Hodgkinson Emma L, Smith Debbie M, Hare Dougal Julian, Wittkowski Anja
University of Manchester, School of Psychological Sciences, Manchester, United Kingdom.
Cardiff University, South Wales DClinPsy Programme, Cardiff, United Kingdom.
Clin Psychol Psychother. 2017 Mar;24(2):392-400. doi: 10.1002/cpp.2009. Epub 2016 Mar 3.
To explore the construal of midwives by pregnant women with a body mass index greater than 30 kg/m (BMI ≥ 30 kg/m ).
Ten pregnant women with a BMI ≥ 30 kg/m were recruited from antenatal clinics at a maternity hospital in the North West of England. Each participant completed a repertory grid. The participants chose people to match roles including themselves, pregnant women, midwives of different BMIs and hypothetical elements. They also generated psychological constructs to describe them.
Pregnant women with a BMI ≥ 30 kg/m construed themselves as vulnerable and self-conscious. Some women endorsed obesity-related stereotypes for themselves and felt responsible for their weight. The midwife with a BMI 18 < 30 kg/m was considered to be most similar to the ideal midwife, while the midwife with a BMI ≤ 18 kg/m was construed as having an undesirable interpersonal style. The midwife with a BMI ≥ 40 kg/m was often construed as sharing similar experiences to the pregnant women with a BMI ≥ 30 kg/m , such as struggling with the psychological consequences of a raised BMI. Some women construed the midwife with a BMI 30 < 40 kg/m in a positive way, whereas others viewed it as sharing similar feelings about weight as the midwife with a BMI ≥ 40 kg/m .
The pregnant women with a BMI ≥ 30 kg/m in this study described perceptions of themselves and the midwives responsible for their care, which may affect their engagement and satisfaction with services. Pregnant women with a BMI ≥ 30 kg/m should be involved in service development activities to ensure the structure of services and the language used by midwives are acceptable and do not confirm weight-related stereotypes. Copyright © 2016 John Wiley & Sons, Ltd.
Pregnant women with a BMI ≥ 30 kg/m construe themselves as vulnerable and self-conscious and perceive themselves responsible for their weight. Pregnant women with a BMI ≥ 30 kg/m construe midwives with a low BMI as having an undesirable, cold, interpersonal style. Midwives with a raised BMI are construed as similar to the women, because they share the uncomfortable psychological consequences of a raised BMI. The nature of pregnant women's construal may affect their engagement and satisfaction with maternity services and midwifery care.
探讨体重指数大于30kg/m²（BMI≥30kg/m²）的孕妇对助产士的理解。
从英格兰西北部一家妇产医院的产前诊所招募了10名BMI≥30kg/m²的孕妇。每位参与者完成了一个角色建构方格。参与者选择人物来匹配角色，包括她们自己、孕妇、不同BMI的助产士以及假设元素。她们还生成了心理建构来描述这些角色。
BMI≥30kg/m²的孕妇将自己理解为脆弱且自觉的。一些女性认可与肥胖相关的刻板印象，并对自己的体重感到负责。BMI为18＜30kg/m²的助产士被认为与理想助产士最为相似，而BMI≤18kg/m²的助产士被理解为具有不良的人际风格。BMI≥40kg/m²的助产士常被理解为与BMI≥30kg/m²的孕妇有相似经历，比如在应对BMI升高带来的心理影响方面挣扎。一些女性对BMI为30＜40kg/m²的助产士有积极的理解，而另一些人则认为其在体重方面与BMI≥40kg/m²的助产士有相似感受。
本研究中BMI≥30kg/m²的孕妇描述了她们对自己以及负责其护理的助产士的看法，这可能会影响她们对服务的参与度和满意度。BMI≥30kg/m²的孕妇应参与服务开发活动，以确保服务结构和助产士使用的语言是可接受的，且不会强化与体重相关的刻板印象。版权所有©2016约翰威立父子有限公司。
BMI≥30kg/m²的孕妇将自己理解为脆弱且自觉的，并认为自己应对体重负责。BMI≥30kg/m²的孕妇认为BMI低的助产士具有不良、冷漠的人际风格。BMI升高的助产士被理解为与这些女性相似，因为她们都承受着BMI升高带来的不适心理影响。孕妇理解的本质可能会影响她们对产科服务和助产护理的参与度和满意度。
