Demyttenaere K, Maes A, Nijs P, Odendael H, Van Assche F A
Department of Psychiatry, University Hospital Gasthuisberg, Leuven, Belgium.
J Psychosom Obstet Gynaecol. 1995 Jun;16(2):109-15. doi: 10.3109/01674829509042786.
Psychometric tests (State-Trait Anxiety Index and Utrechtse Coping Lijst) were administered to 23 primigravidae hospitalized for preterm labor and to 22 controls in order to investigate whether women with and without preterm labor present a different coping style or (in) effectiveness of this coping and whether the coping style predicts duration of hospitalization and gestational age at delivery. No significant differences in trait anxiety nor in coping style were found between women with and women without preterm labor. However, within the group of women with preterm labor, coping mechanisms are important predictors of course and outcome of the preterm contractions. Palliative coping and social support seeking are protective mechanisms while active coping has an adverse effect upon outcome: an older gestational age at the moment of delivery is for 44% predicted by a higher social support seeking and a lower active coping.
对23名因早产住院的初产妇和22名对照组进行了心理测试(状态-特质焦虑指数和乌得勒支应对清单),以调查有早产和无早产的女性是否呈现不同的应对方式或这种应对方式的(不)有效性,以及应对方式是否能预测住院时间和分娩时的孕周。有早产和无早产的女性在特质焦虑和应对方式上均未发现显著差异。然而,在早产女性群体中,应对机制是早产宫缩病程和结局的重要预测因素。姑息性应对和寻求社会支持是保护机制,而积极应对则对结局有不利影响:寻求更高社会支持和更低积极应对可预测44%的分娩时孕周更大。