Karhade Kaveri, Lawlor Megan, Chubb Heather, Johnson Timothy R B, Voorhees John J, Wang Frank
Department of Dermatology, University of Michigan Medical School, Ann Arbor, Michigan.
Berman Skin Institute, San Francisco, California.
Int J Womens Dermatol. 2021 Nov 3;7(5Part B):685-691. doi: 10.1016/j.ijwd.2021.10.015. eCollection 2021 Dec.
The impact of striae gravidarum (SG), or stretch marks of pregnancy, on quality of life (QoL) is unclear.
The purpose of this study was to investigate how SG affect QoL in pregnant women.
In this cross-sectional survey study of healthy pregnant women who developed SG during their current pregnancy, we asked about the impact of lesions on emotional, psychological, and life-quality facets. Spearman product-moment correlation coefficients were generated to determine the strength of relationships between variables.
We analyzed 116 valid surveys. Participants reported permanency of SG as the top physical concern (n = 87; 75%). With regard to severity, nearly three-quarters of participants rated their lesions as very prominent (n = 24; 21%) or moderate (n = 57; 49%). Among the life-quality facets queried, embarrassment/self-consciousness was the most frequently associated with SG, with over one-third of participants reporting "a lot" (n = 19; 16%) or a "moderate" (n = 26; 22%) amount of embarrassment/self-consciousness related to having SG. Lesion severity significantly correlated with the degree of embarrassment/self-consciousness ( = .543), as well as the impact of SG on other life-quality facets, including overall QoL ( = .428), clothing choice ( = .423), self-image/self-esteem ( = .417), feelings of anxiety/depression ( = .415), and social activities ( = .313; all ≤ .001). Nearly one-quarter of participants believed that emotional distress related to SG was similar or greater than that caused by other skin problems, such as acne, psoriasis, or eczema.
SG can be associated with a host of negative reactions reflecting increased psychological and emotional distress, including embarrassment and decreased QoL. These consequences may compound the emotional stress of pregnancy, potentially warranting psychological support and adjustment strategies.
妊娠纹（SG），即孕期的 stretch marks，对生活质量（QoL）的影响尚不清楚。
本研究旨在调查 SG 如何影响孕妇的生活质量。
在这项针对当前孕期出现 SG 的健康孕妇的横断面调查研究中，我们询问了皮损对情绪、心理和生活质量方面的影响。生成 Spearman 积差相关系数以确定变量之间关系的强度。
我们分析了 116 份有效调查问卷。参与者报告 SG 的永久性是首要的身体担忧（n = 87；75%）。关于严重程度，近四分之三的参与者将其皮损评为非常明显（n = 24；21%）或中度（n = 57；49%）。在询问的生活质量方面中，尴尬/自觉是与 SG 最常相关的方面，超过三分之一的参与者报告与有 SG 相关的尴尬/自觉程度为“很多”（n = 19；16%）或“中度”（n = 26；22%）。皮损严重程度与尴尬/自觉程度显著相关（= 0.543），以及 SG 对其他生活质量方面的影响，包括总体生活质量（= 0.428）、服装选择（= 0.423）、自我形象/自尊（= 0.417）、焦虑/抑郁情绪（= 0.415）和社交活动（= 0.313；均≤0.001）。近四分之一的参与者认为与 SG 相关的情绪困扰与痤疮、银屑病或湿疹等其他皮肤问题引起的困扰相似或更大。
SG 可能与一系列反映心理和情绪困扰增加的负面反应相关，包括尴尬和生活质量下降。这些后果可能会加重孕期的情绪压力，可能需要心理支持和调整策略。
