Effects of depression, anxiety, self-esteem, and health behaviour on neonatal outcomes in a population-based Hungarian sample
Effects of depression, anxiety, self-esteem, and health behaviour on neonatal outcomes in a population-based Hungarian sample
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DOI：
10.1016/j.ejogrb.2010.08.021
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发表时间：
2011-01-01
影响因子：
2.6
通讯作者：
Sandor, Janos
中科院分区：
文献类型：
--
作者：
Boedecs, Tamas;Horvath, Boldizsar;Sandor, Janos
目的：在匈牙利的一个样本中调查母亲产前抑郁、焦虑和自尊与新生儿不良结局的可能关系，以控制人口统计变量和健康行为的影响。研究设计：在匈牙利Szombathly的10个卫生访客地区建立一个基于人口的监测系统，覆盖2008年2月1日至2009年2月1日期间登记怀孕的每一名妇女。采用简式贝克抑郁量表和斯皮尔伯格特质-焦虑量表对307名妊娠早期孕妇进行了调查。自尊采用罗森博格自尊量表进行测评。在随访期结束时，获得了261名母亲和她们的独生子女的数据。用多元线性回归分析(正向法)检验解释变量和结果变量(出生体重、身长、胸围、胎龄、1分钟和5分钟阿普加评分)在女孩和男孩之间的关系。结果：母亲抑郁、焦虑和健康行为与新生儿结局无关。母亲的自尊水平越高，男孩的出生体重和出生长度越高，女孩的出生长度越长。男婴的母亲文化程度与出生长度、胎龄、胸围呈正相关，女童则与出生长度呈正相关。在女孩中，母亲的社会经济地位与出生体重和胎龄呈正相关，而习惯法婚姻对出生体重和胸围有负影响。结论：母亲自尊水平较低可能导致较高的母亲压力水平，可能通过生理变化抑制胎儿生长。人口统计因素与新生儿结局指标之间相关性的性别差异表明，男孩和女孩在胎儿发育方面存在差异。(C)2010年，爱思唯尔爱尔兰有限公司出版。
Objective: To investigate possible associations of maternal antenatal depression, anxiety and self-esteem with negative neonatal outcomes controlling for the effects of demographic covariates and health behaviour in a Hungarian sample.Study design: A population-based monitoring system was established in 10 districts of health visitors in Szombathely, Hungary, covering every woman registered as pregnant between February 1, 2008 and February 1 2009. Three hundred and seven expectant women in the early stage of their pregnancy were surveyed using the Short Form of Beck Depression Inventory for the measurement of depression and the Spielberger Trait-Anxiety Inventory for the measurement of anxiety. Self-esteem was evaluated by the Rosenberg's Self-Esteem Scale. At the end of the follow-up period, data on 261 mothers and their singleton neonates were available. The relationship between the explanatory and outcome variables (birth weight, length, chest circumference, gestational age, and 1- and 5-min Apgar score) was tested in girls and boys separately by multiple linear regression analysis (Forward method). Categorical variables were used as "dummy variables".Results: Maternal depression, anxiety and health behaviour did not show any association with neonatal outcomes. Higher level of maternal self-esteem was associated with higher birth weight and birth length in boys and higher birth length in girls. Maternal education positively correlated with birth length, gestational age and chest circumference in boys, and with birth length in girls. In girls, maternal socioeconomic status showed a positive association with birth weight and gestational age, while common law marriage had a negative effect on birth weight and chest circumference.Conclusions: Lower level of maternal self-esteem possibly leads to a higher level of maternal stress which may reduce fetal growth via physiologic changes. Gender differences in associations between demographic factors and neonatal outcome measures indicate differences in fetal development between boys and girls. (c) 2010 Published by Elsevier Ireland Ltd.