DeSocio Janiece E
Seattle University, United States of America.
Arch Psychiatr Nurs. 2018 Dec;32(6):901-906. doi: 10.1016/j.apnu.2018.09.001. Epub 2018 Sep 8.
This paper provides a summary of literature on epigenetic effects and infant health outcomes of maternal psychosocial stress during pregnancy. A search of literature yielded a large body of publications between 2008 and 2018. Relevant articles were selected, and additional sources were located from ancestry searches of reference lists. Results implicate maternal prenatal stress as a source of epigenetic mechanisms that affect fetal brain development and program risk for emotional dysregulation and mental disorders over a lifetime and across generations. Implications for nursing practice are explored at multiple levels of policy advocacy, public education, primary prevention, screening and intervention.
本文总结了关于孕期母亲心理社会压力的表观遗传效应及婴儿健康结局的文献。对文献的检索在2008年至2018年间产生了大量出版物。选取了相关文章,并通过参考文献列表的溯源搜索找到了其他来源。结果表明,母亲产前压力是表观遗传机制的一个来源,这种机制会影响胎儿大脑发育,并在一生中及跨代编程情绪失调和精神障碍的风险。在政策倡导、公众教育、一级预防、筛查和干预等多个层面探讨了对护理实践的启示。