Department of Psychology, Tilburg University, The Netherlands.
Eur J Public Health. 2013 Jun;23(3):485-91. doi: 10.1093/eurpub/cks097. Epub 2012 Jul 31.
Prevalence rates of psychosocial stress during pregnancy are substantial. Evidence for associations between psychosocial stress and birth outcomes is inconsistent. This study aims to identify and characterize different clusters of pregnant women, each with a distinct pattern of psychosocial stress, and investigate whether birth outcomes differ between these clusters.
Latent class analysis was performed on data of 7740 pregnant women (Amsterdam Born Children and their Development study). Included constructs were depressive symptoms, state anxiety, job strain, pregnancy-related anxiety and parenting stress.
Five clusters of women with distinct patterns of psychosocial stress were objectively identified. Babies born from women in the cluster characterized as 'high depression and high anxiety, moderate job strain' (12%) had a lower birth weight, and those in the 'high depression and high anxiety, not employed' cluster (15%) had an increased risk of pre-term birth.
Babies from pregnant women reporting both high levels of anxiety and depressive symptoms are at highest risk for adverse birth outcomes.
怀孕期间心理社会压力的患病率相当高。心理社会压力与生育结局之间的关联证据并不一致。本研究旨在识别和描述不同的孕妇群体，每个群体都有独特的心理社会压力模式，并研究这些群体之间的生育结局是否存在差异。
对 7740 名孕妇（阿姆斯特丹出生儿童及其发育研究）的数据进行潜在类别分析。纳入的结构包括抑郁症状、状态焦虑、工作压力、妊娠相关焦虑和育儿压力。
客观地识别出具有不同心理社会压力模式的五组女性。来自“高抑郁和高焦虑、中度工作压力”特征的女性（12%）所生婴儿的出生体重较低，而“高抑郁和高焦虑、未就业”特征的女性（15%）的早产风险增加。
报告高水平焦虑和抑郁症状的孕妇所生婴儿发生不良生育结局的风险最高。
