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产后八周时的焦虑症状及障碍

Anxiety symptoms and disorders at eight weeks postpartum.

作者信息

Wenzel Amy, Haugen Erin N, Jackson Lydia C, Brendle Jennifer R

机构信息

Department of Psychology, University of North Dakota, Grand Forks, ND 58202-8380, USA.

出版信息

J Anxiety Disord. 2005;19(3):295-311. doi: 10.1016/j.janxdis.2004.04.001.

Abstract

Although the prevalence, risk factors for, and consequences of postpartum depression have been studied extensively, little work has examined the nature of postpartum anxiety disorders in community samples. In the present study, 147 community women completed a diagnostic interview and a battery of self-report inventories approximately eight weeks after childbirth. The rate of generalized anxiety disorder was elevated as compared to the rate in women representative of the general population. Depending on the particular domain of anxiety being considered, 10-50% of women reporting anxiety symptoms endorsed comorbid depressive symptoms. In hierarchical multiple regression analyses, different combinations of demographic and vulnerability variables predicted symptoms of somatic anxiety, social anxiety, and depression, although there were no significant predictors of worry symptoms. In addition, number of children, depression, and social anxiety predicted postpartum relationship distress. These results suggest that postpartum anxiety disorders are more common than postpartum depression and worthy of systematic study.

摘要

尽管产后抑郁症的患病率、风险因素及后果已得到广泛研究,但针对社区样本中产后焦虑症本质的研究却很少。在本研究中,147名社区女性在产后约八周完成了一次诊断访谈和一系列自我报告量表。与代表一般人群的女性相比,广泛性焦虑症的发生率有所升高。根据所考虑的焦虑特定领域,报告有焦虑症状的女性中有10%至50%认可存在共病抑郁症状。在分层多元回归分析中,人口统计学和易感性变量的不同组合可预测躯体焦虑、社交焦虑和抑郁症状,尽管没有显著的预测担忧症状的因素。此外,子女数量、抑郁和社交焦虑可预测产后人际关系困扰。这些结果表明,产后焦虑症比产后抑郁症更常见,值得进行系统研究。

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