Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice.
Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice.
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DOI：
10.1097/yco.0b013e3283503680
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发表时间：
2012-03
影响因子：
6.9
通讯作者：
Tanner L
中科院分区：
文献类型：
--
作者：
Dunkel Schetter C;Tanner L
简要回顾关于抑郁、焦虑和压力暴露对妊娠期不良母婴结局的影响的最新研究结果，并关注妊娠焦虑的新发现，妊娠焦虑是一种潜在的孕产妇风险因素。怀孕期间的焦虑、抑郁和压力是母亲和儿童不良后果的危险因素。妊娠期焦虑与妊娠期缩短有关，对胎儿神经发育和儿童结局有不良影响。对特定怀孕的焦虑尤其强烈。慢性紧张，暴露于种族主义，抑郁症状的母亲在怀孕期间与出生体重较低的婴儿与婴儿发育的后果。这些可区分的风险因素和相关途径，以不同的出生结果值得进一步调查。这些证据，以及关于生物学和行为机制的共识，为下一个时代的精神病学和跨学科协作研究奠定了基础，以减少围产期产妇压力，抑郁和焦虑的负担。这是至关重要的，以确定的迹象，症状和诊断阈值，保证产前干预，并制定有效的，有效的和生态上有效的筛查和干预战略，以广泛使用。
To briefly review results of the latest research on the contributions of depression, anxiety, and stress exposures in pregnancy to adverse maternal and child outcomes, and to direct attention to new findings on pregnancy anxiety, a potent maternal risk factor. Anxiety, depression, and stress in pregnancy are risk factors for adverse outcomes for mothers and children. Anxiety in pregnancy is associated with shorter gestation and has adverse implications for fetal neurodevelopment and child outcomes. Anxiety about a particular pregnancy is especially potent. Chronic strain, exposure to racism, and depressive symptoms in mothers during pregnancy are associated with lower birth weight infants with consequences for infant development. These distinguishable risk factors and related pathways to distinct birth outcomes merit further investigation. This body of evidence, and the developing consensus regarding biological and behavioral mechanisms, sets the stage for a next era of psychiatric and collaborative interdisciplinary research on pregnancy to reduce the burden of maternal stress, depression, and anxiety in the perinatal period. It is critical to identify the signs, symptoms, and diagnostic thresholds that warrant prenatal intervention and to develop efficient, effective and ecologically valid screening and intervention strategies to be used widely.