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有子女和无子女的孕妇与非孕妇的内感受敏感性和身体满意度。

Interoceptive sensibility and body satisfaction in pregnant and non-pregnant women with and without children.

机构信息

University of York, York, England, UK.

Anglia Ruskin University, Cambridge, England, UK.

出版信息

Sci Rep. 2022 Sep 27;12(1):16138. doi: 10.1038/s41598-022-20181-z.

Abstract

Pregnancy is a time of great physical and psychological change. As well as prominent changes in the external appearance of the body, such as the baby bump, there are also substantial changes taking place within the body. Our awareness of, and attention towards, internal bodily signals (interoception) is thought to have a direct impact on how we feel about our bodies. Therefore, understanding how our experience of these interoceptive signals might change during pregnancy may have important implications for maternal wellbeing. This study examined body satisfaction and interoceptive sensibility (subjective experience of interoception) in pregnant and non-pregnant women with and without children. Feelings towards pregnancy-specific changes in body satisfaction and interoceptive sensibility were also examined in women in their first pregnancy (primigravida) and subsequent pregnancies (multigravida). It was found that pregnancy did not directly impact levels of body satisfaction, instead pregnant and non-pregnant women with children reported less satisfaction with their bodies compared to those without children. Primigravida women were more satisfied with the appearance of pregnancy specific bodily changes compared to multigravida women. Interestingly, these differences in body satisfaction in those with children (pregnant and non-pregnant) were mediated by the extent to which women trusted their bodies (measure of interoceptive sensibility). All other pregnancy related changes in interoceptive sensibility and body satisfaction were either non-significant or had small effect sizes. These results may suggest body trust as an important factor to support during the transition to parenthood in order to improve body satisfaction in mothers.

摘要

怀孕是一个身体和心理都发生巨大变化的时期。除了身体外部明显的变化,如肚子变大,身体内部也发生了实质性的变化。我们对内部身体信号(内脏感知)的意识和关注被认为直接影响我们对身体的感觉。因此,了解我们在怀孕期间对这些内脏感知信号的体验可能会对产妇的健康状况产生重要影响。本研究调查了有子女和无子女的孕妇和非孕妇的身体满意度和内脏感知敏感性(内脏感知的主观体验)。还研究了首次怀孕(初产妇)和后续怀孕(经产妇)的女性对身体满意度和内脏感知敏感性的妊娠特异性变化的感受。结果表明,怀孕并没有直接影响身体满意度水平,相反,有子女的孕妇和非孕妇比没有子女的孕妇和非孕妇对自己的身体更不满意。初产妇对妊娠特异性身体变化的外观比经产妇更满意。有趣的是,有子女的女性(孕妇和非孕妇)在身体满意度方面的这些差异(p<0.05)是由女性对身体的信任程度(内脏感知敏感性的衡量标准)介导的。内脏感知敏感性和身体满意度的所有其他与妊娠相关的变化要么没有统计学意义,要么效应量很小。这些结果可能表明,在向父母身份过渡期间,身体信任是一个重要的支持因素,以提高母亲的身体满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e23c/9515153/c2d6aa36a859/41598_2022_20181_Fig1_HTML.jpg

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