Trajectories of Maternal and Paternal Psychological Distress After Fetal Diagnosis of Moderate-Severe Congenital Heart Disease.
Trajectories of Maternal and Paternal Psychological Distress After Fetal Diagnosis of Moderate-Severe Congenital Heart Disease.
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胎儿诊断为中重度先天性心脏病后母亲和父亲心理困扰的轨迹。
DOI：
10.1093/jpepsy/jsac067
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发表时间：
2023
影响因子：
3.6
通讯作者：
Ortinau,Cynthia
中科院分区：
文献类型：
--
作者：
Mangin-Heimos,KathrynS;Strube,Michael;Taylor,Kaylin;Galbraith,Kymberli;O'Brien,Erin;Rogers,Cynthia;Lee,CarolineK;Ortinau,Cynthia
本研究的目的是比较胎儿中重度先天性心脏病（CHD）产前诊断后，从怀孕到早中期infantation. MethodsPregnancy母亲和父亲的心理困扰的轨迹，谁收到了产前诊断胎儿中重度CHD，和他们的合作伙伴，参加了一个前瞻性的，纵向研究。在怀孕期间和出生后两次测量心理困扰的症状，使用抑郁焦虑压力量表（DASS-42）。使用广义层次线性modeling.ResultsPsychological困扰的模式和预测因素进行了检查，存在于42%（18/43）的母亲和22%（8/36）的父亲在研究期间至少一次。母亲和父亲之间的痛苦率没有差异。随着时间的推移，母亲和父亲之间的痛苦轨迹的概率也没有变化。然而，个别轨迹表现出相当大的差异，在症状的母亲和父亲。心理困扰的预测因素包括低的社会支持的母亲和历史的心理健康状况的fathers.ConclusionsParents谁收到产前诊断胎儿CHD通常报告的心理困扰的症状，从诊断的时间通过早期-中期婴儿期和显示高度可变的轨迹。这些数据表明，一旦胎儿CHD诊断，早期和重复的心理筛查是重要的，为父母提供心理健康和社会支持可能是他们持续护理的重要组成部分。
ObjectiveThe aim of this study was to compare trajectories of maternal and paternal psychological distress after prenatal diagnosis of fetal moderate–severe congenital heart disease (CHD), from pregnancy through early-mid infancy.MethodsPregnant women who received a prenatal diagnosis of fetal moderate–severe CHD, and their partners, were enrolled in a prospective, longitudinal study. Symptoms of psychological distress were measured twice during pregnancy and twice after birth, using the Depression Anxiety Stress Scales (DASS-42). Patterns and predictors of psychological distress were examined using generalized hierarchical linear modeling.ResultsPsychological distress was present in 42% (18/43) of mothers and 22% (8/36) of fathers at least once during the study. The rates of distress did not differ between mothers and fathers. There was also no change in probability of distress over time or difference in distress trajectories between mothers and fathers. However, individual trajectories demonstrated considerable variability in symptoms for both mothers and fathers. Predictors of psychological distress included low social support for mothers and a history of mental health conditions for fathers.ConclusionsParents who receive a prenatal diagnosis of fetal CHD commonly report symptoms of psychological distress from the time of diagnosis through early-mid infancy and display highly variable trajectories. These data suggest that early and repeated psychological screening is important once a fetal CHD diagnosis is made and that providing mental health and social support to parents may be an important component of their ongoing care.
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影响因子：
1
作者：
Hearps, Simone J.;McCarthy, Maria C.;Anderson, Vicki A.
通讯作者：
Anderson, Vicki A.
影响因子：
2.5
作者：
Doherty, Nicola;McCusker, Christopher G.;Casey, Francis
通讯作者：
Casey, Francis
影响因子：
2.8
作者：
Harvey, Kayla A.;Kovalesky, Andrea;Loan, Lori A.
通讯作者：
Loan, Lori A.
从怀孕到为人父母，走“情感钢丝”
影响因子：
3.1
作者：
A. McKechnie;K. Pridham;A. Tluczek
通讯作者：
A. Tluczek
影响因子：
6.6
作者：
Choi, C.;Mersky, J. P.;Goyal, D.
通讯作者：
Goyal, D.