The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, 510370, China; School of Health Management, Guangzhou Medical University, Guangzhou, 510182, China.
Faculty of Medicine, Macau University of Science and Technology.
J Affect Disord. 2020 Mar 1;264:115-122. doi: 10.1016/j.jad.2019.11.148. Epub 2019 Nov 30.
After the one-child policy has been effective for over 30 years, China implemented the universal two-child policy in 2015. The number of high-risk pregnant women had increased dramatically ever since, increasing negative health outcomes for both mothers and children. Our study aims to investigate the status of anxiety, psychological stress sources, and psychological capital among women pregnant with a second child, and to assess influencing factors and correlations, providing scientific basis for promoting women's health during pregnancy.
We recruited 513 participants from maternity hospitals in Guangdong and Shandong Province. All participants completed the Zung Self-Rating Anxiety Scale (SAS), Pregnant women psychological stress sources questionnaire and the psychological capital questionnaire (PCQ-24).
The prevalence of anxiety of women pregnant with a second child was 27.5%. The score of psychological stress sources was 74.93 ± 16.07. The risk factors for the anxiety of the women pregnant with a second child included low education level of the husband, gender expectation and the sources of psychological stress of the pregnant woman. The risk factors for psychological stress were dissatisfaction of residence and unplanned pregnancy. The main factors influencing psychological capital were the participants' education level, whether they have learned antenatal care knowledge and satisfaction with the residence.
All participants were recruited only from tertiary hospitals in Guangdong and Shandong province.
Anxiety and psychological stress is prevalent during pregnancy among women pregnant with a second child in Guangdong and Shandong. Psychological capital was a protective factor for anxiety.
中国实施了超过 30 年的独生子女政策后，于 2015 年全面实施了普遍二孩政策。自此，高危孕妇数量急剧增加，母婴健康不良结局的风险也随之增加。本研究旨在调查二孩孕妇的焦虑、心理压力源和心理资本状况，并评估其影响因素和相关性，为促进孕妇健康提供科学依据。
我们从广东省和山东省的多家妇产科医院招募了 513 名参与者。所有参与者均完成了 Zung 自评焦虑量表（SAS）、孕妇心理压力源问卷和心理资本问卷（PCQ-24）。
二孩孕妇的焦虑发生率为 27.5%。心理压力源评分 74.93±16.07。二孩孕妇焦虑的危险因素包括丈夫文化程度低、性别期望和孕妇心理压力源。心理压力的危险因素是对居住条件不满和意外怀孕。影响心理资本的主要因素是参与者的教育水平、是否学习过产前保健知识以及对居住条件的满意度。
所有参与者均仅来自广东和山东省的三级医院。
广东和山东的二孩孕妇在怀孕期间普遍存在焦虑和心理压力，心理资本是焦虑的保护因素。
