Coping during pregnancy: a systematic review and recommendations.
Coping during pregnancy: a systematic review and recommendations.
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DOI：
10.1080/17437199.2012.752659
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发表时间：
2014
影响因子：
9.8
通讯作者：
Schetter CD
中科院分区：
文献类型：
--
作者：
Guardino CM;Schetter CD
大量证据表明，产前产妇压力预示着母亲和婴儿的各种不利的生理和心理健康结果。然而，女性在怀孕期间应对压力的方式的重要性尚不清楚。我们利用PsycInfo和PubMed对怀孕期间应对行为和应对方式的英文文献进行了系统回顾，以确定1990年1月至2012年6月期间发表的45项横断面和纵向研究，涉及16,060名参与者。尽管研究结果往往不一致，但文献提供了一些证据，表明逃避型应对行为或风格以及糟糕的应对技能通常与产后抑郁、早产和婴儿发育有关。研究方法的可变性，包括样本特征、评估时间、结果变量和应对方式或行为测量的差异，可能解释了缺乏一致关联的原因。为了推进妊娠期应对的科学研究，我们呼吁注意先验假设的必要性，并更多地使用妊娠特异性、日常过程和基于技能的方法。继续这一领域的研究是有希望的，特别是有可能将一致的发现转化为有效的干预措施，但前提是研究的概念基础和方法质量得到改善。
Extensive evidence documents that prenatal maternal stress predicts a variety of adverse physical and psychological health outcomes for the mother and baby. However, the importance of the ways that women cope with stress during pregnancy is less clear. We conducted a systematic review of the English-language literature on coping behaviors and coping styles in pregnancy using PsycInfo and PubMed to identify 45 cross-sectional and longitudinal studies involving 16,060 participants published between January 1990 and June 2012. Although results were often inconsistent across studies, the literature provides some evidence that avoidant coping behaviors or styles and poor coping skills in general are associated with postpartum depression, preterm birth, and infant development. Variability in study methods including differences in sample characteristics, timing of assessments, outcome variables, and measures of coping styles or behaviors may explain the lack of consistent associations. In order to advance the scientific study of coping in pregnancy, we call attention to the need for a priori hypotheses and greater use of pregnancy-specific, daily process, and skills-based approaches. There is promise in continuing this area of research, particularly in the possible translation of consistent findings to effective interventions, but only if the conceptual basis and methodological quality of research improve.
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