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影响非不稳定状态移民女性产前焦虑和抑郁的心理社会及社会文化因素

Psychosocial and Sociocultural Factors Influencing Antenatal Anxiety and Depression in Non-precarious Migrant Women.

作者信息

Sharapova Anna, Goguikian Ratcliff Betty

机构信息

Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland.

出版信息

Front Psychol. 2018 Jul 17;9:1200. doi: 10.3389/fpsyg.2018.01200. eCollection 2018.

Abstract

The aims of this paper are (1) to assess the role of sociodemographic and psychosocial risk factors on antenatal anxiety (AA) and antenatal depression (AD) in first-generation migrant women in Geneva, as compared to a control group of native Swiss women, and (2) to examine the role of acculturation and other sociocultural factors in the development of antenatal distress in migrant women. A sample of 43 migrant and 41 Swiss pregnant women were recruited during the third trimester of pregnancy. AA was assessed by using the State Trait Anxiety Inventory, and AD by using the Edinburgh Postnatal Depression Scale. Acculturation was assessed as a bidimensional process comprising and , using the Vancouver Index of Acculturation. AA in migrant women was mainly predicted by psychosocial factors, namely socioeconomic status, marital support, family presence in Geneva and parity, while AD was predicted by one dimension of acculturation, i.e., attachment to the heritage culture. Our study can inform perinatal health care professionals about some specific risk factors for antenatal distress in migrant women in order to increase systematic screening procedures.

摘要

本文的目的是

(1)评估社会人口学和心理社会风险因素在日内瓦第一代移民女性的产前焦虑(AA)和产前抑郁(AD)中所起的作用,并与瑞士本地女性对照组进行比较;(2)研究文化适应及其他社会文化因素在移民女性产前困扰发展过程中所起的作用。在孕期第三个月招募了43名移民孕妇和41名瑞士孕妇作为样本。使用状态特质焦虑量表评估AA,使用爱丁堡产后抑郁量表评估AD。文化适应采用双维度过程进行评估,使用温哥华文化适应指数,包括[具体内容缺失]和[具体内容缺失]。移民女性的AA主要由心理社会因素预测,即社会经济地位、婚姻支持、在日内瓦的家人以及胎次,而AD则由文化适应的一个维度预测,即对传统文化的依恋。我们的研究可以让围产期医疗保健专业人员了解移民女性产前困扰的一些特定风险因素,以便增加系统的筛查程序。

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