Trends of Perinatal Stress, Anxiety, and Depression and Their Prediction on Postpartum Depression.
Trends of Perinatal Stress, Anxiety, and Depression and Their Prediction on Postpartum Depression.
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DOI：
10.3390/ijerph18179307
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发表时间：
2021-09-03
影响因子：
--
通讯作者：
Liou SR
中科院分区：
文献类型：
--
作者：
Cheng CY;Chou YH;Chang CH;Liou SR
围产期压力、焦虑和抑郁不仅影响女性，也影响她们的孩子（ren）。本研究的目的是探讨压力、焦虑和抑郁症状从怀孕到产后的变化趋势，并了解压力和焦虑对产后抑郁的预测。100名五十六例妊娠23 - 28周（T1）、147例妊娠32 - 36周（T2）、129例妊娠36周以上（T3）和83例产后（T4）妇女完成了研究调查。采用知觉压力量表、流行病学研究中心抑郁量表和状态-特质焦虑量表测量压力、抑郁症状和焦虑。资料分析采用描述性统计、Pearson与斯皮尔曼相关分析及广义估计方程。结果表明，焦虑和抑郁症状的水平从怀孕24周到产后增加，而压力水平在怀孕期间下降，但在产后增加。超过一半的女性经历过焦虑症状，特别是在怀孕后期和产后。压力、焦虑和抑郁症状相互关联。值得注意的是，怀孕后期和产后的女性容易感到压力，焦虑和抑郁。产前焦虑可以预测产后抑郁症状。积极评估和管理压力，焦虑和抑郁是必要的，应该从怀孕早期开始，一直持续到产后。
Perinatal stress, anxiety, and depression impacts not only women but also their child(ren). The purpose of this longitudinal study is to explore trends of stress, anxiety, and depressive symptoms from pregnancy to postpartum and understand predictions of stress and anxiety on postpartum depression. One-hundred-fifty-six women at 23–28 weeks gestation (T1), 147 at 32–36 weeks gestation (T2), 129 at over 36 weeks gestation (T3), and 83 at postpartum (T4) completed study surveys. The Perceived Stress Scale, Center for Epidemiologic Studies Depression scale, and State-Trait Anxiety Inventory were used to measure stress, depressive symptoms, and anxiety. Descriptive statistics, Pearson and Spearman’s correlation, and Generalized Estimating Equation were applied to analyze the data. Results showed that levels of anxiety and depressive symptoms increased from 24 weeks gestation to postpartum, whereas stress levels decreased during pregnancy but increased in postpartum. Over half of women experienced anxiety symptoms, especially during late pregnancy and postpartum. Stress, anxiety, and depressive symptoms were inter-correlated. Notably, women at late pregnancy and postpartum were prone to stress, anxiety, and depression. Prenatal anxiety could predict postpartum depressive symptoms. Active assessment and management of stress, anxiety, and depression is needed and should begin from early pregnancy and continue until postpartum.
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64.3
作者：
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通讯作者：
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