McNeil T F, Kaij L, Malmquist-Larsson A
Acta Psychiatr Scand. 1984 Sep;70(3):209-19. doi: 10.1111/j.1600-0447.1984.tb01200.x.
Pregnancy's effect on mental health during pregnancy was studied in relation to 17 variables representing the pregnant woman's demographic, social, material, physical and attitudinal characteristics, in an attempt to explain the highly varied effect of pregnancy on mental health which had been observed both among 88 index women with a history of nonorganic psychosis and among 104 demographically similar pregnant control women. Little explanation or predictability was found for the varied effect of pregnancy. Among index cases, only maternal age and the experienced effect of pregnancy on physical health were significantly related to its effect on mental health. In controls, the presence of material-situational problems and a negative/ambivalent initial reaction to pregnancy were each related to increased change in mental health, i.e. to both improvement and worsening in mental health associated with pregnancy.
为了解释怀孕对心理健康的影响差异,研究了怀孕对孕妇心理健康的影响,并与代表孕妇人口统计学、社会、物质、身体和态度特征的17个变量相关。这种差异在88名有非器质性精神病病史的索引女性以及104名人口统计学特征相似的怀孕对照女性中均有观察到。关于怀孕的不同影响,几乎没有找到解释或可预测性。在索引病例中,只有母亲年龄和怀孕对身体健康的实际影响与怀孕对心理健康的影响显著相关。在对照组中,物质状况问题的存在以及对怀孕的负面/矛盾初始反应均与心理健康的变化增加有关,即与怀孕相关的心理健康改善和恶化均有关。