孕期心理社会评估项目：多方法研究方案

Program for Psychosocial Assessment During Pregnancy: Protocol for a Multimethod Study.

作者信息

Lindahl Ylva-Li, Norén Helene, Skalkidou Alkistis, Åslund Cecilia

机构信息

Centre for Clinical Research Uppsala University, Västmanland Hospital, Region Västmanland, Västerås, Sweden.

Department of Women´s and Children´s Health, Faculty of Medicine, Uppsala University, Uppsala, Sweden.

出版信息

JMIR Res Protoc. 2025 Aug 1;14:e67179. doi: 10.2196/67179.

DOI:10.2196/67179

PMID:40749189

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12357120/

Abstract

BACKGROUND

Onset of depression and anxiety can occur before, during, or after pregnancy, and ongoing conditions can either improve or deteriorate at all stages. National and international guidelines recommend that maternal health care should contribute to improving pregnant women's mental health by consistently asking pertinent questions during pregnancy and offering necessary support and care. The implementation of a program for psychosocial assessment has been carried out in a region in Sweden. The program includes the identification of risk factors and ongoing mental ill-health, consultation with psychologists within maternal and child health care, and care pathways to other health care providers.

OBJECTIVE

The general aim of this research project is to investigate the effects of a program for psychosocial assessment during pregnancy on patients, as well as to evaluate the experiences of midwives and psychologists when working with the program.

METHODS

A multimethod study design will be used to evaluate possible effects of a program for psychosocial assessment during pregnancy, including a pre- and postimplementation comparison, alongside a qualitative study of the professionals' perspectives. Data sources for the research project include patient data from the Swedish Pregnancy Register, medical records, questionnaire responses, and interviews with midwives and psychologists.

RESULTS

The recruitment process is completed, and data collection and analysis are ongoing. The dissemination plan includes several publications of original research and two doctoral theses.

CONCLUSIONS

This study's results are expected to be relevant for maternal health care, both nationally and internationally, as scientific evaluations of the effects of implementing a program for psychosocial assessment during pregnancy are scarce. The implementation and evaluation of the program may hopefully, in the future, serve as a model for more standardized and effective care. It may influence national policies and attract attention as a model for improving perinatal mental health and maternity care.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/67179.

摘要

背景

抑郁和焦虑可在孕期之前、期间或之后出现，且现有病症在各个阶段都可能改善或恶化。国家和国际指南建议，孕产妇保健应通过在孕期持续询问相关问题并提供必要的支持与护理，来促进孕妇心理健康。瑞典一个地区实施了一项社会心理评估项目。该项目包括识别风险因素和持续存在的精神健康问题、在母婴保健机构内与心理学家进行咨询，以及通往其他医疗服务提供者的护理途径。