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流产与心理健康:两项基于人群的研究结果。

Miscarriage and mental health: results of two population-based studies.

机构信息

Mood, Depression and Suicidal Behaviour Unit, Department of Mental Health and Substance Abuse Services, National Institute for Health and Welfare (THL), Mannerheimintie 170, P.O. Box 30, FI-00271 Helsinki, Finland.

出版信息

Psychiatry Res. 2013 Jan 30;205(1-2):151-8. doi: 10.1016/j.psychres.2012.08.029. Epub 2012 Sep 15.

DOI:10.1016/j.psychres.2012.08.029
PMID:22985545
Abstract

A miscarriage may have a sustained negative effect on mental health. Our aim was to analyze the association of the history and, if any, the number of miscarriages with mental health. The participants were women from two population-based studies, the Finnish Health 2000 survey and the National FINRISK 2002 Survey. Data were collected with a set of self-reported questionnaires, a clinical health examination and/or a home interview. A modified Beck Depression Inventory (BDI), the 12-item General Health Questionnaire (GHQ-12), the Munich-Composite International Diagnostic Interview (M-CIDI) and other non-structured interviews were used for the assessment of mental health. A diagnosis of depressive disorder and the presence of depressive symptoms were more prevalent among women with a history of miscarriage. In both datasets the higher the number of miscarriages was, the worse the current state of mood was and the higher the frequency of a psychiatric diagnosis was. These results suggest that a miscarriage, and in particular the number of miscarriages, contributes to mental health in a negative way for long.

摘要

流产可能对心理健康产生持续的负面影响。我们的目的是分析流产史,以及如果有,流产次数与心理健康之间的关联。参与者来自两项基于人群的研究,即芬兰健康 2000 调查和国家 FINRISK 2002 调查。数据通过一系列自我报告问卷、临床健康检查和/或家庭访谈收集。使用改良贝克抑郁量表(BDI)、12 项一般健康问卷(GHQ-12)、慕尼黑综合国际诊断访谈(M-CIDI)和其他非结构化访谈来评估心理健康。有流产史的女性更易被诊断为抑郁障碍和存在抑郁症状。在两个数据集里,流产次数越多,当前的情绪状态越差,精神科诊断的频率越高。这些结果表明,流产,特别是流产次数,会对心理健康产生长期的负面影响。

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