Hartley Eliza, McPhie Skye, Skouteris Helen, Fuller-Tyszkiewicz Matthew, Hill Briony
School of Psychology, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125, Australia.
School of Psychology, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125, Australia.
Women Birth. 2015 Dec;28(4):e99-e109. doi: 10.1016/j.wombi.2015.04.004. Epub 2015 May 8.
Excessive weight gain during pregnancy can have adverse health outcomes for mother and infant throughout pregnancy. However, few studies have identified the psychosocial factors that contribute to women gaining excessive weight during pregnancy.
To review the existing literature that explores the impact of psychosocial risk factors (psychological distress, body image dissatisfaction, social support, self-efficacy and self-esteem) on excessive gestational weight gain.
A systematic review of peer-reviewed English articles using Academic Search Complete, Cumulative Index to Nursing and Allied Health Literature, MEDLINE Complete, PsycINFO, Informit, Web of Science, and Scopus was conducted. Quantitative studies that investigated psychosocial factors of excessive GWG, published between 2000 and 2014 were included. Studies investigating mothers with a low risk of mental health issues and normally-developing foetuses were eligible for inclusion. From the total of 474 articles located, 12 articles were identified as relevant and were subsequently reviewed in full.
Significant associations were found between depression, body image dissatisfaction, and social support with excessive gestational weight gain. No significant relationships were reported between anxiety, stress, self-efficacy, or self-esteem and excessive gestational weight gain.
The relationship between psychosocial factors and weight gain in pregnancy is complex; however depression, body dissatisfaction and social support appear to have a direct relationship with excessive gestational weight gain. Further research is needed to identify how screening for, and responding to, psychosocial risk factors for excessive gestational weight gain can be successfully incorporated into current antenatal care.
孕期体重过度增加会在整个孕期对母婴健康产生不良影响。然而，很少有研究确定导致女性孕期体重过度增加的社会心理因素。
回顾现有文献，探讨社会心理风险因素（心理困扰、身体形象不满、社会支持、自我效能感和自尊）对孕期体重过度增加的影响。
使用学术搜索完整版、护理及相关健康文献累积索引、医学期刊全文数据库完整版、心理学文摘数据库、Informit、科学引文索引和Scopus对同行评审的英文文章进行系统综述。纳入2000年至2014年发表的调查孕期体重过度增加的社会心理因素的定量研究。调查心理健康问题风险较低且胎儿发育正常的母亲的研究符合纳入标准。在所检索到的474篇文章中，有12篇被确定为相关文章，随后对其进行了全文审查。
发现抑郁、身体形象不满和社会支持与孕期体重过度增加之间存在显著关联。未报告焦虑、压力、自我效能感或自尊与孕期体重过度增加之间存在显著关系。
社会心理因素与孕期体重增加之间的关系很复杂；然而，抑郁、身体不满和社会支持似乎与孕期体重过度增加有直接关系。需要进一步研究，以确定如何将筛查和应对孕期体重过度增加的社会心理风险因素成功纳入当前的产前护理中。
