Silver School of Social Work, New York University, 1 Washington Square North, New York, NY, 10003, USA.
, 745 Thomas Drive #3, Boulder, CO, 80303, USA.
Matern Child Health J. 2021 May;25(5):741-750. doi: 10.1007/s10995-020-03041-y. Epub 2021 Jan 2.
Pregnant teens are seen as a group at risk, yet one area that remains understudied is the impact of trauma on their mental health, maternal fetal attachment and pregnancy-related health behavior.
A pilot study of urban pregnant teens receiving home visiting services examined trauma exposure, complex traumatic stress, maternal fetal attachment, and health behaviors of pregnancy. The sample (n = 36) was recruited over a period of 20 months from Nurse-Family Partnership of New York City (NFP-NYC) service sites. The teens interviewed completed scales measuring adverse childhood experiences (ACEs), symptoms of complex posttraumatic stress (TSCC), prenatal attachment (MAAS), and pregnancy health behaviors (HPQ-II).
Over one third of participants reported 4 or more ACEs (36%), and scores on the Trauma Symptom Checklist subscales ranged from a low of 11% for anger to 25% for depression, anxiety and post-traumatic stress. Maternal-fetal attachment was strong and pregnancy health behaviors were positive. The number of ACEs was related to traumatic stress symptoms but not to maternal fetal attachment or health behaviors in pregnancy.
Pregnant teens with trauma histories could benefit from access to trauma-informed mental health services integrated into the obstetrical or home-visiting services they receive.
青少年怀孕被视为一个处于风险之中的群体，但有一个领域仍研究不足，那就是创伤对她们的心理健康、母婴胎儿依恋和与怀孕相关的健康行为的影响。
一项针对接受家庭访视服务的城市青少年孕妇的试点研究调查了创伤暴露、复杂创伤后应激、母婴胎儿依恋以及妊娠期间的健康行为。该样本（n=36）在 20 个月的时间内从纽约市护士家庭伙伴关系（NFP-NYC）服务点招募而来。接受访谈的青少年完成了衡量不良童年经历（ACEs）、复杂创伤后应激症状（TSCC）、产前依恋（MAAS）和怀孕健康行为（HPQ-II）的量表。
超过三分之一的参与者报告了 4 次或更多的 ACEs（36%），创伤症状清单子量表的分数从愤怒的 11%到抑郁、焦虑和创伤后应激的 25%不等。母婴胎儿依恋较强，怀孕健康行为呈阳性。ACEs 的数量与创伤后应激症状相关，但与母婴胎儿依恋或怀孕期间的健康行为无关。
有创伤史的青少年孕妇可能受益于获得创伤知情心理健康服务，这些服务可以整合到她们接受的产科或家庭访视服务中。
