本文選題：負(fù)面情緒　切入點(diǎn)：精神挫折　出處：《衛(wèi)生研究》2015年01期

【摘要】：目的探討負(fù)面情緒與異常妊娠結(jié)局之間的關(guān)系。方法通過調(diào)查在北京協(xié)和醫(yī)院就診的200名異常妊娠孕婦及200名與其年齡相匹配(±2歲)的、分娩正常新生兒的產(chǎn)婦進(jìn)行病例-對(duì)照研究,應(yīng)用多因素條件Logistic逐步回歸進(jìn)行分析。結(jié)果病例組孕婦在懷孕早期經(jīng)受較大精神挫折以及經(jīng)常情緒緊張、感到有壓力或焦慮的比例顯著高于對(duì)照組(P0.05),將負(fù)面情緒進(jìn)行分級(jí)(0=無負(fù)面情緒,1=經(jīng)常情緒緊張,感到有壓力或焦慮,2=經(jīng)受較大精神挫折,同時(shí)有/無經(jīng)常情緒緊張,感到有壓力或焦慮),以無負(fù)面情緒為參照,發(fā)現(xiàn)隨著負(fù)面情緒程度的加重,孕婦發(fā)生異常妊娠的相對(duì)危險(xiǎn)度有增加趨勢(shì)(趨勢(shì)性χ2=43.08,P0.01),其OR值分別為3.67和14.14。在通過多因素分析調(diào)整了其他危險(xiǎn)因素的作用之后,懷孕早期的負(fù)面情緒仍顯著增加孕婦發(fā)生異常妊娠的相對(duì)危險(xiǎn)度(OR=4.04,95%CI=2.01~8.09)。結(jié)論懷孕早期的負(fù)面情緒可能是孕婦發(fā)生異常妊娠的危險(xiǎn)因素。
[Abstract]:Objective to explore the relationship between negative emotions and abnormal pregnancy outcomes. Methods through investigation in Peking Union Medical College Hospital from 200 abnormal pregnant women and 200 healthy age-matched (+ 2 years), normal newborn delivery women were case-control study, using multivariate Logistic regression analysis. Results the cases in pregnant women in early pregnancy, often undergo large spiritual frustration and emotional tension, feel pressure or anxiety was significantly higher than the control group (P0.05), the negative emotions were graded (0= no 1= negative emotions, often emotional tension, stress or anxiety, 2= undergo large mental frustration, and often with / without emotional tension, feel there is stress or anxiety), with no negative emotions as a reference, with the increasing degree of negative emotions, pregnant women abnormal pregnancy relative risk increased trend (x 2=4 3.08, P0.01), after which the OR values were 3.67 and 14.14. in multivariate analysis adjusting for other risk factors, early pregnancy, negative emotions of pregnant women still significantly increased relative risk of abnormal pregnancy (OR=4.04,95%CI=2.01~8.09). Conclusion in early pregnancy, negative emotions may be a risk factor for abnormal pregnancy in pregnant women.

【作者單位】： 中國疾病預(yù)防控制中心環(huán)境與健康相關(guān)產(chǎn)品安全所;北京協(xié)和醫(yī)院產(chǎn)科;
【基金】：中國疾病預(yù)防控制中心環(huán)境與健康相關(guān)產(chǎn)品安全所中青年科學(xué)基金
【分類號(hào)】：R715.3
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本文編號(hào)：1666975