Mancuso Alfredo, De Vivo Antonio, Fanara Giusi, Settineri Salvatore, Giacobbe Annamaria, Pizzo Alfonsa
Department of Gynecological, Obstetrical Sciences and Reproductive Medicine, University of Messina, Messina, Italy.
Psychiatry Res. 2008 Sep 30;160(3):380-6. doi: 10.1016/j.psychres.2007.06.005. Epub 2008 Aug 15.
The aim of this study was to investigate the frequency of recall and the content of dreams during pregnancy, as well as their correlation with socio-demographic, obstetric and physician-patients relationship variables, emotional state and duration of labour. A questionnaire, designed to analyse background characteristics, was given to 290 women in the third trimester of gestation. The psychiatric analysis of anxiety and depression was performed using the Hamilton Rating Scale for Anxiety and the Montgomery-Asberg Depression Rating Scale, while dreams were divided into masochistic and pleasant according to Beck's criteria. Oneiric activity was found to be associated with age >or= 35 years, higher family income, higher educational level, and a "satisfactory" physician-patient relationship. Masochistic content was associated with age<35 years, quality of information and frequent thoughts of delivery. Concerning the emotional state, depression levels were higher in women reporting masochistic dreams, while no difference in anxiety levels was found. Labour duration was shorter in the dreamer group and in patients with masochistic dream content. These findings may indicate that, also in pregnancy, the number and the content of dreams are influenced by women's mood and that the evaluation of the oneiric activity might represent a useful tool for clinicians either to investigate the women's emotional state or to predict its repercussions on the course of labour.
本研究旨在调查孕期梦境的回忆频率和内容,以及它们与社会人口统计学、产科和医患关系变量、情绪状态及产程时长之间的相关性。一份用于分析背景特征的问卷被发放给290名处于妊娠晚期的女性。使用汉密尔顿焦虑量表和蒙哥马利-阿斯伯格抑郁量表对焦虑和抑郁进行精神分析,同时根据贝克的标准将梦境分为受虐型和愉悦型。发现梦的活动与年龄≥35岁、家庭收入较高、教育水平较高以及“令人满意”的医患关系有关。受虐内容与年龄<35岁、信息质量和频繁的分娩想法有关。关于情绪状态,报告有受虐梦境的女性抑郁水平较高,而焦虑水平未发现差异。做梦者组和有受虐梦境内容的患者产程较短。这些发现可能表明,即使在孕期,梦境的数量和内容也会受到女性情绪的影响,并且对梦的活动进行评估可能是临床医生调查女性情绪状态或预测其对产程影响的有用工具。