Decisional conflict, anxiety, and social support among Chinese pregnant women making further prenatal testing decisions.

IF 2.1 4区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Journal of Reproductive and Infant Psychology Pub Date : 2025-01-01 Epub Date: 2023-07-05 DOI:10.1080/02646838.2023.2232380

Jia-Ming Xiang, Ling-Ling Gao

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引用次数: 0

Abstract

Objective: This study aimed to examine decisional conflict and identify its predictors in Chinese pregnant women who were making decisions about further prenatal testing after receiving a screening result of high-risk for Down syndrome.

Method: A cross-sectional study was conducted from September 2020 to July 2021 in Guangzhou, China. Two-hundred and sixty pregnant women receiving a screening result of high-risk for Down syndrome completed a questionnaire comprising the Decisional Conflict Scale, Self-rating Anxiety Scale, and Social Support Rating Scale.

Results: The mean decisional conflict score was 28.8 ± 13.6, representing a moderate level. Advanced age (≥35 years), having a religious belief, not knowing about non-invasive or invasive prenatal testing, choosing NIPT for further prenatal testing, high levels of anxiety, and low levels of social support were significant predictors of decisional conflict, explaining 28.4% of its variance (F = 18.115, p < 0.001).

Conclusions: The results highlighted the necessity of assessing patients' decisional conflict and providing adequate interventions along the prenatal care trajectory. The results also showed that providing good support has an essential value for women by relieving their decisional conflict.

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中国孕妇在进一步产前检测决策中的决策冲突、焦虑和社会支持

目的：本研究旨在探讨中国孕妇在接受唐氏综合征高危筛查结果后是否进行进一步产前检查时的决策冲突及其预测因素。方法：于2020年9月至2021年7月在中国广州进行横断面研究。260名接受唐氏综合征高危筛查结果的孕妇完成了一份调查问卷，包括决策冲突量表、自评焦虑量表和社会支持量表。结果：决策冲突平均得分为28.8±13.6分，为中等水平。高龄（≥35岁）、有宗教信仰、不了解无创或有创产前检查、选择NIPT进行进一步产前检查、高焦虑水平和低社会支持水平是决定冲突的显著预测因子，解释了28.4%的方差（F = 18.115, p）。结论：研究结果强调了评估患者决定冲突的必要性，并在产前护理过程中提供适当的干预措施。研究结果还表明，提供良好的支持对于缓解女性的决策冲突具有重要价值。

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

Journal of Reproductive and Infant Psychology PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

6.80

自引率

8.00%

发文量

期刊介绍： The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.