Nowa wersja platformy jest już dostępna.
Przejdź na


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
2012 | 7 | 6 | 747-752
Tytuł artykułu

Maternal prenatal state anxiety symptoms and birth weight: A pilot study

Treść / Zawartość
Warianty tytułu
Języki publikacji
Many women suffer from new or worsening anxiety during pregnancy. In this pilot study, we investigated the effect of timing and severity of prenatal state anxiety symptoms on reduced birth weight. We hypothesized that: (1) Women with state anxiety symptoms during mid-gestation would deliver newborns with lower birth weight in comparison to participants with symptoms in early gestation and (2) compared to women with lower anxiety symptoms (< 50th percentile), women with medium-to-high state anxiety symptoms (> 50th percentile) would have lower birth weight offspring. The sample consisted of the first 30 pregnant women who agreed to participate in this pilot study. We assessed anxiety symptoms, using the State-Trait Anxiety Inventory during early and mid-gestation. We obtained birth weight from clinical charts. A hierarchical multiple regression showed that, after controlling for covariates, state anxiety symptoms in mid-gestation were associated with lower infant birth weight [F(9, 7) = 20.30, p<.001]. However, birth weight did not differ as a function of the severity of maternal state anxiety [F(1, 23)=.14, p=.71 and F(1, 24)=1.76, p=.20., respectively]. Clearly, our pilot data need replication. Once statistical significance is established with larger samples, it will be informative to examine the clinical significance of those findings.

Opis fizyczny
  • Psychobiology of Stress & Health Lab, Psychology Department, Mount Allison University, 49A York Street, Sackville, New Brunswick, E4L 1C7, Canada,
  • Psychobiology of Stress & Health Lab, Psychology Department, Mount Allison University, 49A York Street, Sackville, New Brunswick, E4L 1C7, Canada
  • [1] Catov J.M., Abatemarco D.J., Markovic N., Roberts J.M. Anxiety and optimism associated with gestational age at birth and fetal growth. Matern. Child Health J., 2010, 14, 758–764[Crossref][WoS]
  • [2] Levin J.S., DeFrank R.S. Maternal stress and pregnancy outcomes: a review of the psychosocial literature. J. Psychosom. Obstetr. Gynaecol., 1988, 9, 3–16[Crossref]
  • [3] Ross L.E., McLean L.M. Anxiety disorders during pregnancy and the postpartum period: a systematic review. J. Clin. Psychiatry, 2006; 67(8): 1285–1298[Crossref]
  • [4] Vythilingum B. Anxiety disorders in pregnancy. Curr Psychiatry Rep 2008 Aug; 10(4):331–335[Crossref]
  • [5] Hosseini S.M., Biglan M.W., Larkby C., Brooks M.M., Gorin M.B., Day N.L. Trait anxiety in pregnant women predicts offspring birth outcomes. Paediatr. Perinat. Epidemiol., 2009, 23, 557–766[Crossref]
  • [6] Philips D.I.W. Insulin resistance as a programmed response to fetal undernutrition. Diabetol. 1996; 39: 1119–1122[Crossref]
  • [7] Philips DIW. Birth weight and the future development of diabetes. A review of the evidence. Diab. Care, 1998, 21(2), B150–155
  • [8] Hocher B. Fetal programming of cardiovascular diseases in later life - mechanisms beyon maternal undernutrition. J. Physiol., 2007, 287–288
  • [9] Vardavas C.I., Chatzi L., Patelarou E., Plana E., Sarri K., Kafatos A. et al. Smoking and smoking cessation during early pregnancy and its effect on adverse pregnancy outcomes and fetal growth. European Journal of Pediatrics, 2010, 169, 741–748[Crossref]
  • [10] Keegan J., Parva M., Finnegan M., Gerson A., Belden, M. Addiction in pregnancy. Journal of Addictive Diseases, 2010, 29, 175–191[WoS][Crossref]
  • [11] Raatikainen K., Huurinainen P., Heinonen S. Smoking in early gestation or through pregnancy: a decision crucial to pregnancy outcome. Prev. Med., 2007, 44, 59–63[WoS][Crossref]
  • [12] Visscher W.A., Feder M., Burns A.M., Brady T.M., Bray R.M. The impact of smoking and other substance use by urban women on the birthweight of their infants. Sub. Use Misuse, 2003, 38(8), 1063–1093[Crossref]
  • [13] Nasreen H.E., Kabir Z.N., Forsell Y., Edhborg, M. Low birth weight in offspring of women with depressive and anxiety symptoms during pregnancy: results from a population based study in Bangladesh. BMC Public Health, 2010, 10 (515 [WoS][Crossref]
  • [14] Sen J., Roy A., Mondal N. Association of maternal nutritional status, body composition and socioeconomic variables with low birth weight in India. J. Trop. Pediatr., 2010, 56(4), 254–259[Crossref]
  • [15] Nepomnyaschy L. Socioeconomic gradients in infant health across race and ethnicity. Matern. Child Health J., 2009, 13, 720–731[WoS][Crossref]
  • [16] Najati N., Gojazadeh M. Maternal and neonatal complications in mothers under 18 years. Patient Preference and Adherence, 2010, 4, 219–222[Crossref]
  • [17] Spielberger C.D., Gorsuch R.L., Lushene R.E. Manual for the State-Trait Anxiet Inventory, 1970, Palo Alto, CA: Consulting Psychologists Press
  • [18] Gauthier J, Bouchard S. Adaptation canadiennefrançaise de la forme révisée du “State-Trait Anxiety Inventory” de Spielberger [French- Canadian adaptation of the revised “State-Trait Anxiety Inventory”]. Can. J. Behav. Science, 1993, 25, 559–578[Crossref]
  • [19] Tilton S.R. Review of the state-trait anxiety inventory (STAI). News Notes, 2008, 48(2)
  • [20] Huang F.Y., Chung H., Kronke K., Delucci K., Spitzer R., Using the Patient Health Questionnaire-9 to Measure Depression among Racially and Ethnically Diverse Primary Care Patients. J. Gen. Intern. Med., 2006, 21(6), 547–552[Crossref]
  • [21] Cohen S., Kamarck T., Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior, 2003, 24, 385–396[Crossref]
  • [22] Sewitch M.J., Dobkin P.L., Bernatisky S., Baron M., Starr M., Cohen M., & Fitzcharles, A. Medication non-adherence in women with fibromyalgia. Rheumatol., 2004, 43, 648–654[Crossref]
  • [23] Azar R., Paquette D., Zoccolillo M., Baltzer F., Tremblay R.E. The association of major depression, and maternal overcontrol with a failure to show a cortisol buggered response in 4 month-old-infants of teenage mothers. Biol. Psychiatr., 2007, 62, 573–579[Crossref]
  • [24] Philips D.I.W., Jones A. (2006). Fetal programming of autonomic and HPA function: do people who were small babies have enhanced stress responses? J. Physiol., 572, 45–50
  • [25] Field T., Diego M., Hernandez-Reif M., Schanberg S., Kuhn C., Yando R. et al. Pregnancy anxiety and comorbid depression and anger: effects on the fetus and neonate. Depr. Anxiety, 2003, 17, 140–151[Crossref]
Typ dokumentu
Identyfikator YADDA
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.