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产后抑郁、焦虑和压力评估问卷(围产期心理评估系列文章之一)

[Questionnaires for the Assessment of Peripartum Depression, Anxiety and Stress (Part 1 of a series on psychological assessment during the peripartum period)].

作者信息

Weigl Tobias, Garthus-Niegel Susan

机构信息

Psychology School, Hochschule Fresenius - University of Applied Sciences, Düsseldorf, Deutschland.

Fakultät Medizin, MSH Medical School Hamburg - University of Applied Sciences and Medical University, Hamburg, Deutschland.

出版信息

Z Geburtshilfe Neonatol. 2021 Aug;225(4):300-305. doi: 10.1055/a-1471-7256. Epub 2021 May 31.

Abstract

During pregnancy and after birth, women and men may experience symptoms of psychological distress. The most common symptoms comprise pregnancy-related anxiety and fear of childbirth as well as elevated levels of depression throughout the peripartum period. Particularly burdened populations, such as parents of premature infants, are also likely to experience greatly increased stress levels. Adequate questionnaires are needed to provide a standardized and time-efficient assessment of the aforementioned symptoms. However, only few questionnaires have been validated in the German language, and with the exception of the Edinburgh Postnatal Depression Scale, most of them are not very common in research and clinical practice. Furthermore, men are widely underrepresented in these questionnaires. Nevertheless, suitable screening tools are a prerequisite for the prevention and treatment of mental health problems in the peripartum period. Thus, symptoms of acute distress can be alleviated and the manifestation of chronic mental disorders with adverse consequences for the child or the couple relationship can be prevented. Therefore a standardization of the instruments used might be needed for future research and clinical practice.

摘要

在孕期及产后,女性和男性可能会出现心理困扰症状。最常见的症状包括与怀孕相关的焦虑和对分娩的恐惧,以及在整个围产期抑郁水平升高。特别受影响的人群,如早产儿的父母,也可能经历压力水平大幅增加。需要适当的问卷来对上述症状进行标准化且高效的评估。然而,只有少数问卷经过德语验证,并且除了爱丁堡产后抑郁量表外,它们中的大多数在研究和临床实践中并不常见。此外,男性在这些问卷中的代表性普遍不足。尽管如此,合适的筛查工具是围产期心理健康问题预防和治疗的先决条件。因此,可以缓解急性困扰症状,并预防对孩子或夫妻关系有不良后果的慢性精神障碍的表现。所以未来的研究和临床实践可能需要对所使用的工具进行标准化。

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