Department of Public Health, Erasmus University Medical Center, Rotterdam, Netherlands.
J Psychosom Obstet Gynaecol. 2011 Sep;32(3):126-34. doi: 10.3109/0167482X.2011.599460.
This study describes the prevalence of postpartum post-traumatic stress disorder (PTSD) based on the DSM-IV criteria, including its symptoms of intrusion, avoidance and hyperarousal after pregnancies complicated by preeclampsia, and examines which variables are associated with PTSD and its symptoms. Women whose pregnancies were complicated by preeclampsia completed the Self-Rating Inventory for PTSD at 6 and 12 weeks postpartum: 149 women completed this questionnaire on at least one time point. Logistic regression analyses were used to examine associations with PTSD and its symptoms. Results showed that the prevalence of PTSD was 8.6% at 6 weeks, and 5.1% at 12 weeks postpartum; 21.9% of the study sample experienced postpartum symptoms of intrusion at 6 weeks postpartum (11.7% at 12 weeks), 9.4% symptoms of avoidance (8.0% at 12 weeks), and 28.9% symptoms of hyperarousal (20.4% at 12 weeks). Younger age, severe preeclampsia, cesarean section, lower gestational age, lower birth weight, admission to the neonatal intensive care unit, and perinatal death were found to be associated with PTSD and its symptoms. There was a relatively high prevalence of postpartum symptoms of PTSD among women after preeclampsia. The prevalence was highest among younger women who experienced more adverse pregnancy outcomes.
本研究根据 DSM-IV 标准描述了子痫前期妊娠后产后创伤后应激障碍（PTSD）的患病率，包括侵入性、回避和过度警觉症状，并探讨了哪些变量与 PTSD 及其症状相关。患有子痫前期的孕妇在产后 6 周和 12 周时完成 PTSD 自评量表：149 名妇女至少在一个时间点完成了此问卷。逻辑回归分析用于检查与 PTSD 及其症状的关联。结果表明，产后 6 周 PTSD 的患病率为 8.6%，产后 12 周为 5.1%；21.9%的研究样本在产后 6 周时出现产后侵入性症状（12 周时为 11.7%），9.4%出现回避症状（12 周时为 8.0%），28.9%出现过度警觉症状（12 周时为 20.4%）。研究发现，年龄较小、子痫前期严重程度、剖宫产、胎龄较低、出生体重较低、入住新生儿重症监护病房以及围产儿死亡与 PTSD 及其症状相关。子痫前期后妇女产后 PTSD 症状的患病率相对较高。在经历更多不良妊娠结局的年轻女性中，患病率最高。
