Faramarzi Mahbobeh, Amiri Fatemeh Nasiri, Rezaee Razieh
Mahbobeh Faramarzi, Associate Prof. of Social Determinants of Health Research Center, Babol University of Medical Science, Babol, Iran.
Fatemeh Nasiri Amiri, Assistant Professor of Midwifery, Fatemeh Zahra Fertility & Infertility Research Health Center, Babol University of Medical Science, Babol, Iran.
Pak J Med Sci. 2016 Nov-Dec;32(6):1364-1369. doi: 10.12669/pjms.326.10892.
To explore whether coping strategies and general anxiety are associated with pregnancy-specific stress (PSS) and how much of variance of PSS is explained with these variables.
A cross sectional study was conducted at two teaching hospitals between November 2013 and December 2015. Total 190 pregnant women (60 women at 6-13-weeks of gestation, 60 at 13-26 weeks, and 70 at 27-40 weeks of gestation) completed the study. The participants completed three questionnaires including; Pregnancy experience scale (PES-41), Ways of Coping Questionnaire (WCQ), and State-Trait anxiety inventory (SATI). Pearson coefficients and analysis of regression was done to assess the correlations between variables.
Pregnant women who experienced higher mean level of pregnancy specific-stress had significantly higher mean level of occult anxiety, overt anxiety, and total anxiety than women who did not experience PSS. Although there was a positive and significant relationship between intensity of hassles and uplifts and ways of coping, the correlation between PSS and ways of coping was not significant. The results of analysis regression showed that general anxiety during pregnancy predicted 25% of the variance of PSS (F=4.480, β=0.159). Also, ways of coping predicted 38% of the variance in pregnancy Hassles (F=7.033, β=0.194).
The ways of coping predicted the variance of pregnancy hassles, but does not evaluate pregnancy specific-stress. To think about PSS in terms of general anxiety may help to clarify past findings and to guide future research and interventions.
探讨应对策略和一般焦虑与妊娠特异性应激（PSS）是否相关，以及这些变量能解释PSS的多少变异。
2013年11月至2015年12月在两家教学医院进行了一项横断面研究。共有190名孕妇（60名妊娠6 - 13周的妇女，60名妊娠13 - 26周的妇女，70名妊娠27 - 40周的妇女）完成了该研究。参与者完成了三份问卷，包括：妊娠经历量表（PES - 41）、应对方式问卷（WCQ）和状态 - 特质焦虑量表（SATI）。采用Pearson系数和回归分析来评估变量之间的相关性。
经历较高平均水平妊娠特异性应激的孕妇，其隐匿性焦虑、显性焦虑和总焦虑的平均水平显著高于未经历PSS的妇女。虽然困扰和提升的强度与应对方式之间存在显著的正相关，但PSS与应对方式之间的相关性不显著。回归分析结果表明，孕期的一般焦虑预测了PSS变异的25%（F = 4.480，β = 0.159）。此外，应对方式预测了妊娠困扰变异的38%（F = 7.033，β = 0.194）。
应对方式预测了妊娠困扰的变异，但不能评估妊娠特异性应激。从一般焦虑的角度考虑PSS可能有助于阐明过去的研究结果，并指导未来的研究和干预。
