Department of Psychology, Faculty of Arts and Sciences, Aydın Adnan Menderes University, Aydın, Turkey.
Department of Midwifery, Faculty of Health Sciences, Kocaeli University, Kocaeli, Turkey.
J Sex Marital Ther. 2023;49(1):65-76. doi: 10.1080/0092623X.2022.2073302. Epub 2022 May 9.
The objective of this study is to examine the relationship between nausea and vomiting during pregnancy (NVP) and attachment styles in close relationships, marital adjustment, and ways of coping with stress. This study was performed in 2019 as an analytic case-control design. The study group consists of 60 pregnant women hospitalized with a nausea-vomiting/hyperemesis gravidarum diagnosis. The control group is composed of 64 pregnant women who applied for gynecology polyclinic for routine control. The participants were applied Pregnancy-Information Form, Experiences in Close Relationships Scale-Revised (ECR-R), Marital Adjustment Test (MAT), and Coping Styles Inventory (CSI). It was observed that the scores of the pregnant women in the study group from the helpless approach subscale of CSI were significantly higher than the control group and no significant difference was found between the two groups in terms of other scale scores. A negative correlation was found between the perceived severity of nausea and the seeking social support subscale of CSI in the study group. The study revealed findings that support the biopsychosocial approach to the etiology of NVP and showed that the women with NVP use a helpless approach in coping with stress and apply seeking social support as the severity of nausea decreases.
本研究旨在探讨妊娠恶心呕吐（NVP）与亲密关系中的依恋模式、婚姻适应度和应对压力方式之间的关系。本研究于 2019 年以分析性病例对照设计进行。研究组包括 60 名因恶心呕吐/妊娠剧吐住院的孕妇。对照组由 64 名因常规检查而前往妇科诊所的孕妇组成。参与者填写了妊娠信息表、修订后的亲密关系体验量表（ECR-R）、婚姻适应度测试（MAT）和应对方式量表（CSI）。研究发现，研究组孕妇的 CSI 无助应对分量表得分显著高于对照组，而两组在其他量表得分方面无显著差异。研究组中，恶心严重程度与 CSI 的寻求社会支持分量表呈负相关。本研究的发现支持了 NVP 病因的生物心理社会方法，并表明患有 NVP 的女性在应对压力时采用无助应对方式，随着恶心程度的减轻，会寻求社会支持。
