Mednax, Obstetrix Maternal-Fetal Medicine Specialists of Houston, Houston, TX, USA.
Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.
J Matern Fetal Neonatal Med. 2022 Dec;35(25):9608-9613. doi: 10.1080/14767058.2022.2049748. Epub 2022 Apr 27.
To compare stress, anxiety and depression levels among 3 groups of pregnant women: 1) low-risk outpatient (LRO), 2) high-risk outpatient (HRO), and 3) inpatient (IP).
This was a cross-sectional study using validated instruments. Inclusion criteria were pregnancies 23-37 weeks and maternal age > 18 years. The primary outcome was mean/median scores of Perceived Stress Scale (PSS), State Trait Anxiety Inventory (STAI), and Edinburgh Depression Scale (EDS). Secondary outcome was rate of abnormal scores.
Among 190 women approached, 180 (95%) participated, with 60 (33%) in each group. Mean PSS scores (range 0-40) significantly increased from LRO (12.0, standard deviation [SD] 7.8) to HRO (14.7, SD 7.9) to IP (15.6, SD 8.2); = .04. Mean STAI scores (range 20-80) also significantly increased from LRO (32.0, SD 11.1) to HRO (35.8, SD 11.9) to IP (40.9, SD 13.1); < .01. Abnormal anxiety (STAI ≥ 40) was present in 40% of women and significantly higher among IP compared to LRO (56% vs 25%; RR 2.24, 95% CI 1.36-3.67; aRR 2.24, 95% CI 1.34-3.74).
Stress and anxiety scores significantly differ in LRO, HRO, and IP women. While depression screening is common postpartum, screening for stress, anxiety and depression prenatally may be beneficial.
比较低危门诊孕妇（LRO）、高危门诊孕妇（HRO）和住院孕妇（IP）三组孕妇的应激、焦虑和抑郁水平。
这是一项使用经过验证的工具的横断面研究。纳入标准为妊娠 23-37 周且产妇年龄>18 岁。主要结局是使用感知压力量表（PSS）、状态特质焦虑量表（STAI）和爱丁堡抑郁量表（EDS）的平均/中位数评分。次要结局是异常评分率。
在 190 名被接触的女性中，有 180 名（95%）参与，每组 60 名（33%）。LRO 组的 PSS 评分（范围 0-40）为 12.0（标准差 [SD] 7.8），HRO 组为 14.7（SD 7.9），IP 组为 15.6（SD 8.2），差异有统计学意义（ = .04）。LRO 组的 STAI 评分（范围 20-80）为 32.0（SD 11.1），HRO 组为 35.8（SD 11.9），IP 组为 40.9（SD 13.1），差异也有统计学意义（ < .01）。异常焦虑（STAI ≥ 40）见于 40%的女性，IP 组明显高于 LRO 组（56%比 25%；RR 2.24，95%置信区间 1.36-3.67；aRR 2.24，95%置信区间 1.34-3.74）。
LRO、HRO 和 IP 女性的应激和焦虑评分有显著差异。虽然产后抑郁筛查很常见，但产前应激、焦虑和抑郁筛查可能有益。
