Antenatal anxiety symptoms outperform antenatal depression symptoms and suicidal ideation as a risk factor for postpartum suicidal ideation.

IF 2.3 3区心理学 Q2 PSYCHIATRY

Anxiety Stress and Coping Pub Date : 2024-11-01 Epub Date: 2024-03-25 DOI:10.1080/10615806.2024.2333377

Katherine Musacchio Schafer, Elizabeth Mulligan, Mary O Shapiro, Heather Flynn, Thomas Joiner, Greg Hajcak

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引用次数: 0

Abstract

Background and objectives: Suicidal ideation (SI) during the postpartum phase is linked with suicide, a leading cause of death during this period. Antenatal depression and anxiety symptoms have both been linked with increased risk for postpartum SI. However, research aimed at examining the relative contributions of antenatal anxiety and depression symptoms towards postpartum SI remains nascent. In this study, we investigated the relative contribution of antenatal anxiety symptoms, depression symptoms, and SI towards postpartum SI.

Design: These data are from a longitudinal study in which American mothers were assessed during pregnancy and again at six- to eight weeks postpartum.

Methods: Data were analyzed using correlations and logistic regression models.

Results: Antenatal anxiety symptoms and antenatal depression symptoms were significantly correlated with postpartum SI. Results from a logistic regression model indicated that antenatal anxiety symptoms (T1; OR = 1.185 [1.125, 1.245], p = .004), but not antenatal depression symptoms (T1; OR = 1.018 [0.943, 1.093], p = .812) or antenatal SI (T1; OR = 1.58 [0.11, 22.29], p = 0.73), were significantly associated with postpartum SI.

Conclusions: Antenatal anxiety symptoms, depression symptoms, and SI were positively associated with postpartum SI. When examined simultaneously, anxiety symptoms during the antenatal phase (but not depression symptoms or SI) predicted SI in the postpartum phase.

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作为产后自杀倾向的风险因素，产前焦虑症状优于产前抑郁症状和自杀倾向。

背景和目的：产后阶段的自杀意念（SI）与自杀有关，而自杀是这一时期的主要死因。产前抑郁和焦虑症状都与产后 SI 风险增加有关。然而，旨在研究产前焦虑和抑郁症状对产后 SI 的相对影响的研究仍处于起步阶段。在本研究中，我们调查了产前焦虑症状、抑郁症状和 SI 对产后 SI 的相对影响：这些数据来自于一项纵向研究，该研究对美国母亲进行了孕期评估，并在产后六至八周再次进行了评估：方法：采用相关性和逻辑回归模型对数据进行分析：结果：产前焦虑症状和产前抑郁症状与产后 SI 显著相关。逻辑回归模型的结果表明，产前焦虑症状（T1；OR = 1.185 [1.125，1.245]，p = .004）与产后SI显著相关，但产前抑郁症状（T1；OR = 1.018 [0.943，1.093]，p = .812）或产前SI（T1；OR = 1.58 [0.11，22.29]，p = 0.73）与产后SI无关：结论：产前焦虑症状、抑郁症状和 SI 与产后 SI 呈正相关。如果同时进行研究，产前焦虑症状（而非抑郁症状或 SI）可预测产后的 SI。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Anxiety Stress and Coping Multiple-

CiteScore

7.20

自引率

0.00%

发文量

期刊介绍： This journal provides a forum for scientific, theoretically important, and clinically significant research reports and conceptual contributions. It deals with experimental and field studies on anxiety dimensions and stress and coping processes, but also with related topics such as the antecedents and consequences of stress and emotion. We also encourage submissions contributing to the understanding of the relationship between psychological and physiological processes, specific for stress and anxiety. Manuscripts should report novel findings that are of interest to an international readership. While the journal is open to a diversity of articles.