低风险孕妇的唾液皮质醇水平与自我报告的心理测量值无关。
Concurrent levels of maternal salivary cortisol are unrelated to self-reported psychological measures in low-risk pregnant women.
机构信息
Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
出版信息
Arch Womens Ment Health. 2013 Apr;16(2):101-8. doi: 10.1007/s00737-012-0321-z. Epub 2012 Dec 27.
Associations between salivary cortisol and maternal psychological distress and well-being were examined prospectively on 112 women with normally progressing, singleton pregnancies between 24 and 38 weeks gestation. At each of 5 visits, conducted in 3-week intervals, women provided a saliva sample and completed questionnaires measuring trait anxiety, depressive symptoms, pregnancy-specific hassles and uplifts, and psychological well-being. Maternal salivary cortisol was unrelated to psychological measures with the exception of minor associations detected with measures of anxiety and depressive symptoms between 30 and 32 weeks only. Findings indicate that self-reported maternal psychological distress and well-being are not associated with significant variation in maternal salivary cortisol levels during the second half of gestation. This suggests that studies that measure psychological factors in pregnancy but do not measure maternal cortisol should exercise caution in assuming activation of the maternal hypothalamic-pituitary-adrenal axis is the mechanism through which maternal psychological factors are transduced to the fetus.
对 112 名孕龄 24 至 38 周、正常妊娠的单胎孕妇进行了前瞻性研究,以考察唾液皮质醇与产妇心理困扰和健康之间的关系。在每 3 周一次的 5 次就诊中,女性提供唾液样本并完成了问卷调查,以评估特质焦虑、抑郁症状、妊娠特定的烦恼和提升以及心理幸福感。除了在 30 至 32 周时仅检测到与焦虑和抑郁症状相关的轻度关联外,产妇唾液皮质醇与心理测量指标无关。研究结果表明,自我报告的产妇心理困扰和健康状况与妊娠后半期产妇唾液皮质醇水平的显著变化无关。这表明,在妊娠中测量心理因素但不测量产妇皮质醇的研究应该谨慎,因为认为母体下丘脑-垂体-肾上腺轴的激活是母体心理因素传递给胎儿的机制。
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