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低风险和高风险孕妇心理症状的患病率:一项横断面研究。

Prevalence of psychological symptoms in low and high-risk pregnant women: A cross-sectional study.

作者信息

Dalili Maryam, Mehdizadeh Ali, Nodinnejad Maryam, Karami Robati Fatemeh

机构信息

Department of Obstetrics and Gynecology, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.

Maternal-Fetal Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Int J Reprod Biomed. 2025 Jun 10;23(4):295-302. doi: 10.18502/ijrm.v23i4.18781. eCollection 2025 Apr.

Abstract

BACKGROUND

Common psychological disorders during pregnancy can have obvious harmful effects on both mother and fetus.

OBJECTIVE

This study aimed to investigate the prevalence of psychological symptoms in low and high-risk pregnant women.

MATERIALS AND METHODS

This cross-sectional study was conducted on 400 low-risk and high-risk pregnant women in Afzalipour hospital, Kerman, Iran from December 2017-2018. Participants were selected by census method, and the data collection tool was a 90-item questionnaire named Symptom Checklist-90.

RESULTS

The mean age of pregnant women was 29.1 6.8 yr. 7.6% had gestational diabetes mellitus, 5.9% had pregnancy hypertension, 6.6% had a history of in vitro fertilization, and 17.5% had a history of one miscarriage. 61.2 and 65.5% of high-risk women had depression and anxiety, respectively. A significant difference was observed between low-risk and high-risk women in terms of depression (p = 0.019), anxiety (p = 0.049), and aggression (p = 0.013), and the frequency of these variables was higher in high-risk women than in low-risk women.

CONCLUSION

According to age, education, and gestational period, the differences between 2 groups (low-risk and high-risk) were significant. Compared with low-risk women, high-risk pregnant women reported a higher prevalence of psychological symptoms in 10 factors. High-risk pregnant women had a significantly higher prevalence of somatization symptoms, obsessive-compulsive symptoms, depression symptoms, anxiety symptoms, hostility symptoms, and paranoid ideation than low-risk women. Therefore, educational programs during pregnancy for high-risk women can be useful.

摘要

背景

孕期常见的心理障碍会对母亲和胎儿都产生明显的有害影响。

目的

本研究旨在调查低风险和高风险孕妇心理症状的患病率。

材料与方法

本横断面研究于2017年12月至2018年在伊朗克尔曼省阿夫扎利普尔医院对400名低风险和高风险孕妇进行。采用普查法选取参与者,数据收集工具是一份名为症状自评量表90项症状清单的问卷。

结果

孕妇的平均年龄为29.1±6.8岁。7.6%患有妊娠期糖尿病,5.9%患有妊娠高血压,6.6%有体外受精史,17.5%有一次流产史。61.2%的高风险女性患有抑郁症,65.5%患有焦虑症。低风险和高风险女性在抑郁(p = 0.019)、焦虑(p = 0.049)和攻击性(p = 0.013)方面存在显著差异,且这些变量在高风险女性中的发生率高于低风险女性。

结论

根据年龄、教育程度和妊娠期,两组(低风险和高风险)之间的差异具有统计学意义。与低风险女性相比,高风险孕妇在10个因素中报告的心理症状患病率更高。高风险孕妇的躯体化症状、强迫症状、抑郁症状、焦虑症状、敌对症状和偏执观念的患病率显著高于低风险女性。因此,针对高风险女性的孕期教育项目可能会有所帮助。

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