我们的回顾性研究旨在调查双胞胎的父母在分娩后一年是否会遇到更严重的心理和情绪困扰,与意大利队列中单身人士的父母相比。
■排除标准包括多重奇偶校验,早产,先天性异常,死产,>2次胎儿怀孕,和先前存在的孕产妇心理健康障碍。在受邀参加的300对夫妇(600名父母)中,286名父母(158名母亲,128名父亲)成功完成了一项自我管理的调查。我们分别分析了母亲和父亲的三个分数,区分单胎和双胎妊娠:爱丁堡产后抑郁量表(EPDS)评分,状态和特质焦虑量表(STAI)-Y1评分,和STAI-Y2得分。
■使用Logistic模型来评估年龄的影响,BMI,婚姻状况,教育,和就业在三个二元分数(EPDS,STAI-Y1和STAI-Y2);揭示单身和双胞胎父母之间的绝对分数没有显着差异。配对分析显示EPDS显着更高(平均增加:3.8,SD:6.5),STAI-Y1(平均增加:5.4,标准差:12.5),母亲的STAI-Y2(平均增加:4.5,SD:12.4)评分(p<0.0001)。大约10%的女性和8%的男性报告有自杀念头。
■与预期相反,双胞胎父母和单身父母之间没有实质性的心理差异。通过单变量分析对混杂因素进行调整后,趋势不显著。然而,由于严格的纳入标准有利于双胎妊娠结局更好,因此需要谨慎解释。意外的偏见可能是由于我们诊所为双胞胎母亲提供的常规心理支持所致。这为未来的研究提供了一个重要的框架,包括将有心理支持的倍数的父母与没有心理支持的父母进行比较的随机对照试验。最后,在我们的队列中,抑郁症状和自杀念头的患病率升高,凸显了孕期心理健康和早期育儿的重要性.我们主张对家长进行产后抑郁症及各种心理状况的筛查,包括一系列焦虑症。那些有较高精神困扰风险的人应该得到积极的支持。
UNASSIGNED: Our retrospective study aimed to investigate whether parents of twins encounter heightened psychological and emotional distress one year after childbirth, in comparison to parents of singletons within an Italian cohort.
UNASSIGNED: Exclusion criteria included multiparity, preterm birth, congenital anomalies, stillbirth, >2 fetus pregnancies, and pre-existing maternal mental health disorders. Out of the 300 couples (600 parents) invited to participate, 286 parents (158 mothers, 128 fathers) successfully completed a self-administered survey. We analyzed three scores separately for mothers and fathers, differentiating between singleton and twin pregnancies: the Edinburgh Postnatal Depression Scale (EPDS) score, the State and Trait Anxiety Inventory (STAI)-Y1 score, and the STAI-Y2 score.
UNASSIGNED: Logistic models were used to assess the influence of age, BMI, marital status, education, and employment on the three binary scores (EPDS, STAI-Y1, and STAI-Y2), revealing no significant differences in absolute scores between parents of singletons and twins. Paired analysis revealed significantly higher EPDS (mean increase: 3.8, SD: 6.5), STAI-Y1 (mean increase: 5.4, SD: 12.5), and STAI-Y2 (mean increase: 4.5, SD: 12.4) scores for mothers (p < 0.0001). Approximately 10% of women and 8% of men reported suicidal thoughts.
UNASSIGNED: Contrary to expectations, no substantial psychological differences emerged between parents of twins and singletons. Adjusting for confounders through univariate analysis maintained nonsignificant trends. Nevertheless, caution in interpretation is warranted due to strict inclusion criteria favoring twin pregnancies with better outcomes. Unintended bias could have resulted from routine psychological support offered to mothers of twins in our clinic. This presents an important framework for future research, including randomized controlled trials comparing parents of
multiples with psychological support to those without.Finally, the elevated prevalence of depression symptoms and suicidal thoughts in our cohort underscores the importance of mental health during pregnancy and early parenting. We advocate for the screening of parents for postpartum depression and various psychological conditions, encompassing a spectrum of anxiety disorders. Those at elevated risk of mental distress should be proactively offered appropriate support.