产后创伤后应激障碍。
Post-traumatic stress disorder following childbirth.
机构信息
Université de Lorraine, CNRS, CRAN, UMR 7039, Nancy, France.
La Teppe, Tain l'Hermitage, France.
出版信息
BMC Psychiatry. 2021 Mar 16;21(1):155. doi: 10.1186/s12888-021-03158-6.
BACKGROUND
Childbirth experience could be complicated and even traumatic. This study explored the possible risk factors for post-traumatic stress disorder following childbirth (PTSD-FC) in mothers and partners.
METHODS
Through a cross-sectional online survey biographical, medical, psychological, obstetrical and trauma history data were collected. The PTSD-FC, postnatal depression, social support, and perceived mother-infant bond in 916 mothers and 64 partners were measured through self-reported psychometric assessments.
RESULTS
Our findings highlight the possible impact of several risk factors such as emergency childbirth, past traumatic experiences and distressing events during childbirth on PTSD-FC. The difficulties in mother-infant bond and the postpartum depression were highly associated with the total score of PTSD-FC symptoms for mothers. While for partners, post-partum depression was highly associated with the total score of PTSD-FC.
CONCLUSIONS
Our study demonstrated significant links between psychological, traumatic and birth-related risk factors as well as the perceived social support and the possible PTSD following childbirth in mothers and partners. Given that, a specific attention to PTSD-FC and psychological distress following childbirth should be given to mothers and their partners following childbirth.
背景
分娩经历可能很复杂，甚至会造成创伤。本研究探讨了母亲和伴侣产后创伤后应激障碍（PTSD-FC）的可能危险因素。
方法
通过横断面在线调查，收集了传记、医学、心理、产科和创伤史数据。通过自我报告的心理评估，对 916 名母亲和 64 名伴侣的 PTSD-FC、产后抑郁、社会支持和感知母婴联系进行了测量。
结果
我们的研究结果强调了一些风险因素的可能影响，如紧急分娩、过去的创伤经历和分娩期间的痛苦事件，这些因素可能会导致 PTSD-FC。母婴联系困难和产后抑郁与母亲 PTSD-FC 症状总分高度相关。而对于伴侣来说，产后抑郁与 PTSD-FC 总分高度相关。
结论
本研究表明，心理、创伤和与分娩相关的风险因素以及产后伴侣的社会支持与产后可能发生的 PTSD 之间存在显著联系。鉴于此，产后应特别关注母亲及其伴侣的 PTSD-FC 和产后心理困扰。
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