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孕妇的内感受与焦虑和抑郁有关:一项初步研究。

Interoception is associated with anxiety and depression in pregnant women: A pilot study.

机构信息

Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

出版信息

PLoS One. 2022 May 6;17(5):e0267507. doi: 10.1371/journal.pone.0267507. eCollection 2022.

Abstract

Pregnancy and postpartum are periods in which women develop psychosocially. However, becoming a mother is stressful, and mood disorders related to anxiety and depression often develop. In recent years, research on interoception-sensations related to the body's internal physiological state-has attracted attention. Interoception has multifaceted characteristics. It involves directly perceiving information in the body while also inferring and evaluating it. In this study, we examined interoception, anxiety, and depression in Japanese pregnant women. Empirical examinations and questionnaire surveys were used to measure interoception in 32 pregnant women not at high risk of pregnancy. A Japanese adaption of the Multidimensional Assessment of Interoceptive Awareness was used to measure interoceptive sensibility, and a heartbeat counting task performance was used to measure interoceptive accuracy. Anxiety and depression were measured using the Japanese versions of the State-Trait Anxiety Inventory and the Edinburgh Postnatal Depression Scale, respectively. A correlation analysis was performed between interoception, anxiety and depression and between differences between sensibility and accuracy of interoception, anxiety and depression. We revealed that interoceptive sensibility and differences between sensibility and accuracy of interoception were associated with anxiety. Based on results of this pilot study, it is necessary to investigate using longitudinal studies whether interoception might be an effective predictor tool for early detection of anxiety during pregnancy and postpartum.

摘要

怀孕和产后是女性在心理社会方面发展的时期。然而,成为母亲是有压力的,与焦虑和抑郁相关的情绪障碍常常会发展。近年来,对与身体内部生理状态相关的内感受觉(interoception)——即对身体内部感觉的直接感知,同时也包括推断和评估——的研究引起了关注。内感受觉具有多方面的特征。它涉及到直接感知身体内部的信息,同时也包括推断和评估。在这项研究中,我们检查了日本孕妇的内感受觉、焦虑和抑郁。我们使用实证检查和问卷调查来测量 32 名没有怀孕高风险的孕妇的内感受觉。我们使用多维内感受觉意识评估量表(Multidimensional Assessment of Interoceptive Awareness)的日语版来测量内感受觉敏感性,使用心跳计数任务来测量内感受觉准确性。焦虑和抑郁分别使用状态特质焦虑量表(State-Trait Anxiety Inventory)和爱丁堡产后抑郁量表(Edinburgh Postnatal Depression Scale)的日语版进行测量。我们对内感受觉、焦虑和抑郁之间,以及内感受觉敏感性和准确性之间的差异与焦虑和抑郁之间进行了相关性分析。我们发现,内感受觉敏感性和内感受觉敏感性与准确性之间的差异与焦虑有关。基于这项初步研究的结果,有必要通过纵向研究来调查内感受觉是否可能成为怀孕期间和产后早期焦虑的有效预测工具。

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