Prevalence and risk factors of postpartum posttraumatic stress disorder: A meta-analysis
Prevalence and risk factors of postpartum posttraumatic stress disorder: A meta-analysis
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DOI：
10.1016/j.cpr.2014.05.003
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发表时间：
2014-07-01
影响因子：
12.8
通讯作者：
O'Hara, Michael W.
中科院分区：
文献类型：
--
作者：
Grekin, Rebecca;O'Hara, Michael W.
研究表明，女性产后会患上PTSD。产后PTSD的患病率从1%到30%不等，许多危险因素已被确定为产后PTSD的预测因子。虽然定性审查已经确定了风险模式，但缺乏定量审查使该领域无法确定特定的风险因素，并对产后PTSD的患病率进行单一估计。目前的荟萃分析调查了社区和目标样本中产后PTSD的患病率和风险因素，包括分娩和其他事件。社区样本中产后PTSD的患病率估计为3.1%，高危样本中为15.7%。社区样本中的重要风险因素包括目前的抑郁症，劳动经验，如与医务人员的互动，以及精神病理学史。在高危样本中，有影响力的风险因素包括目前的抑郁症和婴儿并发症。进一步的研究应调查对怀孕和分娩的态度如何与妇女在分娩期间的经历相互作用。此外，研究需要开始，以评估这些症状可能对妇女及其家庭产生的长期影响。(C)2014爱思唯尔有限公司版权所有。
Research has demonstrated that women develop postpartum PTSD. Prevalence of postpartum PTSD has ranged from 1% to 30%, and many risk factors have been identified as predictors of postpartum PTSD. While qualitative reviews have identified patterns of risk, the lack of quantitative reviews prevents the field from identifying specific risk factors and making a single estimate of the prevalence of postpartum PTSD. The current meta-analysis investigated prevalence and risk factors of postpartum PTSD, both due to childbirth and other events, among community and targeted samples. Prevalence of postpartum PTSD in community samples was estimated to be 3.1% and in at-risk samples at 15.7%. Important risk factors in community samples included current depression, labor experiences such as interactions with medical staff, as well as a history of psychopathology. In at-risk samples, impactful risk factors included current depression and infant complications. Further research should investigate how attitudes towards pregnancy and childbirth may interact with women's experiences during delivery. Additionally, studies need to begin to evaluate possible long-term effects that these symptoms may have on women and their families. (C) 2014 Elsevier Ltd. All rights reserved.