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All selected papers were analysed for definitions of pregnancy psychological distress, as well as for its defining attributes, antecedents and consequences.</p><p><strong>Results: </strong>Twenty-five papers were included. The defining attributes of pregnancy psychological distress include subjective emotionality, broad-spectrum affective variability and non-psychiatric aetiology. Antecedents include demographic and medical history factors, as well as social and psychological factors. Consequences include adverse maternal-neonatal outcomes, negative attitudes, avoidance behaviours and relational dysfunction.</p><p><strong>Conclusion: </strong>This study provides a conceptual clarification of pregnancy psychological distress by distinguishing it from broader prenatal conditions. This elucidated concept establishes the necessary foundation for informing the development of targeted midwifery-led assessments and care, thereby bridging the gap between theory and clinical practice.</p>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"151 ","pages":"104626"},"PeriodicalIF":2.5000,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Pregnancy psychological distress: A concept analysis.\",\"authors\":\"Mi Zhao, Jing Han, Suting Zhang, Ting Luo\",\"doi\":\"10.1016/j.midw.2025.104626\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Pregnancy psychological distress is a critical determinant of maternal and infant health outcomes, however, there is a lack of clarity regarding its definition and conceptual meaning.</p><p><strong>Aim: </strong>This concept analysis aimed to explore the concept of pregnancy psychological distress and establish an operational definition for application in practice, research and policy.</p><p><strong>Methods: </strong>The Walker and Avant's concept analysis was used to explore the concept of pregnancy psychological distress. A systematic literature search was conducted across five English (CINAHL, PubMed, Web of Science, Scopus, and Embase) and three Chinese (CNKI, WanFang, and VIP) literature databases from their date of inception to 1 October 2024. All selected papers were analysed for definitions of pregnancy psychological distress, as well as for its defining attributes, antecedents and consequences.</p><p><strong>Results: </strong>Twenty-five papers were included. The defining attributes of pregnancy psychological distress include subjective emotionality, broad-spectrum affective variability and non-psychiatric aetiology. Antecedents include demographic and medical history factors, as well as social and psychological factors. Consequences include adverse maternal-neonatal outcomes, negative attitudes, avoidance behaviours and relational dysfunction.</p><p><strong>Conclusion: </strong>This study provides a conceptual clarification of pregnancy psychological distress by distinguishing it from broader prenatal conditions. This elucidated concept establishes the necessary foundation for informing the development of targeted midwifery-led assessments and care, thereby bridging the gap between theory and clinical practice.</p>\",\"PeriodicalId\":18495,\"journal\":{\"name\":\"Midwifery\",\"volume\":\"151 \",\"pages\":\"104626\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-10-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Midwifery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.midw.2025.104626\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Midwifery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.midw.2025.104626","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
背景：怀孕心理困扰是孕产妇和婴儿健康结果的关键决定因素，然而，关于其定义和概念意义缺乏明确。目的：探讨孕期心理困扰的概念，为实践、研究和政策的应用建立可操作性的定义。方法：采用Walker和Avant的概念分析法，探讨孕期心理困扰的概念。系统检索了5个英文（CINAHL、PubMed、Web of Science、Scopus和Embase）和3个中文（CNKI、万方和VIP）文献数据库，检索时间从数据库建立之日至2024年10月1日。所有选定的论文分析了怀孕心理困扰的定义，以及其定义属性，前因和后果。结果：共纳入25篇论文。怀孕心理困扰的定义属性包括主观情绪、广谱情感变异性和非精神病学病因。前因包括人口统计学和病史因素，以及社会和心理因素。后果包括不良的母婴结局、消极态度、回避行为和关系功能障碍。结论：本研究通过将怀孕心理困扰与更广泛的产前状况区分开来，提供了一个概念性的澄清。这一阐明的概念为有针对性的助产主导的评估和护理的发展奠定了必要的基础，从而弥合了理论和临床实践之间的差距。
Pregnancy psychological distress: A concept analysis.
Background: Pregnancy psychological distress is a critical determinant of maternal and infant health outcomes, however, there is a lack of clarity regarding its definition and conceptual meaning.
Aim: This concept analysis aimed to explore the concept of pregnancy psychological distress and establish an operational definition for application in practice, research and policy.
Methods: The Walker and Avant's concept analysis was used to explore the concept of pregnancy psychological distress. A systematic literature search was conducted across five English (CINAHL, PubMed, Web of Science, Scopus, and Embase) and three Chinese (CNKI, WanFang, and VIP) literature databases from their date of inception to 1 October 2024. All selected papers were analysed for definitions of pregnancy psychological distress, as well as for its defining attributes, antecedents and consequences.
Results: Twenty-five papers were included. The defining attributes of pregnancy psychological distress include subjective emotionality, broad-spectrum affective variability and non-psychiatric aetiology. Antecedents include demographic and medical history factors, as well as social and psychological factors. Consequences include adverse maternal-neonatal outcomes, negative attitudes, avoidance behaviours and relational dysfunction.
Conclusion: This study provides a conceptual clarification of pregnancy psychological distress by distinguishing it from broader prenatal conditions. This elucidated concept establishes the necessary foundation for informing the development of targeted midwifery-led assessments and care, thereby bridging the gap between theory and clinical practice.
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