Depressive reactions and stress related to prenatal medicine procedures
Depressive reactions and stress related to prenatal medicine procedures
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DOI：
10.1046/j.0960-7692.2001.00551.x
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发表时间：
2002-01-01
影响因子：
7.1
通讯作者：
Gembruch, U
中科院分区：
文献类型：
--
作者：
Kowalcek, I;M端hlhoff, A;Gembruch, U
目的妊娠经验主要受产前筛查程序可用性的影响。以前的筛查研究集中在躯体异常。准父母的心理体验退居幕后。方法对140例孕妇及其108例配偶在产前检查前和检查后进行问卷调查，分析孕妇及其配偶在产前检查前和检查后的情绪状态和心理压力。根据所应用的产前程序，受试者被分配到：侵入性组（胎盘穿刺术或绒毛取样）和非侵入性组（超声组）。我们使用德国版本的流行病学中心抑郁量表的Hautzinger和短问卷的实际情境感知stress.Results产前检查前，孕妇的平均抑郁水平是最高的非侵入性组相比，侵入性组，虽然组间差异不显著。然而，对于他们的男性伴侣，平均抑郁水平在非侵入性和侵入性组之间有显著差异。此外，接受侵入性诊断或非侵入性诊断程序的女性比她们的伴侣更抑郁。的实际压力评级的分析表明，一个显着减少前的prescreening的postscreening的压力孕妇和他们的合作伙伴在both group.Conclusions这项研究，揭示了产前诊断的个人经验是不确定的侵入性的程序。胎儿的立即视觉呈现和正常测试结果的确认减少了先前由产前测试本身引起的压力。这种矛盾应该与父母讨论。
Objective The experience of Pregnancy is mainly influenced by the availability of prenatal screening procedures. Previous screening studies focus on somatic abnormalities. The psychological experience of the parents-to-be recedes into the background. The purpose of the present study was to analyze the emotional mood of pregnant women and their partners before and their psychological stress before and after different prenatal screening procedures (ultrasound, chorionic villus sampling or amniocentesis).Methods In the study, 140 Pregnant women, and, in 108 cases, their partners, were asked to complete questionnaires before and immediately after the prenatal testing. Depending on the applied prenatal procedure, the subjects were assigned to: the invasive group (amniocentesis or chorionic villus sampling) and the noninvasive group (ultrasound group). We used the German version of the Centre for Epidemiological Studies-Depression Scale of Hautzinger and the short questionnaire of actual situative perceived stress of Muller.Results Before the prenatal examination, the mean level of depression of pregnant women was the highest in the noninvasive group compared to the invasive group, although the between-group difference was not significant. However, for their male partners, the mean level of depression was significantly different between the noninvasive and the invasive groups. Furthermore, women undergoing invasive diagnostic or noninvasive diagnostic procedures were significantly, more depressed than their partners. The analysis of the actual stress ratings showed a significant reduction front the prescreening to the postscreening stress for pregnant women and their partners in both groups.Conclusions This study, reveals that the individual experience of prenatal diagnosis is not determined by the invasiveness of the procedure. Immediate visual presentation of the fetus and confirmation of a normal test result reduce stress that has previously been induced by, the prenatal test itself. This contradiction should be discussed with the parents.