Rona R J, Smeeton N C, Beech R, Barnett A, Sharland G
Department of Public Health Medicine, UMDS of Guy's and St Thomas' Hospitals, London, UK.
Acta Paediatr. 1998 Feb;87(2):201-5. doi: 10.1080/08035259850157679.
The aim of the study was to assess levels of anxiety and depression in three groups: pregnant mothers referred to foetal cardiology, subdivided into those with a confirmed diagnosis and those for which no abnormality was detected, and mothers who had a child with a heart malformation. Psychological status was measured between 6 and 10 months after diagnosis using the Hospital Anxiety and Depression scale in 108 females. Levels of anxiety were higher in the two groups with a confirmed diagnosis in the antenatal period or after birth (62%) than in those who were screened positively but in whom no abnormality was found (30%) (p = 0.0055). Anxiety was the highest in young females who had a foetus with a heart malformation. Depression scores were higher in those who had a child with heart malformation (18%) than in the other two groups (5%). Mothers who terminated a pregnancy after diagnosis remained depressed long after the event. Younger mothers may be especially vulnerable to mood problems associated with a traumatic obstetric experience.
被转诊至胎儿心脏病科的孕妇，分为确诊组和未检测到异常组，以及孩子患有心脏畸形的母亲。在诊断后6至10个月，使用医院焦虑抑郁量表对108名女性的心理状态进行了测量。产前或产后确诊的两组人群的焦虑水平（62%）高于筛查呈阳性但未发现异常的人群（30%）（p = 0.0055）。胎儿患有心脏畸形的年轻女性焦虑水平最高。孩子患有心脏畸形的人群的抑郁得分（18%）高于其他两组（5%）。诊断后终止妊娠的母亲在事件发生后很长时间仍处于抑郁状态。年轻母亲可能特别容易受到与创伤性产科经历相关的情绪问题的影响。
