Zaltzman Alina, Falcon Bani, Harrison Megan E
Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Department of Paediatrics, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.
J Pediatr Adolesc Gynecol. 2015 Apr;28(2):102-8. doi: 10.1016/j.jpag.2014.06.003. Epub 2014 Jun 25.
To review the existing literature on body image in adolescent pregnancy and explore concepts about the relationship between the two.
A systematic review.
Peer-reviewed articles were identified through MEDLINE (1946-present) and PsycINFO (1806-November 2013), conducted in any setting.
Pregnant and postpartum adolescents ages 13-19 y.
None.
MAIN OUTCOME MEASURE(S): The outcome measures used in the studies reviewed varied: themes from focus groups, diary entry analysis, Pregnancy and weight gain attitude scale, Edinburgh postnatal depression scale, Parenting stress index, Eating disorder inventory, Tennessee self concept scale.
The search yielded a total of 149 studies, of which 6 were relevant to the specific topic and age group. The very limited research shows a dichotomy in body image perception during pregnancy in adolescence; some studies show an increase in body image disturbance and dissatisfaction during pregnancy in adolescents, and other studies reviewed found that the majority of pregnant adolescents had positive body image and positive attitudes towards weight gain. A bidirectional link between depression and negative body image in adolescent pregnancy is suggested.
The current research exploring the relationshp between body image and pregnancy in adolescence is limited, both in quality and quantity. Future research is needed to evaluate longitudinal models that will better inform about potential risk factors for body dissatisfaction during pregnancy in adolescence, including the possible role of depression.
回顾关于青少年怀孕期身体意象的现有文献，并探讨两者之间关系的相关概念。
系统综述。
通过MEDLINE（1946年至今）和PsycINFO（1806年至2013年11月）检索同行评审文章，不限研究背景。
年龄在13 - 19岁的怀孕及产后青少年。
无。
所综述研究中使用的观察指标各不相同：焦点小组主题、日记分析、怀孕与体重增加态度量表、爱丁堡产后抑郁量表、育儿压力指数、饮食失调量表、田纳西自我概念量表。
检索共得到149项研究，其中6项与特定主题和年龄组相关。非常有限的研究显示，青少年怀孕期身体意象感知存在二分法；一些研究表明青少年怀孕期身体意象障碍和不满情绪增加，而其他综述研究发现，大多数怀孕青少年对身体意象持积极态度，对体重增加持积极看法。有研究表明青少年怀孕期抑郁与负面身体意象之间存在双向联系。
目前探索青少年身体意象与怀孕关系的研究在质量和数量上都很有限。未来需要开展研究以评估纵向模型，从而更好地了解青少年怀孕期身体不满潜在风险因素，包括抑郁可能发挥的作用。
