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Appraisal, Coping, & Emotions in Pregnancy After Loss

评估、应对、

基本信息

批准号：
6508714
负责人：
DENISE YVONNE COTE-ARSENAULT
金额：
$ 15万
依托单位：
SYRACUSE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2002
资助国家：
美国
起止时间：
2002-07-01 至 2004-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6508714
关键词：
anxiety behavioral /social science research tag clinical research cognition coping emotions female gestational age human subject longitudinal human study perinatal pregnancy loss prognosis psychological stressor

项目摘要

DESCRIPTION: (provided by applicant) While nearly 25% of women experience a perinatal loss, little is known about how women cope with the subsequent pregnancies and which ways of coping are the most effective in reducing negative emotions. Findings from all published studies on pregnancy after perinatal loss (PAL), using either quantitative or qualitative methodologies, report that women in PAL have significant higher anxiety. Specifically, women in PAL fear recurrence of loss are hypervigilant throughout the pregnancy and attempt to protect/cushion themselves emotionally. High anxiety during pregnancy has been associated with increased negative obstetrical outcomes, neonatal difficulties and hypervigilant parenting styles. However, no longitudinal study of women's anxiety associated with subsequent pregnancy after a previous loss has been conducted. Thus, there are no evidence-based guidelines by which to guide care to pregnant women with a previous prenatal loss. Therefore, this proposed longitudinal study will examine the relationships between threat appraisal, coping (problem-focused and emotion-focused), and emotional states (positive affect, negative affect, pregnancy anxiety) at three points in time across the pregnancies of one group of 68 multigravidas with a history of perinatal loss. Lazarus and Folkman's (1984) framework of cognitive appraisal will be used to guide the study. Specifically, the primary purpose is to examine the effects of time on threat appraisal, coping, and emotional state (pregnancy anxiety, positive affect, and negative affect) in women pregnant after perinatal loss. The secondary purpose is to determine whether coping mediates the effect of threat appraisal on emotional states and what type of coping predicts more positive affect, less negative emotions, and less pregnancy anxiety. Data will be collected once each trimester, at 10 week intervals, beginning at 10-15 weeks gestation on the main study variables operationalized by the Moneyham Threat Index, the Ways of Coping Checklist-Revised, the MAACL-R, and Pregnancy Anxiety Scale. Multiple regression and path analysis will be used to answer the research questions.

产品说明：虽然近25%的妇女经历过围产期流产，但人们对妇女如何科普随后的怀孕以及哪些应对方式对减少负面情绪最有效知之甚少。所有已发表的关于围产期流产后妊娠（PAL）的研究结果，无论是定量还是定性方法，都报告称PAL中的女性具有显着的更高焦虑。具体来说，PAL中的女性害怕再次失去，在整个怀孕期间都高度警惕，并试图在情感上保护/缓冲自己。怀孕期间的高度焦虑与消极的产科结局增加，新生儿困难和过度警惕的养育方式有关。然而，没有纵向研究妇女的焦虑与随后怀孕后，以前的损失已经进行。因此，没有循证指南来指导对有产前流产史的孕妇的护理。因此，这项纵向研究将探讨威胁评估，应对（以问题为中心，以情绪为中心），情绪状态（积极影响，消极影响，怀孕焦虑）之间的关系在三个时间点在整个怀孕的一组68个multipregnadas围产期损失的历史。 Lazarus和Folkman（1984）的认知评价框架将被用来指导研究。具体而言，主要目的是检查时间对威胁评估，应对和情绪状态（妊娠焦虑，积极影响和消极影响）的妇女围产期损失后怀孕的影响。第二个目的是确定应对是否介导的影响，情绪状态的威胁评估和什么类型的应对预测更多的积极影响，较少的负面情绪，和较少的怀孕焦虑。从妊娠10-15周开始，每三个月收集一次数据，间隔10周，主要研究变量由Moneyham威胁指数、应对方式检查表修订版、MAACL-R和妊娠焦虑量表操作。本研究将使用多元回归及路径分析来回答研究问题。