初产妇产后抑郁症状可预测创伤后应激症状。
In first-time mothers, post-partum depressive symptom prospectively predict symptoms of post-traumatic stress.
机构信息
Department of Psychology, Ben-Gurion University of the Negev, Israel.
Department of Psychology, Ben-Gurion University of the Negev, Israel.
出版信息
J Affect Disord. 2015 Nov 1;186:168-70. doi: 10.1016/j.jad.2015.07.021. Epub 2015 Jul 29.
BACKGROUND
Symptoms of both depression and Post-Traumatic Stress Disorder (PTSD) are prevalent among first-time mothers following birth. However, the direction of the association between the two types of symptoms is unclear.
METHODS
Ninety six first-time mothers giving birth via vaginal delivery (N=38), emergency C-Section (N=27) and planned C-Section (N=21) were assessed for depression and PTSD twice: Six weeks post-partum and six-weeks later.
RESULTS
Cross-lagged Structural Equation Modeling (SEM) analyses revealed a prospective effect of depressive symptoms on PTSD symptoms. No moderating factors were identified.
LIMITATIONS
A relatively modest sample size and only two assessment waves.
CONCLUSIONS
An early detection and intervention with symptoms of post-partum depression might also prevent the development of PTSD symptoms.
背景
产后抑郁和创伤后应激障碍（PTSD）的症状在初产妇中普遍存在。然而，这两种症状之间的关联方向尚不清楚。
方法
96 名经阴道分娩（N=38）、急诊剖宫产（N=27）和择期剖宫产（N=21）的初产妇在产后六周和六周后两次接受抑郁和 PTSD 的评估。
结果
交叉滞后结构方程模型（SEM）分析显示，抑郁症状对 PTSD 症状有前瞻性影响。没有发现调节因素。
局限性
样本量相对较小，只有两次评估。
结论
早期发现和干预产后抑郁症状也可能预防 PTSD 症状的发展。
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