Sinesi Andrea, Maxwell Margaret, O'Carroll Ronan, Cheyne Helen
Nursing, Midwifery and Allied Health Professions Research Unit,University of Stirling,UK.
Professor of Health Services and Mental Health Research and Director, Nursing, Midwifery and Allied Health Professions Research Unit,University of Stirling,UK.
BJPsych Open. 2019 Jan;5(1):e5. doi: 10.1192/bjo.2018.75.
Anxiety disorders and self-reported symptoms are highly prevalent in pregnancy. Despite their negative impact on maternal and child outcomes, uncertainty remains regarding which symptoms can be considered accurate indicators of antenatal anxiety.AimsTo examine and synthesise the evidence in relation to the psychometric properties and content of self-report scales used to detect anxiety symptoms in pregnant women.
A systematic search was carried out and the methodological quality of all included studies was assessed. Only those achieving a rating of good or excellent were considered in a synthesis of the best available evidence.
Several anxiety symptoms and domains were identified as promising for screening for general antenatal anxiety and pregnancy-related anxiety, including elevated levels of worry, symptoms of panic, fear of childbirth and excessive worries about the baby's health.
This review contributes to the existing knowledge by identifying a number of anxiety symptoms that can be considered psychometrically robust indicators of antenatal anxiety.Declaration of interestNone.
焦虑症和自我报告的症状在孕期极为普遍。尽管它们对母婴结局有负面影响，但对于哪些症状可被视为产前焦虑的准确指标仍存在不确定性。
审查并综合有关用于检测孕妇焦虑症状的自我报告量表的心理测量特性和内容的证据。
进行了系统检索，并评估了所有纳入研究的方法学质量。只有那些评级为良好或优秀的研究才被纳入最佳现有证据的综合分析。
确定了几种焦虑症状和领域，有望用于筛查一般产前焦虑和与妊娠相关的焦虑，包括担忧程度升高、惊恐症状、害怕分娩以及对婴儿健康的过度担忧。
本综述通过识别一些可被视为产前焦虑心理测量可靠指标的焦虑症状，为现有知识做出了贡献。
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