578 perinatal women presenting for initial evaluation to a university-based perinatal psychiatry clinic. At intake we collected demographics, adverse childhood experiences (ACEs), sleep quality, and diagnosis and symptom severity of depression, anxiety, and Posttraumatic Stress Disorder (PTSD). Clinician-rated diagnoses showed that 65% of women met criteria for major depression, 23% for generalized anxiety disorder, and 4% for PTSD; almost 30% of women had childhood adversity and 98.2% reported poor perinatal sleep quality. Regression analyses revealed differential associations between ACEs and sleep quality and perinatal mood symptoms; ACEs significantly associated with pregnancy and postpartum PTSD, whereas sleep quality was associated with perinatal depression and generalized anxiety. Screening for ACEs and sleep quality during perinatal intake has high clinical utility, as these two factors significantly contribute to symptom severity across peripartum.
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童年时期的身体和性虐待与亲密伴侣的暴力，孕妇的一般健康状况不佳和抑郁症状的关联。
影响因子：
3.7
作者：
Barrios YV;Gelaye B;Zhong Q;Nicolaidis C;Rondon MB;Garcia PJ;Sanchez PA;Sanchez SE;Williams MA
通讯作者：
Williams MA
影响因子：
12.8
作者：
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通讯作者：
Cuijpers, Pim
影响因子：
7.4
作者：
Grote, Nancy K.;Katon, Wayne J.;Carson, Kathy
通讯作者：
Carson, Kathy
影响因子：
5.6
作者：
Dorheim, Signe Karen;Bondevik, Gunnar Tschudi;Bjorvatn, Bjorn
通讯作者：
Bjorvatn, Bjorn
影响因子：
1.8
作者：
Jansson-Frojmark, Markus;Norell-Clarke, Annika
通讯作者：
Norell-Clarke, Annika