瑞士创伤性分娩与健康队列研究（SwiTCH）：一项前瞻性、基于人群的队列研究方案，旨在研究父母从怀孕到产后一年的心理健康状况。
Swiss cohort on Traumatic Childbirth and Health (SwiTCH): protocol for a prospective, population-based cohort study on parents' mental health from pregnancy to one year postpartum.
机构信息
Institute of Higher Education and Research in Healthcare, University of Lausanne, Lausanne, Switzerland.
University Department of Child and Adolescent Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
出版信息
BMJ Open. 2024 Jan 30;14(1):e080557. doi: 10.1136/bmjopen-2023-080557.
INTRODUCTION
Approximately 4%-5% of mothers develop childbirth-related post-traumatic stress disorder (CB-PTSD) and approximately 12.3% of mothers develop some CB-PTSD symptoms (CB-PTSS). To date, there is a dearth of studies on fathers and other coparents. Parental CB-PTSD and CB-PTSS may have a negative impact not only on the parents but also on the infant. Understanding risk and protective factors of CB-PTSD for both parents and its consequences on the family is key to detecting or anticipating it, to developing interventions aimed at reducing its detrimental effects and to supporting parents.
METHODS AND ANALYSIS
This study protocol describes an observational, population-based study, consisting of a longitudinal prospective cohort with online surveys at four time points. The population of interest consist of women, in the third trimester of pregnancy or at 6-12 weeks postpartum, and their partner/coparent, who will give birth or gave birth in the French-speaking part of Switzerland. The target sample size is 300-500 women and a proportional number of partners. The primary outcome of this study is the prevalence of CB-PTSD and CB-PTSS. The secondary outcomes focus on: (1) the impact of CB-PTSD and CB-PTSS on the marital and coparental relationships, the bonding with the infant, parental burnout and healthcare seeking behaviours, (2) the role of the childbirth experience in the development of CB-PTSD and CB-PTSS and (3) the social and economic determinants of CB-PTSD and CB-PTSS.
ETHICS AND DISSEMINATION
Ethical approval was granted by the human research ethics committee of the Canton de Vaud (study number 2022-00284). All study participants signed an informed consent form. Dissemination of results will occur via national and international conferences, in peer-reviewed journals, public conferences and social media.
TRIAL REGISTRATION NUMBER
NCT05865704.
简介
大约 4%-5%的产妇会出现与分娩相关的创伤后应激障碍（CB-PTSD），大约 12.3%的产妇会出现一些 CB-PTSD 症状（CB-PTSS）。迄今为止，针对父亲和其他共同照顾者的研究还很少。父母的 CB-PTSD 和 CB-PTSS 不仅会对父母产生负面影响，还会对婴儿产生影响。了解父母双方 CB-PTSD 的风险和保护因素及其对家庭的影响，是发现或预测它、制定旨在减少其不良影响并为父母提供支持的干预措施的关键。
方法与分析
本研究方案描述了一项观察性、基于人群的研究，包括一个纵向前瞻性队列，在四个时间点进行在线调查。研究对象包括瑞士法语区即将分娩或产后 6-12 周的孕妇及其伴侣/共同照顾者。目标样本量为 300-500 名女性和相应数量的伴侣。该研究的主要结局是 CB-PTSD 和 CB-PTSS 的患病率。次要结局包括：（1）CB-PTSD 和 CB-PTSS 对婚姻和共同照顾关系、与婴儿的亲密关系、父母倦怠和寻求医疗保健行为的影响；（2）分娩经历在 CB-PTSD 和 CB-PTSS 发展中的作用；（3）CB-PTSD 和 CB-PTSS 的社会和经济决定因素。
伦理与传播
已获得沃州人类研究伦理委员会的伦理批准（研究编号 2022-00284）。所有研究参与者均签署了知情同意书。研究结果将通过全国和国际会议、同行评议期刊、公开会议和社交媒体进行传播。
试验注册号
NCT05865704。
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