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随和性与怀孕:与应对方式及精神症状的关系,一项针对西班牙孕妇的纵向研究。

Agreeableness and pregnancy: Relations with coping and psychiatric symptoms, a longitudinal study on Spanish pregnant women.

作者信息

Peñacoba Cecilia, Rodríguez Laura, Carmona Javier, Marín Dolores

机构信息

a Department of Psychology , Rey Juan Carlos University , Madrid , Spain.

b Hospital Universitario Fundación Alcorcón , Madrid , Spain.

出版信息

Women Health. 2018 Feb;58(2):204-220. doi: 10.1080/03630242.2017.1282397. Epub 2017 Feb 6.

DOI:10.1080/03630242.2017.1282397
PMID:28103153
Abstract

Agreeableness is associated with good mental health during pregnancy. Although different studies have indicated that agreeableness is related to adaptive coping, this relation has scarcely been studied in pregnant women. The aim of this study was to analyze the possible differences between high and low agreeableness in relation to coping strategies and psychiatric symptoms in pregnant women. We conducted a longitudinal prospective study between October 2009 and January 2013. Pregnant women (n = 285) were assessed in the first trimester of pregnancy, and 122 of them were assessed during the third. Data were collected using the Coping Strategies Questionnaire, the Symptom Check List 90-R, and the agreeableness subscale of the NEO-FFI. Using the SPSS 21 statistics package, binary logistic regression, two-way mixed analysis of variance, and multiple regression analyses and a Sobel test were conducted. Higher levels of agreeableness were associated with positive reappraisal and problem-solving, and lower levels of agreeableness were associated with overt emotional expression and negative self-focused coping. Women with low agreeableness had poorer mental health, especially in the first trimester. These findings should be taken into account to improve women's experiences during pregnancy. Nevertheless, given the scarcity of data, additional studies are needed.

摘要

随和性与孕期良好的心理健康状况相关。尽管不同研究表明随和性与适应性应对有关,但这种关系在孕妇中几乎未被研究过。本研究的目的是分析孕妇中随和性高与低在应对策略和精神症状方面可能存在的差异。我们在2009年10月至2013年1月期间进行了一项纵向前瞻性研究。对孕妇(n = 285)在妊娠早期进行评估,其中122人在妊娠晚期进行了评估。使用应对策略问卷、症状自评量表90 - R以及大五人格量表(NEO - FFI)中的随和性分量表收集数据。使用SPSS 21统计软件包进行二元逻辑回归、双向混合方差分析、多元回归分析以及索贝尔检验。较高水平的随和性与积极重新评价和解决问题相关,较低水平的随和性与公开情绪表达和消极自我关注应对相关。随和性低的女性心理健康状况较差,尤其是在妊娠早期。应考虑这些发现以改善女性孕期的体验。然而,鉴于数据有限,还需要更多研究。

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