Forray Ariadna, Mayes Linda C, Magriples Urania, Epperson Cynthia Neill
Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA.
J Matern Fetal Neonatal Med. 2009 Jun;22(6):522-7. doi: 10.1080/14767050902801686.
To assess the prevalence of post-traumatic stress disorder (PTSD) in pregnant women with prior pregnancy complications.
Seventy-six pregnant women at a maternal-fetal medicine referral clinic were asked to complete an anonymous questionnaire. Fifty-six women had a prior pregnancy complication (study group), and the remaining 20 had none (comparison group). Subjects were assessed with a questionnaire consisting of a modified patient-rated version of the Clinician Administered PTSD Scale (CAPS). The modified CAPS was used to approximate the prevalence of full or partial PTSD related to a prior pregnancy complication using two scoring rules, the rule-of-3 (original rule) and rule-of-4 (more stringent rule).
The prevalence of full PTSD among women with prior pregnancy complications was 12.5% and 8.9% based on the rule-of-3 and rule-of-4, respectively. For partial PTSD, the prevalence was 28.6% based on the rule-of-3 versus 17.9% based on the rule-of-4. The most common type of complication was miscarriage, accounting for 73.5% of the reported complications. None of the women in the comparison group met criteria for full or partial PTSD.
The prevalence of PTSD in pregnant women with a prior pregnancy-related complication is considerable. These findings provide additional evidence that pregnancy complications can be experienced as traumatic, and as such lead to partial or full PTSD symptoms.
评估既往有妊娠并发症的孕妇中创伤后应激障碍（PTSD）的患病率。
在一家母胎医学转诊诊所，76名孕妇被要求填写一份匿名问卷。56名妇女既往有妊娠并发症（研究组），其余20名无妊娠并发症（对照组）。使用一份由临床医生管理的创伤后应激障碍量表（CAPS）的改良患者自评版本组成的问卷对受试者进行评估。改良后的CAPS使用两种评分规则，即三分法（原规则）和四分法（更严格的规则）来估算与既往妊娠并发症相关的完全或部分PTSD的患病率。
既往有妊娠并发症的妇女中，根据三分法和四分法，完全PTSD的患病率分别为12.5%和8.9%。对于部分PTSD，根据三分法患病率为28.6%，而根据四分法为17.9%。最常见的并发症类型是流产，占报告并发症的73.5%。对照组中没有女性符合完全或部分PTSD的标准。
既往有妊娠相关并发症的孕妇中PTSD的患病率相当高。这些发现提供了额外的证据，表明妊娠并发症可能被视为创伤性事件，并因此导致部分或完全的PTSD症状。
