极早产儿分娩后决策质量对心理健康的影响。
The impact of decision quality on mental health following periviable delivery.
机构信息
Department of Obstetrics & Gynecology, Indiana University School of Medicine, Indianapolis, IN, USA.
Department of Biostatistics, Indiana University School of Medicine & Richard M. Fairbanks School of Public Health, Indianapolis, IN, USA.
出版信息
J Perinatol. 2019 Dec;39(12):1595-1601. doi: 10.1038/s41372-019-0403-0. Epub 2019 Jun 17.
PURPOSE
To assess the relationship between decision quality and mental health outcomes for women and their important others (IO) 3 months following periviable birth.
METHOD
Mental health outcomes were assessed prior to delivery and at 3 months postpartum using depression (PHQ-9), anxiety (GAD-7), and post-traumatic stress disorder (PTSD) (IES-22) scales. Decision quality was measured in terms of Decisional Conflict, Control, Regret, and Satisfaction with Decision. Descriptive analyses and linear regression modeling were conducted using SAS version 9.4.
RESULT
We recruited 30 eligible women and 16 IOs. Participants had mild anxiety and depression, and symptoms of PTSD were among bereaved parents. Participants with lower decision control had higher levels of depression (women: p = 0.014; IOs: p = 0.059) and anxiety (women: p = 0.053; IOs: p = 0.032). Depression was also associated with higher decisional regret (women: p = 0.073; IOs: p = 0.023).
CONCLUSION
Our findings suggest that decision quality is associated with mental health outcomes for families who experience periviable delivery.
目的
评估围产儿出生后 3 个月时女性及其重要他人（IO）的决策质量与心理健康结果之间的关系。
方法
使用抑郁（PHQ-9）、焦虑（GAD-7）和创伤后应激障碍（PTSD）（IES-22）量表在分娩前和产后 3 个月评估心理健康结果。决策质量通过决策冲突、控制、后悔和决策满意度来衡量。使用 SAS 版本 9.4 进行描述性分析和线性回归建模。
结果
我们招募了 30 名符合条件的女性和 16 名 IO。参与者有轻度焦虑和抑郁，丧亲父母有 PTSD 症状。决策控制较低的参与者抑郁水平较高（女性：p=0.014；IO：p=0.059）和焦虑（女性：p=0.053；IO：p=0.032）。抑郁也与更高的决策后悔相关（女性：p=0.073；IO：p=0.023）。
结论
我们的研究结果表明，在经历围产儿分娩的家庭中，决策质量与心理健康结果相关。
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