社会支持在围产期心理健康和社会心理刺激中的作用。

IF 2.5 3区 工程技术 Q2 BIOLOGY Yale Journal of Biology and Medicine Pub Date : 2024-03-29 eCollection Date: 2024-03-01 DOI:10.59249/WMGE9032
Tatjana L Kay, Margaret C Moulson, Simone N Vigod, Nour Schoueri-Mychasiw, Daisy R Singla
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引用次数: 0

摘要

社会支持是指一个人从其社会网络中获得的情感上或工具上的帮助。围产期社会支持不足与抑郁症和创伤后应激症状(PTS)等常见精神障碍症状的风险增加有关,这可能会影响养育子女的行为。社会支持是否会影响育儿行为,而与心理健康症状无关,目前仍不清楚。在 "通过增加治疗机会加强产妇心理保健"(SUMMIT 试验)这一大型围产期抑郁和焦虑治疗试验的 309 名参与者中,我们探讨了感知到的社会支持、围产期抑郁和 PTS 症状以及父母在家庭环境中提供的社会心理刺激之间的关系。社会支持是在基线时使用感知社会支持多维量表(MSPSS)进行测量的。围产期抑郁症状采用爱丁堡产后抑郁量表(EPDS)进行测量,创伤后应激障碍症状采用简易创伤后应激障碍核对表(PCL-6)进行测量。在婴儿6至24个月大时,通过家庭环境观察测量法(HOME)对社会心理刺激进行评估。通过逐步分层回归,我们发现:(1) 即使控制了基线抑郁症状和创伤后应激反应症状,基线时感知到的社会支持也能显著预测随机后 3 个月的抑郁症状和创伤后应激反应症状;(2) 虽然抑郁症状和创伤后应激反应症状都与心理社会刺激无显著关联,但基线时感知到的社会支持却是一个重要的预测因素。本文讨论了围产期患者治疗的临床意义。
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The Role of Social Support in Perinatal Mental Health and Psychosocial Stimulation.

Social support refers to the help someone receives emotionally or instrumentally from their social network. Poor social support in the perinatal period has been associated with increased risk for symptoms of common mental disorders, including depression and posttraumatic stress symptoms (PTS), which may impact parenting behavior. Whether social support impacts parenting behaviors, independent of mental health symptomatology, remains unclear. Among N=309 participants of the Scaling Up Maternal Mental healthcare by Increasing access to Treatment (SUMMIT Trial), a large perinatal depression and anxiety treatment trial, we explored the relations between perceived social support, perinatal depressive and PTS symptoms, and psychosocial stimulation provided by the parent in their home environment. Social support was measured at baseline using the Multidimensional Scale of Perceived Social Support (MSPSS). Perinatal depressive symptoms were measured by the Edinburgh Postnatal Depression Scale (EPDS) and PTS symptoms were measured by the Abbreviated PTSD Checklist (PCL-6) at baseline, 3-, and 6-months post-randomization. Psychosocial stimulation was assessed by the Home Observation Measurement of the Environment (HOME) when the infant was between 6 to 24 months. Using stepwise hierarchical regressions, we found: (1) perceived social support at baseline significantly predicted both depressive and PTS symptoms at 3-months post-randomization, even when controlling for baseline depressive and PTS symptoms; and (2) while neither depressive nor PTS symptoms were significantly associated with psychosocial stimulation, perceived social support at baseline was a significant predictor. Clinical implications regarding treatment of perinatal patients are discussed.

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来源期刊
Yale Journal of Biology and Medicine
Yale Journal of Biology and Medicine Biochemistry, Genetics and Molecular Biology-General Biochemistry,Genetics and Molecular Biology
CiteScore
5.00
自引率
0.00%
发文量
41
期刊介绍: The Yale Journal of Biology and Medicine (YJBM) is a graduate and medical student-run, peer-reviewed, open-access journal dedicated to the publication of original research articles, scientific reviews, articles on medical history, personal perspectives on medicine, policy analyses, case reports, and symposia related to biomedical matters. YJBM is published quarterly and aims to publish articles of interest to both physicians and scientists. YJBM is and has been an internationally distributed journal with a long history of landmark articles. Our contributors feature a notable list of philosophers, statesmen, scientists, and physicians, including Ernst Cassirer, Harvey Cushing, Rene Dubos, Edward Kennedy, Donald Seldin, and Jack Strominger. Our Editorial Board consists of students and faculty members from Yale School of Medicine and Yale University Graduate School of Arts & Sciences. All manuscripts submitted to YJBM are first evaluated on the basis of scientific quality, originality, appropriateness, contribution to the field, and style. Suitable manuscripts are then subject to rigorous, fair, and rapid peer review.
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