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围生期悲伤和孕产相关丧失后孕期创伤后应激障碍:一项纵向研究方案。

Perinatal Grief and Post-Traumatic Stress Disorder in Pregnancy after Perinatal Loss: A Longitudinal Study Protocol.

机构信息

Department of Nursing, Faculty of Health Sciences, University of Málaga, 29071 Málaga, Spain.

Department of Nursing, School of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain.

出版信息

Int J Environ Res Public Health. 2021 Mar 11;18(6):2874. doi: 10.3390/ijerph18062874.

DOI:10.3390/ijerph18062874
PMID:33799743
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8001458/
Abstract

BACKGROUND

Pregnancies that follow perinatal loss are often associated with mental health disorders, which are not usually treated or even identified.

OBJECTIVES

The main study aim is to identify the prevalence of symptoms of post-traumatic stress disorder and complicated perinatal grief at different stages of pregnancy following a prior gestational loss.

METHODS

This descriptive longitudinal study will be conducted with a twelve-month follow-up. The study variables addressed will include sociodemographic data (age, sex, education, marital status, employment status and obstetric history) together with clinical data on complicated perinatal grief and post-traumatic stress disorder scores.

RESULTS

The results obtained are expected to provide a new perspective on the healthcare approach to perinatal loss and subsequent pregnancy.

CONCLUSIONS

We seek to optimise comprehensive healthcare in cases of pregnancy following previous perinatal loss and to evaluate options to minimise possible risks.

摘要

背景

围产期丧失后怀孕的情况常与心理健康障碍相关,这些障碍通常未得到治疗,甚至未被识别。

目的

主要研究目的是在经历先前妊娠丧失后,在不同孕期阶段,确定围产期悲伤和创伤后应激障碍症状的患病率。

方法

这是一项为期 12 个月随访的描述性纵向研究。研究变量包括社会人口统计学数据(年龄、性别、教育程度、婚姻状况、就业状况和产科史),以及围产期悲伤和创伤后应激障碍评分的临床数据。

结果

预计研究结果将为围产期丧失和随后妊娠的医疗保健方法提供新视角。

结论

我们旨在优化先前围产期丧失后妊娠的全面医疗保健,并评估可能风险最小化的选择。

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本文引用的文献

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The psychological implications of a subsequent pregnancy outcome in couples with a history of miscarriage.有过流产史的夫妇再次妊娠结局的心理影响。
J Reprod Infant Psychol. 2021 Feb;39(1):16-29. doi: 10.1080/02646838.2020.1792427. Epub 2020 Jul 21.
2
Men's grief following pregnancy loss and neonatal loss: a systematic review and emerging theoretical model.男性在妊娠丢失和新生儿丢失后的悲伤:系统评价和新兴理论模型。
BMC Pregnancy Childbirth. 2020 Jan 10;20(1):11. doi: 10.1186/s12884-019-2677-9.
3
To lose an unborn child: Post-traumatic stress disorder and major depressive disorder following pregnancy loss among Israeli women.失去未出生的孩子:以色列妇女妊娠丢失后创伤后应激障碍和重度抑郁症。
Gen Hosp Psychiatry. 2018 Jul-Aug;53:95-100. doi: 10.1016/j.genhosppsych.2018.02.003. Epub 2018 May 16.
4
Longitudinal study of emotional experiences, grief and depressive symptoms in women and men after miscarriage.流产后女性和男性情绪体验、悲伤及抑郁症状的纵向研究。
Midwifery. 2018 Sep;64:23-28. doi: 10.1016/j.midw.2018.05.003. Epub 2018 Jun 1.
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Are Past Adverse Pregnancy Outcomes Associated with Maternal Anxiety and Depressive Symptoms in a Sample of Currently Pregnant Women?既往不良妊娠结局与当前孕妇样本中的母体焦虑和抑郁症状有关吗?
Ethiop J Health Sci. 2017 Jul;27(4):351-362. doi: 10.4314/ejhs.v27i4.6.
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The impact of pregnancy loss on men's health and wellbeing: a systematic review.妊娠丢失对男性健康和幸福的影响:系统评价。
BMC Pregnancy Childbirth. 2017 Nov 15;17(1):380. doi: 10.1186/s12884-017-1560-9.
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Reproductive loss: giving permission to grieve.生殖损失:给予悲伤的许可。
Issues Law Med. 2017 Fall;32(2):353-359.
8
Predicting grief intensity after recent perinatal loss.预测近期围产期丧亲后的悲伤强度。
J Psychosom Res. 2017 Oct;101:128-134. doi: 10.1016/j.jpsychores.2017.07.016. Epub 2017 Aug 2.
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The presence of anxiety, depression and stress in women and their partners during pregnancies following perinatal loss: A meta-analysis.围产期损失后妊娠期间女性及其伴侣中焦虑、抑郁和压力的存在:一项荟萃分析。
J Affect Disord. 2017 Dec 1;223:153-164. doi: 10.1016/j.jad.2017.07.004. Epub 2017 Jul 11.
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