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患有非器质性精神病的女性:孕期对心理健康的影响

Women with nonorganic psychosis: pregnancy's effect on mental health during pregnancy.

作者信息

McNeil T F, Kaij L, Malmquist-Larsson A

出版信息

Acta Psychiatr Scand. 1984 Aug;70(2):140-8. doi: 10.1111/j.1600-0447.1984.tb01191.x.

Abstract

The effect of pregnancy on women's mental health during pregnancy was studied by interview with 88 pregnant index cases with a history of nonorganic psychosis and 104 demographically similar pregnant controls, and by psychiatric records for the subsample of index cases with relevant information. Controls generally reported experiencing no change or only a slight worsening of mental health due to pregnancy, while index differentially reported improved or considerably worsened health. In total, worsening was more common than improvement in the index cases, and especially in those with a history of Schizophrenic, Psychogenic, Postpartum and Other Psychoses. Psychiatric record information suggested predominantly more improvement in the subsample with information, but this bore little systematic relation to the same women's reports at interview during pregnancy.

摘要

通过对88例有非器质性精神病病史的妊娠指数病例和104例人口统计学特征相似的妊娠对照者进行访谈,以及对有相关信息的指数病例子样本的精神科记录,研究了妊娠对女性孕期心理健康的影响。对照者普遍报告称,妊娠对心理健康没有影响或仅有轻微恶化,而指数病例则有不同的报告,称健康状况有所改善或显著恶化。总体而言,指数病例中病情恶化比改善更为常见,尤其是那些有精神分裂症、心因性、产后及其他精神病病史的患者。精神科记录信息显示,有信息的子样本中病情改善较为明显,但这与这些女性在孕期访谈时的报告几乎没有系统关联。

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