Self-Reported Daily Stress, Squelching of Anger and the Management of Daily Stress and the Prevalence of Uterine Leiomyomata: The Ultrasound Screening Study.
Self-Reported Daily Stress, Squelching of Anger and the Management of Daily Stress and the Prevalence of Uterine Leiomyomata: The Ultrasound Screening Study.
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自我报告的日常压力、愤怒的压制和日常压力的管理以及子宫平滑肌瘤的患病率：超声筛查研究。
DOI：
10.1002/smi.1360
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Baird,DonnaD
中科院分区：
文献类型：
--
作者：
Vines,AnissaI;Nguyen,ThuThiXuan;Ta,Myduc;Esserman,Denise;Baird,DonnaD
自我报告的日常压力，管理压力和压制愤怒的方式与子宫平滑肌瘤（又名肌瘤）有关。这些压力因素是从参加国家环境健康科学研究所子宫肌瘤研究的560名黑人和375名白色妇女中获得的。计算种族特异性患病率差异（PD）和95%置信区间（95% CI）。有严重压力的黑人妇女的肌瘤患病率比无压力或轻度压力组高11%（95%CI：0%，21%）。与对照组相比，重度压力的白色女性的肌瘤患病率无显著性（NS）升高[PD = 7%; 95% CI：（− 10%，21%）]。对于两组，适度的日常压力与子宫肌瘤患病率的微弱升高（NS）相关。与非压制者相比，报告压制愤怒的黑人女性的子宫肌瘤患病率较高（8%）[95% CI：（-0%，15%）]，而白色女性则没有相关性。有症状的子宫肌瘤的妇女比没有症状的妇女有更高的压力，但排除有症状的妇女只是轻微减弱了这种关联。与以前的报告一致，症状性肌瘤可能会导致压力。然而，进一步的研究是必要的，以前瞻性地调查一个可能的病因作用，压力在肌瘤的发展。版权所有© 2010约翰威利父子有限公司.
Self‐reported daily stress, ways of managing stress and squelching anger were examined in association with uterine leiomyomata (aka fibroids). These stress factors were obtained from 560 Black and 375 White women enrolled in the National Institute of Environmental Health Sciences Uterine Fibroid Study. Race‐specific prevalence differences (PD) and 95% confidence intervals (95% CI) were calculated. Black women with severe stress had a prevalence of fibroids that was 11% higher (95% CI: 0%, 21%) than those in the no or mild stress group (referent). White women with severe stress, compared to the referent, had a non‐significantly (NS) higher prevalence of fibroids [PD = 7%; 95% CI: (−10%, 21%)]. For both groups, moderate daily stress was associated with a weak elevation (NS) in fibroid prevalence. Black women who reported squelching their anger had an elevated prevalence of fibroids (8%) compared to non‐squelchers [95% CI: (−0%, 15%)] while there was no association for White women. Women with symptomatic fibroids had higher stress than those without, but exclusion of symptomatic women only slightly attenuated the associations. Consistent with a previous report, symptomatic fibroids may cause stress. However, further research is warranted to prospectively investigate a possible aetiologic role for stress in the development of fibroids. Copyright © 2010 John Wiley & Sons, Ltd.
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