Relationship Between Fear of Childbirth and Oral Health-Related Quality of Life in Pregnant Women: The Mediating Effect of Pregnancy Anxiety.

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of oral rehabilitation Pub Date : 2024-12-17 DOI:10.1111/joor.13897

Yujia Chen, Jing Zhao, Jin Zheng, Zhijie Zou, Xiaoli Chen

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Abstract

Background: Psychosocial health affects oral health-related quality of life. Pregnancy, as a special time for women, produces significant psychological changes. However, the relationship between mental health during pregnancy and oral health-related quality of life is unclear.

Objective: The study aims to explore the association between fear of childbirth and investigate the mediating effect of pregnancy anxiety.

Methods: Using a cross-sectional design, 478 pregnant women were recruited and evaluated using the Fear of Birth Scale, the Pregnancy-Related Anxiety Questionnaire and the Oral Health Impact Profile-14. Multiple linear regressions were performed to evaluate the relationship between fear of childbirth and oral health-related quality of life. PROCESS software was applied to assess the mediating effect of pregnancy anxiety.

Results: Both fear of childbirth and pregnancy anxiety were negative correlation with oral health-related quality. Pregnancy anxiety mediated 40% of the association between fear of childbirth and oral health-related quality of life (β = 0.072, SE = 0.030, 95% CI [0.015, 0.131]).

Conclusions: Pregnancy anxiety mediates the relationship between fear of childbirth and oral health-related quality of life in pregnant women. To improve the oral health-related quality of life among pregnant women, relevant healthcare workers should actively help pregnant women to improve psychological health.

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分娩恐惧与孕妇口腔健康相关生活质量的关系：妊娠焦虑的中介作用

背景：心理社会健康影响口腔健康相关的生活质量。孕期作为女性的特殊时期，会产生显著的心理变化。然而，孕期心理健康与口腔健康相关生活质量之间的关系尚不清楚。目的：探讨分娩恐惧与妊娠焦虑的关系，探讨妊娠焦虑的中介作用。方法：采用横断面设计，招募478名孕妇，并使用出生恐惧量表、妊娠相关焦虑问卷和口腔健康影响概况-14进行评估。采用多元线性回归来评估分娩恐惧与口腔健康相关生活质量之间的关系。采用PROCESS软件评估妊娠焦虑的中介作用。结果：分娩恐惧和妊娠焦虑与口腔健康相关质量均呈负相关。怀孕焦虑介导了分娩恐惧与口腔健康相关生活质量之间40%的关联（β = 0.072, SE = 0.030, 95% CI[0.015, 0.131]）。结论：妊娠焦虑在分娩恐惧与孕妇口腔健康相关生活质量之间起中介作用。为提高孕妇口腔健康相关生活质量，相关医护人员应积极帮助孕妇改善心理健康。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.