低收入孕妇社区样本中创伤后应激障碍的症状
Symptoms of posttraumatic stress disorder in a community sample of low-income pregnant women.
作者信息
Smith Megan V, Poschman Karalee, Cavaleri Mary A, Howell Heather B, Yonkers Kimberly A
机构信息
Department of Psychiatry, Yale University, 142 Temple St., Suite 301, New Haven, CT 06510, USA.
出版信息
Am J Psychiatry. 2006 May;163(5):881-4. doi: 10.1176/ajp.2006.163.5.881.
OBJECTIVE
The purpose of this study was to examine symptoms of posttraumatic stress disorder (PTSD) in a community sample of low-income pregnant women who met the DSM-IV diagnostic criteria for the disorder.
METHOD
Pregnant women (N=948) were screened for trauma, PTSD, depression, and co-occurring illicit substance use. PTSD symptoms were compared in traumatized pregnant women and a sample of nonpregnant traumatized women from the National Comorbidity Survey.
RESULTS
Suicidal thoughts and a high degree of psychiatric comorbidity were common in pregnant women with PTSD. Pregnant women were selectively and significantly less likely to endorse reexperiencing symptoms of PTSD (29.5%, N=82), compared to nonpregnant women (79.4%, N=464).
CONCLUSIONS
PTSD in pregnancy was associated with comorbidity, poor health behaviors, and lower recall of memory-related PTSD symptoms. Further prospective study is needed.
目的
本研究旨在调查符合创伤后应激障碍（PTSD）DSM-IV诊断标准的低收入孕妇社区样本中的创伤后应激障碍症状。
方法
对948名孕妇进行创伤、创伤后应激障碍、抑郁及并发非法药物使用情况的筛查。将受过创伤的孕妇的创伤后应激障碍症状与来自全国共病调查的未怀孕受创伤女性样本进行比较。
结果
创伤后应激障碍孕妇中自杀念头和高度精神共病情况很常见。与未怀孕女性（79.4%，N = 464）相比，孕妇选择性地且显著更少认可创伤后应激障碍的重现症状（29.5%，N = 82）。
结论
孕期创伤后应激障碍与共病、不良健康行为以及对与记忆相关的创伤后应激障碍症状的较低回忆有关。需要进一步的前瞻性研究。
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