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人格维度和特质焦虑在围产期增加女性自杀意念可能性中的作用。

The role of personality dimensions and trait anxiety in increasing the likelihood of suicide ideation in women during the perinatal period.

机构信息

Discipline of Child Care and Neonatology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Timisoara, Romania.

Department of Obstetrics and Gynecology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Timisoara, Romania.

出版信息

J Psychosom Obstet Gynaecol. 2021 Sep;42(3):242-252. doi: 10.1080/0167482X.2020.1734790. Epub 2020 Mar 2.

Abstract

INTRODUCTION

Increasing amount of data reveal that suicide risk is a real phenomenon among perinatal women, determined by several other psychopathological conditions with depression being just one of them. This study aimed to investigate the role of personality dimensions on the occurrence of suicide ideation during the perinatal period.

METHODS

A longitudinal prospective study was performed in pregnant women who were monitored at university-based obstetrical care units in our county. Recruited women were reassessed between 6 and 8 weeks into their postnatal period. Trait and state anxiety, five-factor based dimensions of personality, and depressive symptoms were assessed using established psychometric measures. Appropriate statistical analyses were conducted, depending on the distribution of variables.

RESULTS

Significant levels of state anxiety (33.7% vs. 15.5%), depressive symptoms (19.8% vs. 8.5%), and suicide risk (13.9% vs. 6.3%) have halved in the postnatal period compared to the antenatal assessment. A lower level of education was associated with the presence of postnatal suicide ideation ( = .041), while an unemployed professional status was more frequent in pregnant women presenting antenatal suicide ideation ( = .021). Trait anxiety was predictive for the appearance of suicide ideation within the entire perinatal period assessed ( < .001 and  = .007, respectively). Agreeableness and conscientiousness predicted antenatal suicide ideation ( = .033 and  = .032, respectively).

DISCUSSIONS

Different dimensions of personality may play a contributing role in the development of suicide ideation in perinatal women. Consequently, personality dimensions and trait anxiety, not only depressive symptoms, should be investigated when attempting to identify perinatal women at risk of suicide.

摘要

引言

越来越多的数据表明,围产期女性存在自杀风险,这是一种真实存在的现象,其由多种其他精神病理学状况决定,而抑郁症只是其中之一。本研究旨在探讨人格维度在围产期出现自杀意念中的作用。

方法

这是一项在我们县的大学妇产科进行的前瞻性纵向研究。招募的女性在产后 6-8 周时进行重新评估。使用已建立的心理计量学测量方法评估特质和状态焦虑、基于五因素的人格维度和抑郁症状。根据变量的分布进行适当的统计分析。

结果

与产前评估相比,产后状态焦虑(33.7%对 15.5%)、抑郁症状(19.8%对 8.5%)和自杀风险(13.9%对 6.3%)显著降低。较低的教育水平与产后自杀意念的存在相关( = .041),而产前自杀意念的孕妇更常见于失业的专业人士( = .021)。特质焦虑是整个围产期评估中出现自杀意念的预测因素( < .001 和  = .007)。宜人性和尽责性预测产前自杀意念( = .033 和  = .032)。

讨论

人格的不同维度可能在围产期女性自杀意念的发展中起作用。因此,在试图识别有自杀风险的围产期女性时,不仅应调查抑郁症状,还应调查人格维度和特质焦虑。

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