Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
J Psychosom Obstet Gynaecol. 2020 Sep;41(3):177-182. doi: 10.1080/0167482X.2019.1657089. Epub 2019 Aug 30.
To examine the maternal psychological state during the course of two successive pregnancies. The sample consisted of 73 women drawn from a larger maternal-fetal cohort that participated during two pregnancies. Women completed self-report psychological questionnaires at 24, 30, and 36 weeks gestation to index maternal depressive symptoms, trait anxiety, and pregnancy hassles and uplifts. Analyses examined stability of maternal symptoms across successive pregnancies in the same women. Antenatal symptoms of depression and anxiety exhibited strong intra-individual stability between successive pregnancies. Mean differences in maternal symptoms were not detected for either at 24, 30, or 36 weeks gestation, excepting elevated anxiety symptoms at the mid-point due to greater fluctuation in maternal anxiety during the prior pregnancy. Subsequent pregnancies were associated with less intense uplifting feelings about the pregnancy on each measurement occasion. Findings suggest marked consistency in maternal psychological orientation across subsequent pregnancies, though parity also plays a role in the maternal experience.
考察连续两次妊娠过程中的产妇心理状态。样本由来自更大的母婴队列的 73 名女性组成，她们在两次妊娠期间参与了研究。女性在 24、30 和 36 周妊娠时完成了自我报告的心理问卷，以评估产妇的抑郁症状、特质焦虑、妊娠烦恼和愉悦。分析考察了同一女性连续两次妊娠中产妇症状的稳定性。产前抑郁和焦虑症状在连续两次妊娠中表现出很强的个体内稳定性。在 24、30 或 36 周妊娠时，除了由于前一次妊娠中产妇焦虑的波动较大导致中期焦虑症状升高外，均未检测到产妇症状的均值差异。随后的妊娠与每次测量时对妊娠的愉悦感降低有关。研究结果表明，尽管多胎妊娠也会对产妇体验产生影响，但产妇的心理取向在连续两次妊娠中具有明显的一致性。
