中国高龄产妇围生期心理健康的影响因素

IF 1.3 4区 医学 Q4 PSYCHIATRY
Jin Song, Zi-Long Ma, Hui-Shi Zhang, Ting Liang, Xiwen Zhang, Autumn Wang
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Increased psychological stress was correlated with concerns about maternal and infant health, fear of labor pain, apprehension regarding personal career development, and worries about family support and financial conditions.<b>Conclusions:</b> The mental health status of older peripartum women is concerning, suggesting the need for psychological support by primary care physicians and other healthcare providers.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174251360100"},"PeriodicalIF":1.3000,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Factors influencing the psychological health of pregnant women in advanced maternal age (AMA) during the peripartum period in China.\",\"authors\":\"Jin Song, Zi-Long Ma, Hui-Shi Zhang, Ting Liang, Xiwen Zhang, Autumn Wang\",\"doi\":\"10.1177/00912174251360100\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Objective:</b> The age of childbirth for women has been significantly delayed in recent times, leading to an increase in the proportion of pregnant women in advanced maternal age (AMA). 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Increased psychological stress was correlated with concerns about maternal and infant health, fear of labor pain, apprehension regarding personal career development, and worries about family support and financial conditions.<b>Conclusions:</b> The mental health status of older peripartum women is concerning, suggesting the need for psychological support by primary care physicians and other healthcare providers.</p>\",\"PeriodicalId\":50294,\"journal\":{\"name\":\"International Journal of Psychiatry in Medicine\",\"volume\":\" \",\"pages\":\"912174251360100\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-07-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Psychiatry in Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/00912174251360100\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Psychiatry in Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00912174251360100","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0

摘要

目的:近年来,妇女的生育年龄明显推迟,导致高龄产妇(AMA)孕妇比例增加。由于生理挑战增加和妊娠并发症发生率较高,高龄产妇往往面临更大的精神压力,包括与高龄分娩相关的家庭和社会压力。为了了解AMA孕妇在妊娠后期和围生期的心理健康状况,并确定心理健康的社会心理预测因素,我们对这一问题进行了横断面研究。方法:选取初产妇在产前检查第8个月、分娩当天和产后42天三个时间点进行评估。每个时间点有125名符合条件的孕妇入组。在这些时间点测量社会人口特征、心理问题和心理健康。结果:老年围生期妇女心理困扰发生率明显高于年轻围生期妇女。心理压力的增加与对母婴健康的担忧、对分娩疼痛的恐惧、对个人职业发展的担忧以及对家庭支持和经济状况的担忧相关。结论:围产期老年妇女的心理健康状况令人担忧,提示初级保健医生和其他卫生保健提供者需要心理支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors influencing the psychological health of pregnant women in advanced maternal age (AMA) during the peripartum period in China.

Objective: The age of childbirth for women has been significantly delayed in recent times, leading to an increase in the proportion of pregnant women in advanced maternal age (AMA). Due to increased physiological challenges and higher incidence of pregnancy complications, advanced maternal age women often face greater mental stress, including familial and societal pressures associated with latter-age childbirth. In order to investigate the psychological health of AMA pregnant women during the later stages of pregnancy and peripartum period and identify psychosocial predictors of mental health, we conducted a cross-sectional study on this issue.Methods: Selected primiparous women were assessed at three time points (at the 8th month prenatal examination, the day of delivery and 42 days postpartum). There were 125 eligible pregnant women for enrollment at each time points. Sociodemographic characteristics, psychological concerns, and mental health were measured at these timepoints.Results: The incidence of psychological distress among older peripartum women was significantly higher than among younger women. Increased psychological stress was correlated with concerns about maternal and infant health, fear of labor pain, apprehension regarding personal career development, and worries about family support and financial conditions.Conclusions: The mental health status of older peripartum women is concerning, suggesting the need for psychological support by primary care physicians and other healthcare providers.

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来源期刊
CiteScore
3.00
自引率
5.00%
发文量
55
审稿时长
6-12 weeks
期刊介绍: The International Journal of Psychiatry in Medicine (IJPM) bridges the gap between clinical psychiatry research and primary care clinical research. Providing a forum for addressing: The relevance of psychobiological, psychological, social, familial, religious, and cultural factors in the development and treatment of illness; the relationship of biomarkers to psychiatric symptoms and syndromes in primary care...
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