Nakamura Yasuka, Sato Mari, Watanabe Ikue
Nursing Course, Tohoku University Graduate School of Medicine.
Department of Nursing, Faculty of Health Sciences, Tohoku Fukushi University.
Tohoku J Exp Med. 2018 Aug;245(4):223-230. doi: 10.1620/tjem.245.223.
During pregnancy, women experience various emotional changes. Previous research has investigated positive emotion influenced childbirth outcomes positively. This study explored the extent of positive emotion which pregnant women aware of their own pregnancy life subjectively and variables related to the changes thereof. This was an adjunct study of the Japan Environment and Children's Study which is a nationwide epidemiological study to identify the impact of environmental factors on health and development of children in Miyagi Prefecture. Data were collected at 12 weeks (T1) and 24-28 weeks (T2) of gestation. Participants were 3,513 pregnant women. Women's degree of positive emotion was assessed through a numeric rating scale. We also measured related variables, including obstetric factors, physical health status, mental health status, and social situation, using the 8-Item Short Form Health Survey, Kessler-6, and family APGAR score, along with demographic data. Analyses included correlations among variables related to the change in positive emotion. The extent of positive emotion was significantly related with health-related quality of life and satisfaction with family relationships during pregnancy. The women whose positive emotion decreased from T1 to T2 tended to have lower morning sickness symptoms, be unemployed, lower physical and mental health status, and a higher risk of psychological distress in middle pregnancy. Importantly, even discomfort like morning sickness, physical symptoms that indicate being pregnant, might make women to confirm pregnancy. Moreover, employment and satisfaction with family relationships are especially crucial for pregnant women to spend comfortable maternity life.
在孕期，女性会经历各种情绪变化。先前的研究调查了积极情绪对分娩结局有积极影响。本研究探讨了孕妇主观意识到自己孕期生活的积极情绪程度及其相关变化的变量。这是日本环境与儿童研究的一项辅助研究，该研究是一项全国性的流行病学研究，旨在确定环境因素对宫城县儿童健康与发育的影响。在妊娠12周（T1）和24 - 28周（T2）收集数据。参与者为3513名孕妇。通过数字评分量表评估女性的积极情绪程度。我们还使用8项简短健康调查、凯斯勒6项量表、家庭APGAR评分以及人口统计学数据测量了相关变量，包括产科因素、身体健康状况、心理健康状况和社会状况。分析包括与积极情绪变化相关的变量之间的相关性。积极情绪程度与孕期与健康相关的生活质量和对家庭关系的满意度显著相关。从T1到T2积极情绪下降的女性往往孕吐症状较轻、失业、身心健康状况较差，且孕中期心理困扰风险较高。重要的是，即使像孕吐这样表明怀孕的身体不适，也可能使女性确认怀孕。此外，就业和对家庭关系的满意度对于孕妇度过舒适的孕期生活尤其关键。
