产妇产后创伤后应激障碍症状的网络分析
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女,博士,讲师,

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湖北省自然科学基金一般面上项目(2025AFB537);湖北省教育厅科研项目指导性项目(B2024106);湖北省普通高等学校人文社科重点研究基地开放基金资助项目(2025YB001)


Network analysis of post-traumatic stress disorder symptoms among postpartum women
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    目的 构建产妇产后创伤后应激障碍症状的网络模型,识别网络中的核心症状与桥梁症状,为制订精准干预对策提供依据。方法 采用横断面调查设计,便利抽取十堰市3所三甲综合医院近一年内有分娩经历的产妇作为研究对象,采用一般资料调查表、城市分娩创伤量表进行调查,应用R4.4.3软件进行产后创伤后应激障碍症状网络分析。结果 获得有效样本686例,其中24例(3.50%)被诊断为产后创伤后应激障碍。症状“与创伤相关的梦境”和“创伤事件闪回”,“回避与创伤事件相关的想法或感觉”和“回避易使人联想起创伤事件的活动或情景”之间具有最强的边连接,正则化偏相关系数分别为0.385和0.359;“高警觉”(rs=1.198)和 “回避与创伤事件相关的想法或感觉”(rs=1.133)节点强度最高 ; “与创伤相关的负性情绪” 中介度(rb=70)和紧密度(rc=0.00404) 最高;“回避与创伤事件相关的想法或感觉”和“回避易使人联想起创伤事件的活动或情景”桥梁强度最高。结论 产妇产后创伤后应激障碍症状的网络模型显示症状之间存在复杂关联模式,高警觉、与创伤相关的负性情绪为两大核心症状,回避与创伤事件相关的想法或感觉、回避易使人联想起创伤事件的活动或情景为两大桥梁症状。应将这些关键核心症状作为干预靶点,有效阻断症状之间的恶性循环,缓解产妇产后创伤后应激障碍症状,促进其心理康复。

    Abstract:

    Objective To construct a network model of post-traumatic stress disorder (PTSD) symptoms among postpartum women, to identify core symptoms and bridge symptoms within the network, and to provide a basis for formulating precise intervention strategies. Methods A cross-sectional survey design was utilized, conveniently selecting postpartum women who had given birth within the past year from three tertiary general hospitals in Shiyan City as participants. The demographic questionnaire ,and the City Birth Trauma Scale were employed for the survey, and R4.4.3 software was used to conduct network analysis of postpartum PTSD symptoms. Results A total of 686 valid samples were collected,among whom,24(3.50%)were diagnosed with postpartum PTSD. The strongest correlations were observed between "trauma-related dreams" and "flashbacks of the traumatic event", "avoidance of memories, thoughts, or feelings related to the traumatic events" and "avoidance of external cues related to the traumatic events", with regularized partial correlation coefficients of 0.385 and 0.359. The symptom "hypervigilance" (rs=1.198) and "avoidance of memories, thoughts, or feelings related to the traumatic events" (rs=1.133) exhibited the highest node strength; the symptom "negative emotions related to trauma" demonstrated the highest betweenness centrality (rb=70) and closeness centrality (rc=0.00404); the bridge strength was highest between "avoidance of memories, thoughts, or feelings related to the traumatic events" and "avoidance of activities or situations that might trigger memories of the traumatic events". Conclusion This a network model of postpartum PTSD symptoms in mothers, revealing complex inter-symptom association patterns. It identified two core symptoms-"hypervigilance", and “negative emotions related to the trauma"-as well as two bridging symptoms- "avoidance of memories, thoughts, or feelings related to the traumatic events" and "avoidance of external cues related to the traumatic events" . These findings suggest that future research should target these key symptoms as intervention points to effectively disrupt the vicious cycle between symptoms, alleviate postpartum PTSD manifestations, and promote psychological recovery.

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聂小菲,程利,张桃桃,李锦慧,程卓婷,程妍,徐蔡洁,李君艳.产妇产后创伤后应激障碍症状的网络分析[J].护理学杂志,2026,41(2):98-103

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  • 收稿日期:2025-08-03
  • 最后修改日期:2025-10-17
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  • 在线发布日期: 2026-03-05