Coping and distress in pregnancy: an investigation of medically high risk women
Coping and distress in pregnancy: an investigation of medically high risk women
复制标题
DOI：
10.3109/01674829909075575
复制
发表时间：
1999-03-01
影响因子：
3.1
通讯作者：
Lobel, M
中科院分区：
文献类型：
--
作者：
Yali, AM;Lobel, M
研究人员对 167 名具有高医疗风险的孕妇进行了研究，研究了应对方式与妊娠特异性痛苦之间的关联。在妊娠中期（平均妊娠 24 周）进行了适合人群的应对清单和产前困扰测量。受试者对早产身体症状、临产和分娩、体重增加以及婴儿不健康等方面经历了中等程度的痛苦。他们最常通过祈祷和积极评价来应对怀孕的要求和挑战。包括年龄、收入、教育程度和奇偶性在内的社会人口统计学变量与应对方式显着相关。通过回避、为母亲做准备和物质使用来应对与更大的痛苦相关，而通过积极评价来应对与更少的痛苦相关。当总体、非特定的痛苦水平得到控制时，这些影响会有所不同。研究结果强调了高危妊娠作为一种压力生活事件的独特性质。
The association between coping and pregnancy-specific distress was examined in 167 pregnant women at high medical risk. A population-appropriate coping inventory and prenatal distress measure were administered in midpregnancy (mean of 24 weeks gestation). Subjects experienced moderately high levels of distress about preterm delivery physical symptoms, labor and delivery, weight gain, and having an unhealthy baby. They most frequently coped with the demands and challenges of pregnancy through prayer and positive appraisal. Sociodemographic variables including age, income, education, and parity were significantly associated with ways of coping. Coping by avoidance, preparation for motherhood, and substance use were associated with greater distress, whereas coping by positive appraisal was associated with less distress. These effects differed somewhat when levels of global, non-specific distress were controlled. Findings underscore the unique nature of high-risk pregnancy as a stressful life event.