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探索合并产后抑郁症和产后创伤后应激障碍的产后女性的桥梁症状。

Exploring Bridge Symptoms in Postpartum Women With Comorbid Postpartum Depression and Postpartum Post-Traumatic Stress Disorder.

作者信息

Wei Wei, Xiong Meidi, Tian Miao, Liu Ping, Zhou Chunhua, Cheng Huijun, Zhang Chunhua

机构信息

Department of Obstetrics, Zhongnan Hospital of Wuhan University, 169, East-Lake Road, Wuhan 430071, China.

Nursing Department, Zhongnan Hospital of Wuhan University, 169, East-Lake Road, Wuhan 430071, China.

出版信息

Depress Anxiety. 2025 Aug 21;2025:5629630. doi: 10.1155/da/5629630. eCollection 2025.

DOI:10.1155/da/5629630
PMID:40895756
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12393957/
Abstract

Postpartum depression (PPD) and postpartum post-traumatic stress disorder (PP-PTSD) are prevalent among women. However, the specific symptoms that serve as bridges remain unknown between these two disorders. The objective of this study is to establish a symptom network model for PPD and PP-PTSD and investigate the bridge symptoms and their interrelationships in cases of comorbid PPD and PP-PTSD. A cross-sectional study was conducted at a tertiary hospital in Wuhan from March 2024 to November 2024. PPD was evaluated using the Edinburgh Postnatal Depression Scale, and PP-PTSD was measured using the Chinese version of the Perinatal PTSD Questionnaire. The "Postpartum Depression-Postpartum Post-traumatic Stress Disorder" network model was constructed and analyzed using R software version 4.2.3. Healthcare professionals should focus on the severe bridge symptoms reported by postpartum women. To enhance awareness and alleviate anxiety levels, it is advisable to implement positive psychological interventions.

摘要

产后抑郁症（PPD）和产后创伤后应激障碍（PP-PTSD）在女性中很普遍。然而，这两种疾病之间作为桥梁的具体症状尚不清楚。本研究的目的是建立PPD和PP-PTSD的症状网络模型，并调查PPD和PP-PTSD共病情况下的桥梁症状及其相互关系。2024年3月至2024年11月在武汉一家三级医院进行了一项横断面研究。使用爱丁堡产后抑郁量表评估PPD，使用中文版围产期创伤后应激障碍问卷测量PP-PTSD。使用R软件4.2.3版本构建并分析了“产后抑郁症-产后创伤后应激障碍”网络模型。医疗保健专业人员应关注产后女性报告的严重桥梁症状。为了提高认识并缓解焦虑水平，建议实施积极的心理干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff63/12393957/8a3881e82227/DA2025-5629630.006.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff63/12393957/84230e5bbc73/DA2025-5629630.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff63/12393957/9caeda8516e4/DA2025-5629630.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff63/12393957/7c34d91a157c/DA2025-5629630.003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff63/12393957/8a3881e82227/DA2025-5629630.006.jpg

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本文引用的文献

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Postpartum Depression: A Clinical Review of Impact and Current Treatment Solutions.产后抑郁症：影响及当前治疗方案的临床综述。
Drugs. 2024 Jun;84(6):645-659. doi: 10.1007/s40265-024-02038-z. Epub 2024 May 30.
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Anxiety and depression in nasopharyngeal carcinoma patients and network analysis to identify central symptoms: A cross-sectional study from a high-incidence area.
鼻咽癌患者的焦虑和抑郁以及识别核心症状的网络分析：来自高发地区的横断面研究
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Are 6 more accurate than 4? The influence of different modes of delivery on postpartum depression and PTSD.6 种方式是否比 4 种更准确？不同分娩方式对产后抑郁和创伤后应激障碍的影响。
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Childbirth-related posttraumatic stress disorder: definition, risk factors, pathophysiology, diagnosis, prevention, and treatment.分娩相关创伤后应激障碍：定义、风险因素、病理生理学、诊断、预防和治疗。
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