Lindgren Peter, Stadin Magdalena, Blomberg Inger, Nordin Karin, Sahlgren Hanna, Ingvoldstad Malmgren Charlotta
Department of Clinical Science, Intervention and Technology, Karolinska Institutet and Center for Fetal Medicine, Karolinska University Hospital, Stockholm, Sweden.
School of Health Sciences, Jönköping University, Jönköping, Sweden.
Acta Obstet Gynecol Scand. 2017 Oct;96(10):1243-1250. doi: 10.1111/aogs.13195. Epub 2017 Aug 24.
Balanced information before prenatal diagnosis (PND) aims to help expectant parents to make an informed choice. However, it is important that the information does not increase the expectant parents' psychological distress. The aim was to examine psychological distress among expectant parents, before and after receiving information about PND, to evaluate the possible differences between two different procedures of information giving, and to evaluate the association between satisfaction with the information and psychological distress.
A longitudinal design, based on questionnaire data from 380 expectant parents from four counties in Sweden. The measurement points; T1, before the information about PND was given and T2, 2 weeks after the prenatal screening or 15 weeks of gestation. The Hospital Anxiety and Depression Scale (HADS) and the Swedish version of the Cambridge Worrying Scale (CWS) measured psychological distress. The Satisfaction with Genetic Counseling Scale (SCS) measured satisfaction with information about PND.
The rate of psychological distress was stable among the pregnant women, but decreased among their partners, after the information was received. General anxiety and the social-medical dimension of pregnancy-related worry decreased among the participants who received information, using the more distinct two-stage process (group A), but was unchanged in group B (less distinct two-stage process). Health-related worry decreased in both groups, whereas relational worry and level of depressive symptoms were unchanged in both groups.
Information about PND does not increase the psychological distress among expectant parents. A more distinct two-stage process of information giving might even decrease their anxiety.
产前诊断（PND）前的均衡信息旨在帮助准父母做出明智的选择。然而，重要的是这些信息不会增加准父母的心理困扰。本研究旨在调查准父母在接受PND信息前后的心理困扰，评估两种不同信息提供程序之间的可能差异，并评估对信息的满意度与心理困扰之间的关联。
采用纵向设计，基于瑞典四个县380名准父母的问卷数据。测量点为：T1，在提供PND信息之前；T2，产前筛查后2周或妊娠15周。使用医院焦虑抑郁量表（HADS）和瑞典版剑桥担忧量表（CWS）测量心理困扰。使用遗传咨询满意度量表（SCS）测量对PND信息的满意度。
在收到信息后，孕妇的心理困扰率保持稳定，但其伴侣的心理困扰率有所下降。在采用更明确的两阶段程序（A组）接收信息的参与者中，一般焦虑和与妊娠相关担忧的社会医学维度有所下降，但B组（不太明确的两阶段程序）则无变化。两组的健康相关担忧均有所下降，而两组的关系担忧和抑郁症状水平均无变化。
PND信息不会增加准父母的心理困扰。更明确的两阶段信息提供程序甚至可能减轻他们的焦虑。
