Measurement of pregnancy-related anxiety worldwide: a systematic review.

Measurement of pregnancy-related anxiety worldwide: a systematic review.
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DOI:
10.1186/s12884-022-04661-8
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发表时间:
2022-04-15
影响因子:
3.1
通讯作者:
Abiiro, Gilbert Abotisem
Abiiro, Gilbert Abotisem
中科院分区:
医学3区
文献类型:
--
作者:
Hadfield, Kristin;Akyirem, Samuel;Sartori, Luke;Abdul-Latif, Abdul-Malik;Akaateba, Dominic;Bayrampour, Hamideh;Daly, Anna;Hadfield, Kelly;Abiiro, Gilbert Abotisem

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围产期的特点往往是具体的恐惧,担心,焦虑有关怀孕及其结果,被称为妊娠相关的焦虑。妊娠相关焦虑与妊娠期间、出生时和幼儿期的负面孕产妇和儿童健康结果有着独特的关联;因此,它越来越多地被研究。我们研究了如何测量妊娠相关的焦虑,在哪里制定和验证措施,以及在哪里评估妊娠相关的焦虑。我们将使用这些因素来确定测量妊娠相关焦虑的潜在问题以及该研究领域的地理差距。我们检索了Africa-Wide、CINAHL、MEDLINE、PsycARTICLES、PsycINFO; PubMed、Scopus、Web of Science Core Collection、SciELO Citation Index和ERIC数据库,以查找截至2020年8月1日发表的评估妊娠相关焦虑的研究。搜索词包括妊娠相关焦虑、妊娠相关担忧、产前焦虑、妊娠期间焦虑和妊娠特异性焦虑等。入选标准包括:经验研究,以英文出版,并纳入对孕妇样本中与怀孕有关的焦虑的任何评估。该综述已在PROSPERO(CRD 42020189938)上注册。检索确定了2904条记录;筛选后,我们保留了352篇全文文章供考虑,最终根据纳入和排除标准纳入了269项研究。在这269篇论文中,总共使用了39项与妊娠相关的焦虑指标,其中18项用于两项或更多研究。在纳入的研究中,不到20%(n = 44)报告了在低收入和中等收入国家背景下进行的研究。除了一个例外,一项以上研究中使用的所有与怀孕有关的焦虑措施都是在高收入国家的背景下制定的。只有13.8%的人验证了这些措施可用于低收入或中等收入国家人口。总之,这些结果表明,在许多国家,孕妇中经常评估与怀孕有关的焦虑,但通常使用的工具是在与参与者的背景不同的背景下开发的,并且尚未在目标人群中得到验证。迫切需要在低收入国家制定和验证与文化有关的怀孕焦虑措施。在线版本包含补充材料,可通过10.1186/s12884-022-04661-8获得。
The perinatal period is often characterized by specific fear, worry, and anxiety concerning the pregnancy and its outcomes, referred to as pregnancy-related anxiety. Pregnancy-related anxiety is uniquely associated with negative maternal and child health outcomes during pregnancy, at birth, and early childhood; as such, it is increasingly studied. We examined how pregnancy-related anxiety is measured, where measures were developed and validated, and where pregnancy-related anxiety has been assessed. We will use these factors to identify potential issues in measurement of pregnancy-related anxiety and the geographic gaps in this area of research. We searched the Africa-Wide, CINAHL, MEDLINE, PsycARTICLES, PsycINFO; PubMed, Scopus, Web of Science Core Collection, SciELO Citation Index, and ERIC databases for studies published at any point up to 01 August 2020 that assessed pregnancy-related anxiety. Search terms included pregnancy-related anxiety, pregnancy-related worry, prenatal anxiety, anxiety during pregnancy, and pregnancy-specific anxiety, among others. Inclusion criteria included: empirical research, published in English, and the inclusion of any assessment of pregnancy-related anxiety in a sample of pregnant women. This review is registered on PROSPERO (CRD42020189938). The search identified 2904 records; after screening, we retained 352 full-text articles for consideration, ultimately including 269 studies in the review based on the inclusion and exclusion criteria. In total, 39 measures of pregnancy-related anxiety were used in these 269 papers, with 18 used in two or more studies. Less than 20% of the included studies (n = 44) reported research conducted in low- and middle-income country contexts. With one exception, all measures of pregnancy-related anxiety used in more than one study were developed in high-income country contexts. Only 13.8% validated the measures for use with a low- or middle-income country population. Together, these results suggest that pregnancy-related anxiety is being assessed frequently among pregnant people and in many countries, but often using tools that were developed in a context dissimilar to the participants’ context and which have not been validated for the target population. Culturally relevant measures of pregnancy-related anxiety which are developed and validated in low-income countries are urgently needed. The online version contains supplementary material available at 10.1186/s12884-022-04661-8.
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发表时间: 2021-05-17
期刊: BMC ophthalmology
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