母亲心理健康轨迹：一项前瞻性研究，从怀孕到产后 36 个月，研究患有先天性心脏病婴儿的母亲。
Trajectories of maternal mental health: a prospective study of mothers of infants with congenital heart defects from pregnancy to 36 months postpartum.
机构信息
Department of Psychosomatics and Health Behaviour, Norwegian Institute of Public Health, Box 4404 Nydalen, 0403 Oslo, Norway.
出版信息
J Pediatr Psychol. 2012 Jul;37(6):687-96. doi: 10.1093/jpepsy/jss044. Epub 2012 Mar 9.
Abstract
OBJECTIVE
To chart mothers' trajectories of mental health from pregnancy to 36 months postpartum in order to investigate the association between infants' congenital heart defects (CHD) and compromised maternal mental health.
METHODS
Mothers of infants with mild, moderate, or severe CHD (n = 141) and mothers (n = 36,437) enrolled in the Norwegian Mother and Child Cohort Study were assessed at regular intervals from pregnancy up to 36 months postpartum, including measurements at 6 and 18 months, using an 8-item version of the Hopkins Symptom Checklist-25.
RESULTS
Mean score trajectories of SCL-8 for mothers of infants with severe CHD deviated significantly from cohort controls 6, 18, and 36 months postpartum, indicating heightened symptoms of depression and anxiety.
CONCLUSIONS
Mothers of infants with severe CHD are at risk of compromised mental health from delivery to 36 months postpartum. Strain due to CHD-related interventions is identified as a possible partial mediator of the distress.
摘要
目的
描绘母亲从怀孕到产后 36 个月的心理健康轨迹，以调查婴儿先天性心脏病 (CHD) 与产妇心理健康受损之间的关系。
方法
对患有轻度、中度或重度 CHD 的婴儿的母亲（n=141）和参加挪威母婴队列研究的母亲（n=36437）进行评估，从怀孕到产后 36 个月定期进行评估，包括在 6 个月和 18 个月时进行测量，使用 Hopkins 症状清单-25 的 8 项版本。
结果
患有严重 CHD 的婴儿的母亲的 SCL-8 平均得分轨迹在产后 6、18 和 36 个月与队列对照明显不同，表明抑郁和焦虑症状加重。
结论
患有严重 CHD 的婴儿的母亲在分娩后到产后 36 个月存在心理健康受损的风险。与 CHD 相关干预相关的压力被确定为困扰的一个可能的部分中介。
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