干旱区生态环境知识资源中心(Arid): Anxiety in Pregnancy and Length of Gestation: Findings From the Healthy Babies Before Birth Study

Arid

DOI	10.1037/hea0001210
	Anxiety in Pregnancy and Length of Gestation: Findings From the Healthy Babies Before Birth Study
	Schetter, Christine Dunkel; Rahal, Danny; Ponting, Carolyn; Julian, Melissa; Ramos, Isabel; Hobel, Calvin J.; Coussons-Read, Mary
通讯作者	Schetter, CD
来源期刊	HEALTH PSYCHOLOGY
ISSN	0278-6133
EISSN	1930-7810
出版年	2022
卷号	41 期号:12 页码:894-903
英文摘要	Objectives: Anxiety is prevalent in pregnancy and predicts risk of adverse birth outcomes. Many instruments measure anxiety in pregnancy, some of which assess pregnancy anxiety defined as maternal concerns about a current pregnancy (e.g., baby, childbirth). The present study examined covariance among four anxiety or distress measures at two times in pregnancy and tested joint and individual effects on gestational length. We hypothesized that the common variance of the measures in each trimester would predict earlier delivery. Method: Research staff interviewed 196 women in first and third trimester utilizing a clinical screener of anxiety severity/impairment, two instruments measuring pregnancy anxiety, and one on prenatal distress. Birth outcomes and medical risk factors were obtained from medical records after birth. Structural equation modeling fit latent factors for each trimester from the four measures. Subsequent models tested whether the latent factors predicted gestational length, and unique effects of each measure. Results: The third-trimester pregnancy anxiety latent factor predicted shorter gestational length adjusting for mother's age, education, parity, and obstetric risk. Scores on a four-item pregnancy-specific anxiety measure (PSAS) in third trimester added uniquely to prediction of gestational length. In first trimester, scores on the clinical screener (OASIS) uniquely predicted shorter gestational length whereas the latent factor did not. Conclusion: These results support existing evidence indicating that pregnancy anxiety is a reliable risk factor for earlier birth. Findings point to possible screening for clinically significant anxiety symptoms in the first trimester, and pregnancy-specific anxiety thereafter to advance efforts to prevent earlier delivery.
英文关键词	pregnancy anxiety pregnancy-specific anxiety gestational length prenatal distress
类型	Article
语种	英语
开放获取类型	hybrid, Green Submitted, Green Accepted
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000860199200001
WOS关键词	MATERNAL PRENATAL STRESS ; PRETERM BIRTH ; PSYCHOLOGICAL DISTRESS ; DEPRESSION ; RISK ; OUTCOMES ; METAANALYSIS ; PREVALENCE ; CHILDREN ; WEIGHT
WOS类目	Psychology, Clinical ; Psychology
WOS研究方向	Psychology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/392991
推荐引用方式 GB/T 7714	Schetter, Christine Dunkel,Rahal, Danny,Ponting, Carolyn,et al. Anxiety in Pregnancy and Length of Gestation: Findings From the Healthy Babies Before Birth Study[J],2022,41(12):894-903.
APA	Schetter, Christine Dunkel.,Rahal, Danny.,Ponting, Carolyn.,Julian, Melissa.,Ramos, Isabel.,...&Coussons-Read, Mary.(2022).Anxiety in Pregnancy and Length of Gestation: Findings From the Healthy Babies Before Birth Study.HEALTH PSYCHOLOGY,41(12),894-903.
MLA	Schetter, Christine Dunkel,et al."Anxiety in Pregnancy and Length of Gestation: Findings From the Healthy Babies Before Birth Study".HEALTH PSYCHOLOGY 41.12(2022):894-903.