Active coping reduces reports of pain from childbirth.
Active coping reduces reports of pain from childbirth.
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积极应对可减少分娩疼痛的报告。
DOI：
10.1037/0022-006x.57.3.365
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发表时间：
1989
影响因子：
5.9
通讯作者：
D. Easterling
中科院分区：
文献类型：
--
作者：
E. Leventhal;H. Leventhal;S. Shacham;D. Easterling
进行了两项研究，检查分娩过程中的疼痛和负面情绪与两个关键自变量的关系：在分娩服务中向产妇提供的监测分娩宫缩的指示以及参加 LaMaze（分娩准备）课程。在研究 1 (N = 48) 中，接受监测的女性和参加过课程的女性在第二阶段（主动分娩）的疼痛和负面情绪急剧下降；对照组没有下降。在研究 2 (N = 29) 中，参加 LaMaze 课程的女性报告称，在积极分娩期间疼痛也有类似的减轻，入院时更加精力充沛，疲劳程度减轻。在用于推导假设的三种不同机制中，图式导向的应对方式为积极分娩期间疼痛和痛苦的减少提供了最佳解释。第二种机制，即准确的预期，似乎可以解释入院时预期出生时能量的增强。
Two studies were conducted in which pain and negative moods during labor were examined in relation to two key, independent variables: instructions to monitor labor contractions given to parturients on admission to the labor service and attendance at LaMaze (childbirth preparation) classes. In Study 1 (N = 48) pain and negative moods showed a sharp decline at Stage 2 (active labor) for women told to monitor and those who had attended classes; there was no decline for the control group. In Study 2 (N = 29), women attending LaMaze classes reported a similar decline in pain during active labor and were more energetic and less tired at admission. Of the three different mechanisms used to derive hypotheses, schema-directed coping provided the best account for the decline in pain and distress during active labor. A second mechanism, accurate expectations, seemed to account for the enhanced energy at the point of admission, in anticipation of birth.