Muscatello Maria Rosaria Anna, Lorusso Simona, Bruno Antonio, Reale Rosa, Ciura Giulia La, Laganà Antonio Simone, Retto Giovanni, Sturlese Emanuele, Zoccali Rocco Antonio
a Section of Psychiatry, Department of Neurosciences and.
b Unit of Obstetrics and Gynecology, Department of Paediatric , Gynaecological, Microbiological and Biomedical Sciences, University of Messina , Messina , Italy.
J Matern Fetal Neonatal Med. 2016 Mar;29(5):813-7. doi: 10.3109/14767058.2015.1019459. Epub 2015 Mar 10.
To assess anger, as well as other negative emotions, in women who underwent assisted reproductive technology (ART) respect to women who conceived naturally, and explore the effect of anger on neonatal outcomes.
We recorded personal and obstetric history of the patients, neonatal weight, Apgar score, obstetric and neonatal complications. We performed Structural Clinical Interview for DSM-SCID I and II in order to assess the DSM IV axis I and axis II, State-Trait Anger Expression Inventory 2 (STAXI-2), the Self-rating Depression Scale (SDS) and Self-rating Anxiety scale (SAS).
On the STAXI-2 scale, the ART group scored higher than the natural conception group on measures of general tendency and personality disposition to get angry. Moreover, the ART group women showed quite low levels of tolerance to negative environmental feedback. Our results further suggest that trait anger provides the most meaningful contribution as predictor of weight at birth. No significant differences were found for anxiety and depression between the two groups.
Our study highlights the important role of anger during pregnancy, and suggests the need for further studies on both biochemical and behavioural patterns in larger samples of women who became pregnant by ART.
评估接受辅助生殖技术（ART）的女性相较于自然受孕女性的愤怒情绪及其他负面情绪，并探究愤怒对新生儿结局的影响。
我们记录了患者的个人史和产科病史、新生儿体重、阿氏评分、产科及新生儿并发症。我们进行了DSM-SCID I和II的结构性临床访谈，以评估DSM-IV轴I和轴II、状态-特质愤怒表达量表2（STAXI-2）、自评抑郁量表（SDS）和自评焦虑量表（SAS）。
在STAXI-2量表上，ART组在愤怒的总体倾向和人格特质测量方面得分高于自然受孕组。此外，ART组女性对负面环境反馈的耐受水平相当低。我们的结果进一步表明，特质愤怒作为出生体重的预测指标贡献最大。两组之间在焦虑和抑郁方面未发现显著差异。
我们的研究突出了孕期愤怒的重要作用，并表明需要对更多接受ART受孕的女性样本的生化和行为模式进行进一步研究。
