Ohashi Yukiko, Takegata Mizuki, Takeda Satoru, Hada Ayako, Usui Yuriko, Kitamura Toshinori
Faculty of Nursing, Josai International University, Togane 283-8555, Japan.
Kitamura Institute of Mental Health Tokyo, Tokyo 151-0063, Japan.
Healthcare (Basel). 2023 Aug 3;11(15):2196. doi: 10.3390/healthcare11152196.
A negative response towards a current pregnancy consists of two elements: unwantedness of and unhappiness about the current pregnancy. Little is clear about whether pregnant women can be categorized in terms of unwantedness and unhappiness as well as what the correlates are of these categories.
An internet survey of 696 women in their first trimester of pregnancy examined the participants' intention of and emotional reaction towards pregnancy, borderline personality traits, adult attachment style, depression, fear of childbirth, obsessive-compulsive symptoms, fetal bonding disorder, avoidance of taking part in child care, and consideration about termination of pregnancy (TOP). About one third of the participants were followed up with in their second trimester.
Two-step cluster analysis using the participants' intention of and emotional reaction towards pregnancy revealed three groups of pregnant women: those who wanted and were happy about the pregnancy (Cluster 1), those who were unhappy about the pregnancy (Cluster 2), and those who did not intend to be pregnant but were happy about pregnancy (Cluster 3). Cluster 2 women, but not Cluster 3 women, were likely to be single, with borderline personality traits as well as unstable adult attachment styles, accompanied by depression, fear of childbirth, obsessive-compulsive symptoms, and fetal bonding disorder. They were more likely to avoid caring for the baby after childbirth and consider TOP.
Expectant women who were unhappy about their pregnancy were at risk of psychological adjustment and need specific perinatal mental health assessment and care.
对当前妊娠的负面反应包含两个要素：对当前妊娠的不想要和不开心。关于孕妇是否可以根据不想要和不开心进行分类，以及这些分类的相关因素是什么，目前尚不清楚。
对696名处于妊娠早期的女性进行了一项网络调查，调查内容包括参与者对妊娠的意图和情绪反应、边缘型人格特质、成人依恋风格、抑郁、分娩恐惧、强迫症状、胎儿情感联系障碍、避免参与育儿以及对终止妊娠的考虑。约三分之一的参与者在妊娠中期接受了随访。
使用参与者对妊娠的意图和情绪反应进行的两步聚类分析揭示了三组孕妇：想要并对妊娠感到高兴的孕妇（第1组）、对妊娠不开心的孕妇（第2组）以及不打算怀孕但对妊娠感到高兴的孕妇（第3组）。第2组女性，而非第3组女性，可能单身，具有边缘型人格特质以及不稳定的成人依恋风格，伴有抑郁、分娩恐惧、强迫症状和胎儿情感联系障碍。她们更有可能在产后避免照顾婴儿并考虑终止妊娠。
对妊娠不开心的孕妇存在心理调适风险，需要进行特定的围产期心理健康评估和护理
