Anxiety and deterioration of quality of life factors associated with recurrent miscarriage in an observational study
Anxiety and deterioration of quality of life factors associated with recurrent miscarriage in an observational study
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DOI：
10.1515/jpm-2011-0313
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发表时间：
2012-09-01
影响因子：
2.4
通讯作者：
Bashiri, Asher
中科院分区：
文献类型：
--
作者：
Mevorach-Zussman, Noa;Bolotin, Arkady;Bashiri, Asher
目的：研究焦虑、生活质量和睡眠变量与复发性流产(RMS)在RM专科诊所治疗前后两个阶段的关系，并确定哪些因素会加剧焦虑和恶化整体幸福感。研究设计：39名经历过两次或两次以上RMS的女性在RM诊所评估和调查前后进行测量。使用包括STAI量表在内的一系列问卷和各种工具记录焦虑、心理和身体方面的生活质量和睡眠质量。结果：所有患者均表现为轻度至中度焦虑，身心健康水平较低，但总体睡眠质量属正常水平。在RM诊所的评估和对引起RM的可能原因的调查并没有显著改变焦虑水平。分析中引入的儿童与怀孕比率被证明与睡眠质量和心理健康显著相关。结论：本研究确定焦虑是RM患者的常见反应，并提出了预测焦虑的因素。了解这些因素可能有助于临床医生更准确地识别容易出现高度焦虑的RM患者，因此需要更多的关注和安慰。
Objectives: To examine the relationship of anxiety and quality of life and sleep variables to recurrent miscarriages (RMs) in patients during two stages of their treatment in an RM-dedicated clinic - before and after the evaluation - and determine what factors could aggravate anxiety and worsen global well-being outcomes.Study design: Thirty-nine women who had experienced two or more RMs were measured before and after their evaluation and investigation in the RM clinic. A battery of questionnaires including the STAI scale and various instruments were administered to record anxiety, mental, and physical components of quality of life and sleep quality. Several statistical tests including canonical correlation were performed.Results: All the patients revealed a mild to moderate level of anxiety, low numbers of physical and mental health but reasonably normal values of the global quality of sleep. The evaluation in the RM clinic and investigation for possible causes accounting for RM did not significantly change anxiety levels. The children-to-pregnancies ratio introduced into the analysis proved to correlate significantly with the sleep quality and mental health. Summarized anxiety in a given RM woman could be predicted based on the set of the variables, characterizing the woman's reproductive status and her psychological health.Conclusions: This study establishes anxiety as a common response in RM patients, and suggests factors that predict it. Knowing these factors may help clinicians to identify more accurately those RM patients who would be prone to a high level of anxiety and therefore need more attention and reassurance.