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不同风险样本中产前父亲抑郁、焦虑和躯体症状负担:一项探索性研究。

Prenatal paternal depression, anxiety, and somatic symptom burden in different risk samples: an explorative study.

机构信息

Department of General Internal Medicine and Psychosomatics, University of Heidelberg, Heidelberg, Germany.

Department of Obstetrics and Gynecology, University of Heidelberg, Heidelberg, Germany.

出版信息

Arch Gynecol Obstet. 2023 Apr;307(4):1255-1263. doi: 10.1007/s00404-022-06612-2. Epub 2022 May 24.

Abstract

PURPOSE

Growing evidence implies that transition to parenthood triggers symptoms of mental burden not only in women but likewise in men, especially in high-risk pregnancies. This is the first study that examined and compared the prevalence rates of depression, anxiety, and somatic symptom burden of expectant fathers who face different risk situations during pregnancy.

METHODS

Prevalence rates of paternal depression (Edinburgh postnatal depression scale), anxiety (generalized anxiety disorder seven), and somatic symptom burden (somatic symptom scale eight) were examined in two risk samples and one control group in the third trimester of their partners' pregnancy: risk sample I (n = 41) consist of expectant fathers whose partners were prenatally hospitalized due to medical complications; risk sample II (n = 52) are fathers whose partners were prenatally mentally distressed; and control group (n = 70) are those non-risk pregnancies.

RESULTS

On a purely descriptive level, the data display a trend of higher symptom burden of depression, anxiety, and somatic symptoms in the two risk samples, indicating that expectant fathers, whose pregnant partners were hospitalized or suffered prenatal depression, were more prenatally distressed. Exploratory testing of group differences revealed an almost three times higher prevalence rate of anxiety in fathers whose partner was hospitalized (12.2%) compared to those non-risks (4.3%).

CONCLUSION

Results underline the need for screening implementations for paternal prenatal psychological distress, as well as specific prevention and treatment programs, especially for fathers in risk situations, such as their pregnant partners' prenatal hospitalization. The study was registered with the German clinical trials register (DRKS00020131) on 2019/12/09.

摘要

目的

越来越多的证据表明,向父母身份的转变不仅会给女性,也会给男性带来精神负担的症状,尤其是在高危妊娠中。这是第一项研究,该研究检查和比较了在妊娠期间面临不同风险情况的准父亲的抑郁、焦虑和躯体症状负担的患病率。

方法

在妊娠晚期,我们在两个风险样本和一个对照组中检查了准父亲的抑郁(爱丁堡产后抑郁量表)、焦虑(广泛性焦虑障碍七项)和躯体症状负担(躯体症状量表八项)的患病率:风险样本 I(n=41)由其伴侣因医疗并发症而在产前住院的准父亲组成;风险样本 II(n=52)是其伴侣在产前患有精神疾病的父亲;对照组(n=70)是那些非风险妊娠的父亲。

结果

从纯粹描述性的角度来看,数据显示两个风险样本中抑郁、焦虑和躯体症状的负担更高,这表明其伴侣住院或患有产前抑郁症的准父亲在产前更苦恼。对组间差异的探索性测试显示,伴侣住院的父亲(12.2%)焦虑的患病率几乎高出三倍,而非风险组(4.3%)。

结论

结果强调了对准父亲产前心理困扰进行筛查实施以及特定的预防和治疗计划的必要性,特别是对于其伴侣在产前住院等高危情况下的父亲。该研究于 2019 年 12 月 9 日在德国临床试验注册中心(DRKS00020131)注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b74e/10023642/306c1b1eec44/404_2022_6612_Fig1_HTML.jpg

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