Pilot Study Exploring Migration Experiences and Perinatal Depressive and Anxiety Symptoms in Immigrant Latinas
Pilot Study Exploring Migration Experiences and Perinatal Depressive and Anxiety Symptoms in Immigrant Latinas
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DOI：
10.1007/s10995-019-02800-w
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发表时间：
2019-12-01
影响因子：
2.3
通讯作者：
Gharheeb, Allen
中科院分区：
文献类型：
--
作者：
Lara-Cinisomo, Sandraluz;Fujimoto, Elinor M.;Gharheeb, Allen
移民相关的经历可以增加拉丁裔的围产期抑郁和焦虑的风险。由于缺乏明确评估移民经历的调查工具，很少有研究调查拉丁美洲人之间的这些关联。本研究评估的可行性和可接受性的移民经验调查（MES），移民和驱逐出境的恐惧，并探讨这些经验和心理健康之间的关联，在围产期的移民拉丁裔样本的新开发的措施。方法这项横断面研究招募了2013年7月至2014年7月期间来自北卡罗来纳州查佩尔山社区卫生诊所的妇女。25名移民妇女在怀孕的第三个三个月期间参加了这项研究。妇女在怀孕期间和产后8周接受英语或西班牙语采访。爱丁堡产后抑郁量表用于评估抑郁症状，Spielberger状态-特质焦虑量表用于确定焦虑症状。MES在产后8周时施用。进行非参数检验，以确定驱逐出境的恐惧和母亲的情绪之间的关联。结果结果表明，MES是可以接受的移民经验和评估驱逐出境的恐惧移民拉丁美洲人之间的数据收集，无论抑郁或焦虑症状。超过40%的人担心移民安全和被驱逐出境。自我或家庭相关的驱逐出境的恐惧显着相关的产前状态焦虑和特质焦虑（p <0.05）。驱逐出境的恐惧和抑郁症状之间没有显着的关联。讨论MES是一个有用的工具，收集信息与围产期焦虑的移民经验。
Introduction Migration-related experiences can increase Latinas' risk of perinatal depression and anxiety. Few studies have investigated these associations among Latinas due to a lack of survey instruments explicitly assessing migration experiences. This study assessed the feasibility and acceptability of the Migration Experiences Survey (MES), a newly-developed measure of migration and deportation fears and explored associations between those experiences and mental health in a sample of immigrant Latinas in the perinatal period. Methods This cross-sectional study recruited women from community health clinics in Chapel Hill, NC between July 2013 and 2014. Twenty-five immigrant women were enrolled in the study during their third trimester of pregnancy. Women were interviewed in English or Spanish during pregnancy and at 8 weeks postpartum. The Edinburgh Postnatal Depression Scale was used to assess depressive symptoms and the Spielberger State-Trait Anxiety Inventory was used to determine anxiety symptoms. The MES was administered at 8 weeks postpartum. Nonparametric tests were conducted to determine associations between deportation fears and maternal mood. Results Results show that the MES is acceptable for collecting data on migration experiences and assessing deportation fears among immigrant Latinas, regardless of depressive or anxiety symptoms. More than 40% had migration safety concerns and fears of deportation. Self or family-related fears of deportation were significantly associated with prenatal state anxiety and trait anxiety (p < .05). No significant associations between deportation fears and depressive symptoms were observed. Discussion The MES is a useful tool for gathering information about migration experiences associated with perinatal anxiety.