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孕期身体体验对母婴结局的作用。

The role of bodily experiences during pregnancy on mother and infant outcomes.

作者信息

Munns Lydia Beatrice, Preston Catherine

机构信息

University of York, York, UK.

出版信息

J Neuropsychol. 2025 Mar;19 Suppl 1(Suppl 1):131-151. doi: 10.1111/jnp.12370. Epub 2024 May 19.

DOI:10.1111/jnp.12370
PMID:38764291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11923730/
Abstract

Pregnancy is a transformative time for women and their bodies, and therefore thoughts and feelings and about one's own body and internal bodily sensations may understandably change during this period. Body satisfaction and interoception have been found to influence factors such as antenatal attachment (AA) and maternal mental health. However, mixed results in the literature suggest complex relationships between the bodily experience during pregnancy and outcomes, necessitating a broader investigative approach. We aim to examine the relationship between the pregnancy bodily experience and multiple mother-infant outcomes. It is hypothesised that poor bodily experiences during pregnancy will have negative impacts on these outcomes. Cross-sectional online survey data was collected from individuals at various gestations throughout pregnancy as part of a larger longitudinal study (N = 253, mean age = 32). We analysed validated measures of pregnancy body satisfaction, interoceptive sensibility, AA and mood, as well as intentions to breastfeed. Linear regressions were used to confirm findings from previous literature and a network analysis allowed for a more exploratory approach to understanding the importance of the bodily experience during pregnancy. Multiple regressions found low body satisfaction predicts higher levels of anxiety, depression and AA. A network analysis revealed relationships between body satisfaction and interoception during pregnancy and mother-infant outcomes, including depression and AA. Our results highlight the far-reaching effects of poor bodily experiences during pregnancy on a variety of outcomes. Understanding the impact of the pregnant bodily experience can help identify at-risk individuals and inform interventions.

摘要

怀孕对女性及其身体来说是一个转变期,因此在此期间,女性对自身身体以及身体内部感觉的想法和感受发生变化是可以理解的。研究发现,身体满意度和内感受能力会影响诸如产前依恋(AA)和母亲心理健康等因素。然而,文献中的结果不一,这表明孕期身体体验与各种结果之间存在复杂的关系,因此需要更广泛的调查方法。我们旨在研究孕期身体体验与多种母婴结局之间的关系。据推测,孕期不佳的身体体验会对这些结局产生负面影响。作为一项更大规模纵向研究的一部分,我们收集了处于孕期不同阶段的个体的横断面在线调查数据(N = 253,平均年龄 = 32岁)。我们分析了经过验证的孕期身体满意度、内感受敏感性、产前依恋和情绪的测量指标,以及母乳喂养意愿。线性回归用于证实先前文献的研究结果,网络分析则采用了更具探索性的方法来理解孕期身体体验的重要性。多元回归发现,较低的身体满意度预示着更高水平的焦虑、抑郁和产前依恋。网络分析揭示了孕期身体满意度与内感受能力和母婴结局(包括抑郁和产前依恋)之间的关系。我们的研究结果凸显了孕期不佳的身体体验对各种结局的深远影响。了解孕期身体体验的影响有助于识别高危个体并为干预措施提供依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8c/11923730/54d69aa7744c/JNP-19-131-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8c/11923730/ce3627608402/JNP-19-131-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8c/11923730/ac3b4a0041cd/JNP-19-131-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8c/11923730/54d69aa7744c/JNP-19-131-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8c/11923730/ce3627608402/JNP-19-131-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8c/11923730/ac3b4a0041cd/JNP-19-131-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8c/11923730/54d69aa7744c/JNP-19-131-g001.jpg

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本文引用的文献

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Midwifery. 2024 Apr;131:103940. doi: 10.1016/j.midw.2024.103940. Epub 2024 Feb 1.
2
The effects of yoga-based interventions on postnatal mental health and well-being: A systematic review.基于瑜伽的干预措施对产后心理健康和幸福感的影响:一项系统综述。
Heliyon. 2024 Jan 29;10(3):e25455. doi: 10.1016/j.heliyon.2024.e25455. eCollection 2024 Feb 15.
3
Comparing body image dissatisfaction between pregnant women and non-pregnant women: a systematic review and meta-analysis.
分析孕妇MAIA量表的因素结构:MAIA-Preg的开发。
PLoS One. 2025 May 7;20(5):e0322499. doi: 10.1371/journal.pone.0322499. eCollection 2025.
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Interoception in pregnancy: Implications for peripartum depression.孕期的内感受性:对围产期抑郁症的影响。
Neurosci Biobehav Rev. 2024 Nov;166:105874. doi: 10.1016/j.neubiorev.2024.105874. Epub 2024 Sep 5.
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BMC Pregnancy Childbirth. 2023 Oct 4;23(1):709. doi: 10.1186/s12884-023-05930-w.
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Cardiogenic control of affective behavioural state.心因性控制情感行为状态。
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The relationship between maternal-fetus attachment and perceived parental bonds in pregnant women: Considering a possible mediating role of psychological distress.孕妇的母婴依恋与感知到的亲子关系之间的关系:考虑心理困扰可能起到的中介作用。
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