Thapar A K, Thapar A
Health Clinic, Aberbargoed, Mid Glamorgan.
Br J Gen Pract. 1992 Mar;42(356):94-6.
This study was carried out to assess whether psychiatric morbidity after a miscarriage is higher than that associated with early pregnancy. A total of 60 consecutive women admitted to a Swansea hospital with a miscarriage were compared with 62 consecutive women who attended an antenatal clinic at the same hospital, using the 28-item general health questionnaire and the hospital anxiety and depression scale. These were completed both at initial contact and six weeks later. Women who had had a miscarriage were found to be significantly more anxious and scored higher on the subscale for severe depression than the pregnant women, both at initial assessment and six weeks later. At the six week assessment more somatic symptoms were also experienced by the group who had had a miscarriage. This study highlights the psychological disturbance associated with miscarriage. The primary health care team and hospital staff need to take this into consideration when organizing follow up for women who have had a miscarriage.
本研究旨在评估流产后精神疾病发病率是否高于早期妊娠相关的发病率。采用28项一般健康问卷和医院焦虑抑郁量表，将斯旺西一家医院连续收治的60例流产妇女与同一家医院产前门诊连续就诊的62例妇女进行比较。这些问卷在初次接触时和六周后均需完成。结果发现，无论是在初次评估还是六周后，流产妇女均比孕妇明显更焦虑，且在严重抑郁子量表上得分更高。在六周评估时，流产组也出现了更多的躯体症状。本研究强调了与流产相关的心理障碍。初级卫生保健团队和医院工作人员在为流产妇女安排随访时需要考虑到这一点。
