POSTNATAL EMOTIONAL DISORDERS IN NIGERIAN WOMEN - A STUDY OF ANTECEDENTS AND ASSOCIATIONS
POSTNATAL EMOTIONAL DISORDERS IN NIGERIAN WOMEN - A STUDY OF ANTECEDENTS AND ASSOCIATIONS
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DOI：
10.1192/bjp.163.5.645
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发表时间：
1993-11-01
影响因子：
10.5
通讯作者：
OMIGBODUN, O
中科院分区：
文献类型：
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作者：
ADERIBIGBE, YA;GUREJE, O;OMIGBODUN, O
162名妇女在妊娠中期和产后6 ~ 8周进行了精神病发病率评估。相当大比例的妇女在妊娠晚期和分娩后不久在产科病房进行了第二次产前评估。评估采用了28项GHQ。这一点最初是用从原始组中抽取的106名妇女的子样本进行验证的，这些妇女接受了PAS的采访。30%的妇女在第一次产前评估时是“病例”，而只有14%的妇女在产后6到8周时是“病例”。因此，尽管产前和产后发病率之间存在重叠，但在两个时期都有症状的组之间也存在显著差异。两个时期的平均GHQ评分之间的低相关性加强了这一观察结果。产前和产后发病率与近期不良生活事件有关，后者更可能与婚姻和家庭事件有关。这一观察结果支持了这样一种观点，即产前或产后的神经症问题主要是由心理社会因素引起的。
One hundred and sixty-two women were evaluated for psychiatric morbidity in the second trimester of pregnancy and also six to eight weeks postnatally. A sizeable proportion of the women also had a second prenatal assessment in their third trimester and in the lying-in ward shortly after giving birth. Assessments were conducted with the 28-item GHQ. This was initially validated using a subsample of 106 women, taken from the original group, who were interviewed with the PAS. Thirty per cent of the women were 'cases' at the first prenatal assessment, while only 14% were 'cases' six to eight weeks postnatally. Thus, even though there was an overlap between prenatal and postnatal morbidity, there was also substantial difference between the groups that were symptomatic at both periods. This observation was reinforced by the low correlation between the mean GHQ scores at both periods. Both prenatal and postnatal morbidities were associated with recent adverse life events, with the latter more likely to be associated with marital and family events. This observation is in support of the view that neurotic problems, prenatally or postnatally, are caused mainly by psychosocial factors.