Fagley N, Miller P, Sullivan J
J Human Stress. 1982 Jun;8(2):15-22. doi: 10.1080/0097840X.1982.9936848.
Symptom proneness (SP), the 20 psychiatric items of the Cornell Medical Index, here called the Cornell Psychiatric Items (CPI), and a test developed partially from the Schedule of Recent Experiences called the Utah Stress Scales (STRESS) were used to predict general adaptational distress (GAD) symptoms during pregnancy on a sample of 1306 primigravidas. The causal model explored in seven path analyses developed for months 3-9 of pregnancy is that SP and STRESS affect CPI, and that SP, STRESS, and CPI directly affect GAD symptoms. Results suggest that CPI is most predictive of GAD symptoms until the ninth month when SP and STRESS become more predictive. It is suggested that GAD pregnancy symptoms are affected by situational stress, symptom proneness, and level of psychological upset and that this system of relations changes over the course of pregnancy. This information should have important implications for anticipating potential problems and improving the quality of nursing care of pregnant women.
症状易发性（SP）、康奈尔医学指数中的20项精神科条目（在此称为康奈尔精神科条目，即CPI）以及部分根据近期经历量表编制的名为犹他压力量表（STRESS）的测试，被用于对1306名初产妇样本孕期的一般适应性困扰（GAD）症状进行预测。在为孕期第3至9个月开展的七项路径分析中所探究的因果模型是，SP和STRESS影响CPI，且SP、STRESS和CPI直接影响GAD症状。结果表明，在第九个月之前，CPI对GAD症状的预测性最强，之后SP和STRESS的预测性更强。研究表明，GAD孕期症状受情境压力、症状易发性和心理困扰程度的影响，且这种关系系统在孕期过程中会发生变化。该信息对于预测潜在问题以及提高孕妇护理质量应具有重要意义。
