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妊娠中期常规超声检查发现脉络丛囊肿时父母的焦虑水平、连贯感和心理状态:一项病例对照研究

Parental level of anxiety, sense of coherence and state of mind when choroid plexus cysts have been identified at a routine ultrasound examination in the second trimester of pregnancy: a case control study.

作者信息

Larsson Anna-Karin, Svalenius Elizabeth Crang, Marsal Karel, Dykes Anna-Karin

机构信息

Faculty of Medicine, Department of Health Sciences, Lund University, Lund, Sweden.

出版信息

J Psychosom Obstet Gynaecol. 2009 Jun;30(2):95-100. doi: 10.1080/01674820903030173.

DOI:10.1080/01674820903030173
PMID:19533488
Abstract

The aim of the study was to compare parents' experience of a routine ultrasound examination in the second trimester, when a choroid plexus cyst/cysts (CPC) were found (Study group; n = 22), with matched controls where no fetal deviations were identified (Control group, n = 66). All the parents had participated in a larger cohort study. The instruments used for measuring anxiety were STAI-state/trait, sense of coherence (SOC) and Parents' Expectations, Experiences, Reactions to an Ultrasound examination during pregnancy (PEER-U, State of Mind Index). Regarding the SOC and STAI-state/trait no significant differences were found between the cases and controls or within the respective group before and after the ultrasound examination. The cases had an increase in anxiety (more anxious) as measured by the instrument PEER-U after the examination, while the controls showed a significant better level of State of Mind Index (less anxious) after the examination, compared to before. Therefore PEER-U can be a more reliable instrument when studying state of mind (anxiety) in connection with ultrasound examinations, and as it is specific for this situation it does not appear to be time dependent.

摘要

该研究的目的是比较在孕中期发现脉络丛囊肿(CPC)的孕妇(研究组;n = 22)与未发现胎儿异常的匹配对照组(对照组,n = 66)的父母对常规超声检查的体验。所有父母都参与了一项更大规模的队列研究。用于测量焦虑的工具包括状态-特质焦虑量表(STAI)、心理一致感(SOC)以及《孕期超声检查时父母的期望、经历和反应》(PEER-U,心理状态指数)。关于心理一致感和状态-特质焦虑量表,在病例组和对照组之间以及超声检查前后各自组内均未发现显著差异。与检查前相比,检查后通过PEER-U工具测量发现病例组的焦虑有所增加(更焦虑),而对照组的心理状态指数显著改善(焦虑减轻)。因此,在研究与超声检查相关的心理状态(焦虑)时,PEER-U可能是一种更可靠的工具,并且由于它针对这种情况具有特异性,似乎不受时间影响。

相似文献

1
Parental level of anxiety, sense of coherence and state of mind when choroid plexus cysts have been identified at a routine ultrasound examination in the second trimester of pregnancy: a case control study.妊娠中期常规超声检查发现脉络丛囊肿时父母的焦虑水平、连贯感和心理状态:一项病例对照研究
J Psychosom Obstet Gynaecol. 2009 Jun;30(2):95-100. doi: 10.1080/01674820903030173.
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Parental expectations, experiences and reactions, sense of coherence and grade of anxiety related to routine ultrasound examination with normal findings during pregnancy.孕期常规超声检查结果正常时,父母的期望、经历与反应、连贯感以及焦虑程度。
Prenat Diagn. 2009 Oct;29(10):952-9. doi: 10.1002/pd.2324.
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Women's response to fetal choroid plexus cysts detected by prenatal ultrasound.女性对产前超声检测到的胎儿脉络丛囊肿的反应。
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Parents' worried state of mind when fetal ultrasound shows an unexpected finding: a comparative study.胎儿超声检查出现意外发现时父母的焦虑心态:一项对照研究。
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Information for better or for worse: interviews with parents when their foetus was found to have choroid plexus cysts at a routine second trimester ultrasound.好坏参半的信息:对在孕中期常规超声检查中发现胎儿患有脉络丛囊肿的父母进行的访谈。
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[Fetal choroid plexus cysts: a real dilemma!].[胎儿脉络丛囊肿:一个真正的难题!]
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Management options for echogenic intracardiac focus and choroid plexus cysts: a review including Australian Association of Obstetrical and Gynaecological Ultrasonologists consensus statement.心内强回声光斑和脉络丛囊肿的处理选择:一项综述,包括澳大利亚妇产科超声医师协会的共识声明
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[Prenatal diagnosis and treatment of fetal choroid plexus cysts].[胎儿脉络丛囊肿的产前诊断与治疗]
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引用本文的文献

1
Prenatal ultrasound screening: false positive soft markers may alter maternal representations and mother-infant interaction.产前超声筛查:假阳性软标记物可能改变母婴的表现和母婴互动。
PLoS One. 2012;7(1):e30935. doi: 10.1371/journal.pone.0030935. Epub 2012 Jan 23.
2
Isolated prenatal choroid plexus cysts do not affect child development.孤立性产前脉络丛囊肿不会影响儿童发育。
Prenat Diagn. 2011 Aug;31(8):745-9. doi: 10.1002/pd.2757. Epub 2011 Apr 11.
3
Parents' experiences of an abnormal ultrasound examination - vacillating between emotional confusion and sense of reality.
父母对异常超声检查的体验——在情绪困惑和现实感之间摇摆不定。
Reprod Health. 2010 Jun 14;7:10. doi: 10.1186/1742-4755-7-10.