A cross-sectional study on maternal anxiety levels after cytomegalovirus screening
A cross-sectional study on maternal anxiety levels after cytomegalovirus screening
复制标题
DOI：
10.1080/0167482x.2019.1658734
复制
发表时间：
2019-08-29
影响因子：
3.1
通讯作者：
Minematsu, Toshio
中科院分区：
文献类型：
--
作者：
Uehara, Kanako;Kaneko, Masatoki;Minematsu, Toshio
目的：我们的目的是估计孕妇在母体血清筛查CMV感染后的焦虑水平。材料和方法：在2016年4月至2017年6月进行的这项病例对照研究中，我们纳入了所有转诊到我院的CMV免疫球蛋白（IG）M抗体阳性的孕妇IgM阳性组，n = 51）;此外，在同一时期CMV IgG阳性但IgM阴性的人（IgM阴性组，n = 51）被包括作为研究对照。收集患者特征、CMV IgM水平以及患者在CMV IgM检测后首次住院期间是否有伴侣陪同的数据。状态-特质焦虑量表用于评估焦虑水平。结果：两组年龄匹配[平均年龄（岁）：IgM阳性，30 +/- 4.2和IgM阴性，29.9 +/- 4.6]。IgM阳性组的平均状态焦虑评分（53 +/- 9.6）高于IgM阴性组（38.5 +/- 7.0，p <0.05），而特质焦虑评分无组间差异。同样，在IgM抗体阳性群体中，有伴侣陪伴的妇女人数更多。IgM阳性孕妇的状态焦虑评分与CMV IgM水平无相关性。结论：咨询支持对IgM阳性孕妇血清筛查是必要的，如果没有支持系统，应避免筛查。
Purpose: we aimed to estimate the anxiety levels of pregnant women following maternal serum screening for CMV infection.Materials and methods: In this case-control study conducted from April 2016 to June 2017, we enrolled all pregnant women referred to our hospital who were CMV immunoglobulin (Ig) M antibody positive (IgM-positive group, n = 51); further, those who were CMV IgG positive but IgM negative (IgM-negative group, n = 51) during the same period were included as study controls. Data were collected on patient characteristics, CMV IgM levels, and whether patients were accompanied by their partners during the first hospital visit after CMV IgM testing. The State-Trait Anxiety Inventory was used to assess anxiety levels.Results: Both groups were age matched [mean age (years): IgM-positive, 30 +/- 4.2 and IgM-negative, 29.9 +/- 4.6]. The mean state-anxiety score was higher in the IgM-positive group (53 +/- 9.6) than in the IgM-negative group (38.5 +/- 7.0, p < .05) with no between-group differences in trait-anxiety scores. Similarly, a higher number of women were accompanied by their partners in the IgM-positive group. The state-anxiety scores and CMV IgM levels were not correlated in the IgM-positive group.Conclusion: Counseling support is essential for IgM-positive pregnant women following serum screening, and the screening should be avoided if support systems are unavailable.