在大流行怀孕期间应对主观和客观压力:对母亲心理健康的影响
Amanda Levinson1,2, Marci Lobel2,3, Heidi Preis2,3
1School of Medicine, Department of Psychiatry & Behavioral Health, Stony Brook University, Stony Brook, NY, USA.
Archives of women's mental health
|August 9, 2023
概括
流行性怀孕压力影响了母亲的心理健康,正面评估等应对策略可能会减轻焦虑和抑郁. 然而,个人应对可能不足以应对广泛的压力因素.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 产科 产科 产科 产科 产科
背景情况:
- 随着COVID-19的流行,孕产妇的产前压力显著增加,这是对孕产妇和婴儿不良结果的已知危险因素.
- 流行性怀孕期间母亲心理健康的变化表明应对策略发挥着至关重要的作用.
研究的目的:
- 在COVID-19大流行期间检查客观压力因素,主观压力和四种应对策略 (精神,规划/准备,避免,积极评估) 与孕妇焦虑和抑郁症状之间的关联.
- 研究压力和应对策略之间的相互作用,以预测母亲的心理健康结果.
主要方法:
- 一项涉及7383名美国孕妇在COVID-19流行病的第一波和第二波期间的横截面研究.
- 评估客观压力因素,主观压力经历,使用四种应对策略,以及焦虑和抑郁症的症状.
主要成果:
- 精神,规划/准备和避免应对策略与增加的压力和更大的焦虑/抑郁症状有关.
- 积极的评估应对与较低的主观压力和减少焦虑/抑郁症状有关.
- 微小的应对压力的相互作用表明,战略和压力类型之间的"适合"会影响结果.
结论:
- 应对策略的类型,以及与经历的压力相一致,可以确定它是否减轻或加重母亲的情绪和焦虑症状.
- 个人应对机制可能不足以抵消大规模,人口层面的压力因素的深刻影响,如流行病.
- 这项研究增强了对怀孕期间应对重大社会挑战的理解.
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