妊娠期恶心呕吐与早孕期焦虑之间人格特征的相关性修正:一项对日本孕妇的纵向研究。

IF 1.7 4区 医学 Q2 NURSING
Saho Maruya, Koji Tamakoshi, Masami Hirose, Yuki Takahashi, Akiko Yamada, Noriko Kato
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引用次数: 0

摘要

目的:本研究旨在阐明人格特征是否会改变妊娠期恶心呕吐(NVP)与焦虑之间的关系,分三个妊娠期进行分层:5-8 第9-12周 第13-20周 周。方法:本纵向研究于2018年8月至2019年2月在一家综合医院的围产期门诊部进行。我们纳入了153名年龄≥20岁的孕妇 20岁及以下 第一次产前检查时的妊娠周数。他们完成了恶心、呕吐和呕吐指数,以及状态-特质焦虑量表(STAI),以测量特质(STAI-T)和状态焦虑(STAI-S)方面的焦虑,并在后续检查中最多重复三次。结果:使用20岁以前的纵向数据 妊娠周后,NVP和特质焦虑的变化与状态焦虑的变化独立相关,其中特质焦虑比NVP的变化更强烈。这种倾向在STAI-T得分≥45的高特质焦虑组中表现得很明显。按孕周进行的横断面分析显示,低特质焦虑组(STAI-T 结论:有焦虑倾向的孕妇在发现怀孕后,除了恶心外,可能还有其他因素引起焦虑。了解个性特征可能有助于减少孕妇的焦虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Modification of the association between nausea and vomiting of pregnancy and anxiety by personality trait during early pregnancy: A longitudinal study of Japanese pregnant women

Aim

This study aimed to elucidate whether personality traits modify the relationship between nausea and vomiting of pregnancy (NVP) and anxiety, stratified by three pregnancy periods: 5–8 weeks, 9–12 weeks, and 13–20 weeks.

Methods

This longitudinal study was conducted from August 2018 to February 2019 at a perinatal outpatient unit in a general hospital. We included 153 pregnant women aged ≥20 years and under 20 weeks of gestation at their first prenatal visit. They completed the Index of Nausea, Vomiting, and Retching, and the State–Trait Anxiety Inventory (STAI) to measure anxiety in terms of both trait (STAI-T) and state anxiety (STAI-S), and retook them at follow-up checkups for a maximum of three times.

Results

Using longitudinal data until 20 weeks' gestation, changes in NVP and trait anxiety were significantly associated with changes in state anxiety independently, with trait anxiety being more strongly involved than the change in NVP. This tendency was pronounced in the high-trait anxiety group with STAI-T scores of ≥45. Cross-sectional analyses by gestational week showed similar results in the low-trait anxiety group (STAI-T < 45). In the high-trait anxiety group, only trait anxiety was significantly associated with state anxiety up to 12 weeks gestation. However, only NVP was significantly associated with state anxiety after 13 weeks.

Conclusions

Pregnant women who tend to be anxious temperamentally may have other factors that cause anxiety besides nausea immediately after the discovery of pregnancy. Understanding personality traits may help reduce anxiety in pregnant women.

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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
55
审稿时长
>12 weeks
期刊介绍: The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.
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