Maternal prenatal pregnancy-related anxiety and spontaneous preterm birth in Baltimore, Maryland
Maternal prenatal pregnancy-related anxiety and spontaneous preterm birth in Baltimore, Maryland
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DOI：
10.1097/psy.0b013e3180cac25d
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发表时间：
2007-07-01
影响因子：
3.3
通讯作者：
James, Sherman A.
中科院分区：
文献类型：
--
作者：
Orr, Suezanne T.;Reiter, Jerome P.;James, Sherman A.
目的：探讨妊娠相关焦虑与自发性早产的关系。社会心理因素一直是早产病因调查的主题；最近关注的一个因素是产妇产前妊娠相关焦虑（与妊娠有关的担忧和关切）。方法：从1991年到1993年，共有1820名妇女在马里兰州巴尔的摩市的诊所首次产前访问时完成了研究问卷。使用产前社会环境量表中的六个问题评估妊娠相关焦虑；得分范围从0到6。从妇女的临床记录中获得妊娠结局、临床和行为协变量的数据。结果：在调整协变量（妊娠早期或中期出血、药物使用、就业、既往不良妊娠结局、吸烟、低体重指数、母亲教育程度、年龄和种族）后，与得分为5或6分的妇女相比，妊娠相关焦虑水平较高的妇女发生自发性早产的风险显著增加
Objective: To focus on the relationship between pregnancy-related anxiety and spontaneous preterm birth. Psychosocial factors have been the subject of inquiries about the etiology of preterm birth; a factor of recent interest is maternal prenatal pregnancy-related anxiety (worries and concerns related to the pregnancy). Methods: From 1991 to 1993, a total of 1820 women completed the study questionnaire during their first prenatal visit to clinics in Baltimore, Maryland. Pregnancy-related anxiety was assessed using six questions from the Prenatal Social Environment Inventory; scores ranged from 0 to 6. Data on pregnancy outcome and clinical and behavioral covariates were obtained from the women's clinical records. Results: After adjustment for covariates (first or second trimester bleeding, drug use, employment, prior poor pregnancy outcome, smoking, low body mass index, maternal education, age, and race), women with higher levels of pregnancy-related anxiety (scores of 5 or 6) had a significantly increased risk of spontaneous preterm birth compared with those with scores of