Screening for Mental Health Disorders among Pregnant Women Availing Antenatal Care at a Government Maternity Hospital in Bengaluru City.
Screening for Mental Health Disorders among Pregnant Women Availing Antenatal Care at a Government Maternity Hospital in Bengaluru City.
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DOI：
10.4103/ijpsym.ijpsym_41_18
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发表时间：
2018-07
影响因子：
2.8
通讯作者：
Sulekha T
中科院分区：
文献类型：
--
作者：
Johnson AR;George M;Goud BR;Sulekha T
产前焦虑和抑郁是产后抑郁症最常见的两个危险因素。妇女在怀孕和产后期间患抑郁症和精神失常的风险更高。怀孕期间的精神病理症状会对胎儿产生生理后果，例如血流受损导致低出生体重，以及认知延迟和行为问题。筛查产前妇女常见的心理健康障碍，并确定与妊娠期心理健康障碍相关的因素。采用临床访谈时间表修订（CIS-R）问卷作为筛查工具，对208名在孟加拉国低收入城市地区政府妇产之家产前门诊就诊的孕晚期孕妇进行了一项横断面研究，以检测是否存在精神病。收集的数据使用SPSS 16版进行分析。在研究人群中，12例（5.8%）产前精神疾病筛查阳性，其中抑郁症最常见。3.8%的女性抑郁症筛查呈阳性，15.4%表现出抑郁症状。总体而言，82名（39.4%）存在一种或多种心理症状，包括疲劳，易怒，焦虑以及睡眠和注意力问题，但得分低于CIS-R临界值12。与产前精神疾病相关的因素包括与配偶的关系不好，与兄弟姐妹或姻亲的关系不好/令人满意，以及想要一个男孩。在研究人群中，12例（5.8%）产前精神疾病筛查阳性。考虑到对这些妇女的生活质量的影响，以及与产妇精神疾病相关的不良胎儿结局，重要的是要包括筛查和治疗精神疾病的一部分，例行产前保健。
Antepartum anxiety and depression are two of the most common risk factors for the development of postpartum depression. Women are at a higher risk of developing depression and suffering from mental disorders during pregnancy and the postnatal period. Psychopathological symptoms during pregnancy have physiological consequences for the fetus, such as impaired blood flow leading to low birth weight, as well as cognitive delay and behavioral problems. To screen antenatal women for common mental health disorders and to determine the factors associated with mental health disorders during pregnancy. A cross-sectional study among 208 pregnant mothers in the third trimester attending the antenatal clinic at a Government Maternity Home in a low-income urban area of Bengaluru was conducted using clinical interview schedule-revised (CIS-R) questionnaire as a screening tool for detecting the presence of mental morbidity. Data collected were analyzed using SPSS version 16. In the study population, 12 (5.8%) screened positive for antepartum mental morbidities, of which depression was the most common. 3.8% of all women screened positive for depression, with 15.4% demonstrating depressive symptoms. Overall, 82 (39.4%) had the presence of one or more psychological symptoms, including fatigue, irritability, anxiety, and problems with sleep and concentration but scored less than the CIS-R cutoff score of 12. Factors associated with the presence of antepartum mental morbidities included poor relationships with their spouse, poor/satisfactory relationship with siblings or in-laws, as well as the desire to have a male child. In the study population, 12 (5.8%) screened positive for antepartum mental morbidities. Considering the effects on quality of life for these women as well as poor fetal outcomes associated with maternal mental morbidity, it is important to include screening and treatment of mental morbidity as a part of routine antenatal care.