ABSTRACT

Objective

The objective of this study was to document levels of interest in stress management training (SMT) during pregnancy, including differences in interest in SMT across levels of medical risk in pregnancy. We also sought to assess differences in pregnancy-specific stress, prenatal worry and depressed mood across levels of medical risk in pregnancy and investigate predictors of interest in SMT.

Methods

We surveyed 379 English-speaking, pregnant people living in Vancouver, Canada, between November 2007 and November 2010. Questionnaires were administered during the third trimester and assessed interest and preferred format of SMT, pregnancy-specific stress, prenatal worry, depressed mood and medical risk in pregnancy.

Results

Interest in stress management training programmes during pregnancy was common, with 32% of participants being quite-to-very interested. Preference was split between self-guided study (41%), group counselling (38%) and one-on-one counselling (34%). Higher pregnancy-specific stress and depressed mood, but not medical risk in pregnancy, were associated with higher interest in SMT. Participants experiencing higher stress levels or lower medical risk were more interested in one-on-one counselling.

Conclusion

Findings indicate that subjective distress rather than objective circumstances is a better predictor of interest in SMT. Care providers should inquire early-on about interest in SMT during pregnancy and ensure awareness of SMT options.

中文翻译：

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对产前压力管理培训的兴趣：与医疗风险和心理健康的关联

摘要

客观的

本研究的目的是记录妊娠期间对压力管理训练 (SMT) 的兴趣程度，包括不同妊娠期医疗风险水平对 SMT 兴趣的差异。我们还试图评估妊娠期特定压力、产前忧虑和抑郁情绪在不同妊娠期医疗风险水平之间的差异，并调查 SMT 的预测因素。

方法

2007 年 11 月至 2010 年 11 月期间，我们对居住在加拿大温哥华的 379 名说英语的孕妇进行了调查。调查问卷在妊娠晚期进行，评估了他们对 SMT 的兴趣和首选形式、怀孕特定压力、产前忧虑、抑郁情绪和医疗情况。怀孕期间的风险。

结果

人们普遍对怀孕期间的压力管理培训计划感兴趣，32% 的参与者非常感兴趣。偏好分为自我指导研究（41%）、团体咨询（38%）和一对一咨询（34%）。较高的妊娠特有压力和抑郁情绪与对 SMT 的较高兴趣相关，但与妊娠期间的医疗风险无关。承受较高压力或较低医疗风险的参与者对一对一咨询更感兴趣。

结论

研究结果表明，主观痛苦而非客观环境更能预测对 SMT 的兴趣。护理人员应尽早询问怀孕期间对 SMT 的兴趣，并确保了解 SMT 选项。