Associations of psychosocial factors with pregnancy healthy life styles
Associations of psychosocial factors with pregnancy healthy life styles
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DOI：
10.1371/journal.pone.0191723
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发表时间：
2018-01-25
期刊：
影响因子：
3.7
通讯作者：
Amiri, Fatemeh Nasiri
中科院分区：
文献类型：
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作者：
Omidvar, Shabnam;Faramarzi, Mahbobeh;Amiri, Fatemeh Nasiri
孕妇的健康行为对妊娠结局有重要影响;然而，只有少数研究探讨了多种心理社会因素与妊娠期间健康生活方式的关系。本研究的目的是探讨焦虑、压力、抑郁、婚姻不满意和社会支持这五个社会心理因素是否与孕妇健康生活方式的六个领域有关，包括营养、体育活动、健康责任、压力管理、人际关系和自我实现。在这项横断面研究中，445名来自Babol医科大学教学医院产科诊所的孕妇被纳入。受试者回答了六份问卷，包括健康促进生活方式量表、贝克抑郁量表、产前苦恼问卷、状态-特质焦虑量表、社会支持问卷和婚姻满意度量表。我们开发了一系列简单的线性回归模型的基础上的生活方式（营养，体力活动，健康责任，压力管理，人际关系，自我实现）的每个子量表作为因变量和五个心理变量（焦虑，压力，抑郁，婚姻不满，社会支持）作为自变量。状态焦虑和特质焦虑是健康生活方式各个方面最强的负面预测因素。此外，抑郁症与健康生活方式的所有六个分量表呈负相关。怀孕压力是压力管理和自我实现的唯一负向预测因子。婚姻不满意与营养、压力管理、健康责任和自我实现呈负相关。社会支持与健康行为有正、负相关。研究表明，除了提供适当的干预措施来改善孕妇的生活方式外，还应更多地关注识别怀孕期间的心理危险因素。
Healthy behaviors in pregnant women have a major effect on pregnancy outcomes; however, only few studies have explored the relationship of multiple psychosocial factors with healthy lifestyles during pregnancy. The objective of this study was to investigate whether the five psychosocial factors of anxiety, stress, depression, marital dissatisfaction, and social support are associated with six domains of healthy lifestyles in pregnant women, including nutrition, physical activity, health responsibility, stress management, interpersonal relationships, and self-actualization. In this cross-sectional study, 445 pregnant women from the obstetrics clinics of the teaching hospitals of Babol University of Medical Sciences were included. The subjects answered six questionnaires, including the Health-Promoting Lifestyle Profile, Beck Depression Inventory, Prenatal Distress Questionnaire, State-Trait Anxiety Inventory, Social Support Questionnaire, and Marital Satisfaction Scale. We developed a series of simple linear regression models based on each subscale of lifestyle (nutrition, physical activity, health responsibility, stress management, interpersonal relationships, and self-actualization) as the dependent variables and the five psychological variables (anxiety, stress, depression, marital dissatisfaction, and social support) as the independent variables. State and trait anxieties were the strongest negative predictors of all aspects of a healthy lifestyle. Furthermore, depression was negatively associated with all of the six subscales of a healthy lifestyle. Pregnancy-specific stress was the only negative predictor of stress management and self-actualization. Marital dissatisfaction was negatively associated with nutrition, stress management, health responsibility, and self-actualization. Social support had negative and positive associations with healthy behaviors. The study suggests that more attention should be paid to identifying the psychological risk factors in pregnancy in addition to providing suitable interventions for improving the lifestyle of pregnant women.