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The course and clinical correlates of panic disorder during the postpartum period: a naturalistic observational study
Brazilian Journal of Psychiatry ( IF 3.6 ) Pub Date : 2021-02-01 , DOI: 10.1590/1516-4446-2020-1050
Semra Aydogan 1 , Faruk Uguz 1 , Eda Yakut 2 , Melike G. Bayman 2 , Kazim Gezginc 3
Affiliation  

OBJECTIVE To investigate the course of panic disorder and its demographic and clinical correlates during the postpartum period. METHODS Data were collected from 38 consecutive postpartum women diagnosed with panic disorder. Psychiatric assessments were carried out on the first day after delivery and at 6-8 weeks postpartum. During the first assessment, the Panic and Agoraphobia Scale (PAS), Hospital Anxiety and Depression Scale (HADS), Coping Orientation to Problems Experienced (COPE), Multidimensional Scale of Perceived Social Support (MSPSS), and Temperament Evaluation of Memphis, Pisa, Paris, and San Diego Autoquestionnaire (TEMPS-A) were administered to the participants. PAS was also administered at the second assessment. RESULTS The mean PAS score reduced significantly from baseline to the second assessment. Logistic regression analysis indicated that a shorter duration of panic disorder independently predicted a ≥ 50-point decrease in the severity of panic symptoms during the postpartum period. CONCLUSION These findings suggest that patients with a short duration of illness may experience significant alleviation in the severity of panic symptoms during the postpartum period.

中文翻译:

产后恐慌症的病程和临床相关性:一项自然观察性研究

目的 调查产后恐慌症的病程及其人口统计学和临床​​相关性。方法 从 38 名连续产后被诊断为恐慌症的妇女中收集数据。精神评估在分娩后第一天和产后 6-8 周进行。在第一次评估中,恐慌和广场恐惧症量表 (PAS)、医院焦虑和抑郁量表 (HADS)、经历问题的应对取向 (COPE)、感知社会支持的多维量表 (MSPSS) 以及孟菲斯、比萨、对参与者进行了巴黎和圣地亚哥自动问卷 (TEMPS-A)。在第二次评估中也进行了 PAS。结果 从基线到第二次评估,平均 PAS 分数显着降低。Logistic 回归分析表明,恐慌症持续时间较短可独立预测产后恐慌症状的严重程度降低 ≥ 50 分。结论 这些发现表明,病程短的患者在产后恐慌症状的严重程度可能会显着减轻。
更新日期:2021-02-01
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