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产后健康低风险初产妇的心理困扰:一项探索性研究

Psychological Distress in Healthy Low-Risk First-Time Mothers during the Postpartum Period: An Exploratory Study.

作者信息

Murphey Christina, Carter Patricia, Price Larry R, Champion Jane Dimmitt, Nichols Francine

机构信息

School of Nursing, The University of Texas at Austin, Austin, TX, USA.

College of Education & Department of Mathematics, Texas State University, San Marcos, TX, USA.

出版信息

Nurs Res Pract. 2017;2017:8415083. doi: 10.1155/2017/8415083. Epub 2017 Jan 16.

Abstract

Psychological distress, defined as depression, anxiety, and insomnia in this study, can occur following the birth of a baby as new mothers, in addition to marked physiological changes, are faced with adapting to new roles and responsibilities. We investigated the cooccurrence of stress, depression, anxiety, and insomnia in mothers during the postpartum period; tested the feasibility of study methods and procedures for use in this population; and identified new mothers interest in using cranial electrotherapy stimulation (CES) as an intervention for reducing psychological distress. We recruited healthy, low-risk, English speaking first-time mothers, ages 18-32 years, with healthy babies ( = 33), within 12 months of an uncomplicated birth. Participants completed the PSS, HAM-D, HAM-A, and PSQI. No problems were encountered with study procedures. Mothers reported a high interest (4.9) in the potential use of CES to treat or prevent the occurrence of psychological distress. All participants ( = 33) reported moderate levels of depression and anxiety, while 75.8% ( = 25) reported insomnia. PSS scores were within the norms for healthy women. Further research is recommended to investigate if our findings can be replicated or if different patterns of associations emerge. Implications for clinical practice are addressed.

摘要

在本研究中,心理困扰被定义为抑郁、焦虑和失眠。宝宝出生后,新妈妈除了会经历显著的生理变化外,还面临着适应新角色和新责任的问题,此时可能会出现心理困扰。我们调查了产后母亲压力、抑郁、焦虑和失眠的共现情况;测试了在该人群中使用的研究方法和程序的可行性;并确定了新妈妈对使用颅电刺激(CES)作为减轻心理困扰干预措施的兴趣。我们招募了年龄在18至32岁之间、健康、低风险、说英语的初产妇,她们的宝宝健康(n = 33),且分娩过程顺利,时间在产后12个月内。参与者完成了压力感知量表(PSS)、汉密尔顿抑郁量表(HAM-D)、汉密尔顿焦虑量表(HAM-A)和匹兹堡睡眠质量指数(PSQI)。研究程序未遇到任何问题。母亲们对使用CES治疗或预防心理困扰的潜在用途表现出很高的兴趣(4.9)。所有参与者(n = 33)均报告有中度抑郁和焦虑水平,而75.8%(n = 25)报告有失眠。PSS得分在健康女性的正常范围内。建议进一步研究以调查我们的发现是否可以复制,或者是否会出现不同的关联模式。文中还讨论了对临床实践的启示。

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