Women's Health Concerns Clinic, St. Joseph's Healthcare, Hamilton, Ontario, Canada.
Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Clin Psychol Psychother. 2020 Mar;27(2):136-145. doi: 10.1002/cpp.2413. Epub 2019 Dec 5.
Prevalence of perinatal anxiety disorders continues to grow, with estimates greater than those of postpartum depression. Generalized anxiety disorder (GAD) is the most commonly reported perinatal anxiety disorder, yet very little is known about the worry content experienced during the perinatal period in those with GAD. This study investigated worry content and frequency in a sample of perinatal women (n = 20) and age-matched nonperinatal women (n = 20) diagnosed with GAD. Participants completed the Penn State Worry Questionnaire (PSWQ) to assess worry severity, in addition to providing their current top worries. Mean scores on the PSWQ in both samples exceeded a clinical cut-off score of 65, and thematic analyses revealed that perinatal women experienced significantly greater parental-themed worries compared with the nonperinatal GAD sample (p < .05). Capturing the unique content of worry for perinatal woman will assist clinicians in identifying treatment targets and may enhance treatment outcome.
围产期焦虑障碍的患病率持续上升，估计患病率高于产后抑郁症。广泛性焦虑障碍（GAD）是最常见的围产期焦虑障碍，但对于 GAD 患者在围产期经历的担忧内容知之甚少。本研究调查了患有 GAD 的围产期女性（n=20）和年龄匹配的非围产期女性（n=20）的担忧内容和频率。参与者完成了宾夕法尼亚州担忧问卷（PSWQ），以评估担忧的严重程度，并提供他们目前最担心的事情。两个样本的 PSWQ 平均得分均超过了 65 的临床临界值，主题分析显示，围产期女性的父母主题担忧明显高于非围产期 GAD 样本（p<0.05）。捕捉围产期女性担忧的独特内容将有助于临床医生确定治疗目标，并可能提高治疗效果。
