■关于产前焦虑症危险因素的研究尚无定论,有时甚至相互矛盾。本研究旨在确定妊娠期妇女焦虑症的患病率和危险因素。
■这是对两家公立医院(AyatollahRohani和Yahyanejad)的住院/门诊患者的横断面和基于医院的调查,产科病房/诊所,和四个私人门诊产科诊所在巴博尔市。利用便利抽样招募了432名孕妇。一位训练有素的临床心理学家进行了DSM-5(SCID-5)的结构化临床访谈,以诊断焦虑症。此外,参与者完成了简短症状清单18(BSI-18),以评估心理困扰的严重程度.
■在432名孕妇中,132例(30.5%)被诊断为焦虑症。焦虑障碍包括61例妊娠调整障碍(47.7%),广泛性焦虑症52例(40.6%),和15例特定的恐惧症(分娩)(11.7%)。Logistic回归结果显示,年龄,怀孕,教育,奇偶校验,高危妊娠变量预测焦虑症方差的28%。此外,随着年龄(β=0.94,p=0.003)和胎龄(β=0.9,p<0.001)的增加,怀孕期间焦虑障碍的可能性降低。此外,大学教育(β=1.65,p=0.049)和高危妊娠(β=1.72,p=0.02)被认为是妊娠期发生焦虑症的危险因素.
■焦虑障碍在孕妇中的高发病率表明,产科医生应该更加注意识别和治疗所有孕妇的焦虑障碍,尤其是在高危妊娠中。
UNASSIGNED: Studies regarding the risk factors of prenatal anxiety disorders are inconclusive and sometimes contradictory. The current
study aimed to define the prevalence and risk factors for anxiety disorders in women during pregnancy.
UNASSIGNED: This is a cross-sectional and hospital-based survey of two public hospitals (Ayatollah Rohani and Yahyanejad) of inpatients/outpatients, obstetric wards/clinics, and four private outpatient obstetric clinics in the city of Babol. Convenience sampling was utilized to recruit 432 pregnant women. A trained clinical psychologist conducted the Structured Clinical Interview for DSM-5 (SCID-5) to diagnose anxiety disorders. In addition, the Brief Symptom Inventory 18 (BSI-18) was completed by the participants to assess the severity of psychological distress.
UNASSIGNED: Of 432 pregnant women, 132 (30.5%) were diagnosed with anxiety disorders. Anxiety disorders included 61 cases of pregnancy adjustment disorder (47.7%), 52 cases of generalized anxiety disorder (40.6%), and 15 cases of specific phobia (to delivery) (11.7%). The logistic regression results showed that the age, pregnancy, education, parity, and high-risk pregnancy variables predicted 28% of the variance of anxiety disorders. Furthermore, as the age (β = 0.94, p = 0.003) and gestational age (β = 0.9, p < 0.001) increased, the probability of anxiety disorders in pregnancy decreased. Moreover, university education (β = 1.65, p = 0.049) and high-risk pregnancy (β = 1.72, p = 0.02) were recognized as risk factors for developing anxiety disorders during pregnancy.
UNASSIGNED: The high incidence of anxiety disorders in pregnant women suggests that obstetricians should pay more attention to identifying and treating anxiety disorders in all pregnant women, especially in high-risk pregnancies.