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新生儿重症监护病房(NICU)中婴儿父母创伤后应激障碍和产后抑郁症的患病率及相关因素。

Prevalence and correlates of posttraumatic stress and postpartum depression in parents of infants in the Neonatal Intensive Care Unit (NICU).

作者信息

Lefkowitz Debra S, Baxt Chiara, Evans Jacquelyn R

机构信息

Children's Hospital of Philadelphia, 3400 Civic Center Boulevard, 8NW-86, Philadelphia, PA 19104, USA.

出版信息

J Clin Psychol Med Settings. 2010 Sep;17(3):230-7. doi: 10.1007/s10880-010-9202-7.

Abstract

The purpose of this study was to assess the prevalence and correlates of acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) in mothers and fathers, and postpartum depression (PPD) in mothers, of infants in the Neonatal Intensive Care Unit (NICU). 86 mothers and 41 fathers completed measures of ASD and of parent perception of infant medical severity 3-5 days after the infant's NICU admission (T1), and measures of PTSD and PPD 30 days later (T2). 35% of mothers and 24% of fathers met ASD diagnostic criteria at T1, and 15% of mothers and 8% of fathers met PTSD diagnostic criteria at T2. PTSD symptom severity was correlated with concurrent stressors and family history of anxiety and depression. Rates of ASD/PTSD in parents of hospitalized infants are consistent with rates in other acute illness and injury populations, suggesting relevance of traumatic stress in characterizing parent experience during and after the NICU.

摘要

本研究的目的是评估新生儿重症监护病房(NICU)中婴儿的父母急性应激障碍(ASD)和创伤后应激障碍(PTSD)的患病率及相关因素,以及母亲的产后抑郁症(PPD)患病率。86名母亲和41名父亲在婴儿入住NICU后3至5天(T1)完成了ASD及父母对婴儿医疗严重程度认知的测量,30天后(T2)完成了PTSD和PPD的测量。在T1时,35%的母亲和24%的父亲符合ASD诊断标准,在T2时,15%的母亲和8%的父亲符合PTSD诊断标准。PTSD症状严重程度与同时存在的压力源以及焦虑和抑郁家族史相关。住院婴儿父母的ASD/PTSD患病率与其他急性疾病和受伤人群的患病率一致,这表明创伤性应激在描述NICU期间及之后父母的经历方面具有相关性。

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