Coates Dominiek, Saleeba Christine, Howe Deborah
Children and Young People's Mental Health, Central Coast Local Health District, Central Coast Mental Health, Gosford, NSW, Australia.
Health Soc Care Community. 2018 Jan;26(1):e154-e163. doi: 10.1111/hsc.12489. Epub 2017 Sep 4.
The perinatal period is a time of great vulnerability for many women, in particular those with a range of psychosocial vulnerabilities and mental health risk factors. This paper outlines the psychosocial and mental health profile of consumers and their partners of a perinatal and infant mental health (PIMH) service in Australia. To establish the consumer profile, we analysed client vulnerabilities and demographical information maintained over a 6-year period for 406 consumers. Consumer information, including mental health problems, psychosocial vulnerabilities and demographical information, was entered into a standalone database by the allocated clinicians upon service allocation and throughout treatment. The women accepted by PIMH presented with an average of nine different vulnerabilities. Frequently endorsed risk factors included depression (72.66%), anxiety (71.43%), comorbid depression and anxiety (58.13%), self-harm (past, 7.88%, present, 16.26%), a history of family mental health issues (39.66%), childhood trauma (57.88%), limited support (68.84%), relationship conflict with partners (38.92%) and financial stress (47.29%). The women's partners also presented with a range of vulnerabilities, in particular childhood trauma (34.11%) and mental health issues (30.81%). This study contributes to our understanding of the profile of vulnerable women in the perinatal period, and in particular contributes to the literature by highlighting that in addition to depression, anxiety, self-harm and trauma are also significant in PIMH service delivery.
围产期对许多女性来说是一个极易受伤害的时期，尤其是那些存在一系列社会心理脆弱性和心理健康风险因素的女性。本文概述了澳大利亚围产期和婴儿心理健康（PIMH）服务的消费者及其伴侣的社会心理和心理健康状况。为了确定消费者概况，我们分析了406名消费者在6年期间的客户脆弱性和人口统计学信息。消费者信息，包括心理健康问题、社会心理脆弱性和人口统计学信息，由指定的临床医生在服务分配时和整个治疗过程中录入一个独立的数据库。接受PIMH服务的女性平均存在九种不同的脆弱性。经常被认可的风险因素包括抑郁症（72.66%）、焦虑症（71.43%）、抑郁症和焦虑症共病（58.13%）、自我伤害（过去，7.88%，现在，16.26%）、有家庭心理健康问题史（39.66%）、童年创伤（57.88%）、支持有限（68.84%）、与伴侣的关系冲突（38.92%）和经济压力（47.29%）。这些女性的伴侣也存在一系列脆弱性，尤其是童年创伤（34.11%）和心理健康问题（30.81%）。这项研究有助于我们了解围产期脆弱女性的概况，特别是通过强调除抑郁症外，焦虑症、自我伤害和创伤在PIMH服务提供中也很重要，为相关文献做出了贡献。
