在母性训练期间形成偏差的心理机制

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Byulleten Sibirskoy Meditsiny Pub Date : 2015-12-24 DOI:10.20538/1682-0363-2015-1-126-134
S. A. Moreva, A. V. Silaeva, A. N. Kornetov, Ye. N. Borodina, A. Y. Yankovskaya, N. I. Pryadukhina, N. E. Golovakha, V. B. Obukhovskaya
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Methodological apparatus consisted of a structured interview questionnaire “Medical and social data of the pregnant woman” methodology for determining the stress and social adaptation of Holmes and Rage (1967), a questionnaire of coping R. Lazarus and S. Folkman (WCQ, 1988), Tomsk questionnaire rigidity G.V. Zalewski (TORZ, 1987), test on pregnant I.V. Dobryakova (1996). Data processing was carried out using statistical methods Spearman rank correlation coefficient, nonparametric Mann–Whitney U and Kruskal–Wallis H and φ * – Fisher's angular transformation. Results. Significant psychological factors that may influence the formation of readiness for motherhood among women of the main group can be considered an unplanned pregnancy (65%), and also its not gelendost (35%). Studies of stress resistance was detected in pregnant women from the main group low stress levels (88%), and only 12% have a high degree. Most of the women from the сomparison group reverse the situation 64% have a high degree of stress, this suggests that the presence of previously state miscarriage is for this group of stress. On the formation of readiness for motherhood affects not only the presence of stressful situations, butalso how the woman in their lives. Using U-test Mann–Whitney, were statistically significant differences were observed among the main group and сomparison group in the following coping strategies: selfcontrol (p ≤ 0.0014), the search for social support (p ≤ 0.0015), accepting responsibility (p ≤ 0.04), and planning solutions to the problems (p ≤ 0.00016). These differences are considered as one of the risk factors for deviant motherhood main group. 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引用次数: 0

摘要

本文提出了压力、应对机制、刚性和妊娠优势心理成分等社会心理指标作为孕产准备背景下诱发偏差的危险因素,标志着孕妇主要群体的心理特征。材料和方法。这项研究是在SSMU产科诊所、第4产前妇产医院和医疗预防中心(内阁危机妊娠)的基础上进行的。总共有52名年龄在18岁到44岁之间的女性参加了Total,她们处于怀孕的不同阶段——从5周到39周。方法装置包括确定Holmes和Rage(1967)压力和社会适应的结构化访谈问卷“孕妇的医疗和社会数据”,应对问卷r.l azarus和S. Folkman (WCQ, 1988),托木斯克问卷刚性G.V. Zalewski (TORZ, 1987),孕妇测试I.V. Dobryakova(1996)。采用Spearman秩相关系数、非参数Mann-Whitney U和Kruskal-Wallis H和φ * - Fisher角变换等统计方法对数据进行处理。结果。可能影响主要群体妇女对母性准备形成的重要心理因素可被视为计划外怀孕(65%),也不是最明显的(35%)。研究发现孕妇的应激抵抗主要来自低应激水平(88%),只有12%具有高应激水平。大多数来自对照组的女性情况相反,64%的女性有高度的压力,这表明先前状态流产的存在是针对这一组的压力。对母性准备的形成不仅影响压力情况的存在,而且影响妇女在她们生活中的方式。采用Mann-Whitney u检验,主组与对照组在自我控制(p≤0.0014)、寻求社会支持(p≤0.0015)、承担责任(p≤0.04)、计划解决问题(p≤0.00016)的应对策略上差异均有统计学意义。这些差异被认为是异常孕产主要群体的危险因素之一。与对照组相比,其中62%的孕妇具有最优PKGD类型,主组仅在38%的应答者中观察到最优PKGD类型,这表明心理准备结构存在偏差的风险。结论。社会劣势、有计划抛弃孩子、行为倾向僵化、应对策略使用效率低下、最佳心理成分妊娠优势水平低等风险因素证明了对即将到来的成为母亲事件可能存在的心理准备不足,从而导致了异常母亲的发展。
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Психологические механизмы формирования девиаций в период подготовки к материнству
The article presents a social-psychological indicators of stress, coping mechanisms, rigidity and psychological component gestational dominant as risk factors predisposing to deviations in the context of preparedness for motherhood, marked psychological characteristics of pregnant women main group. Material and methods. The study was conducted on the basis of obstetric clinics SSMU, prenatal maternity hospital number 4 and the Centre for Medical Prevention (Cabinet crisis pregnancy). Total was attended by 52 women aged 18 to 44 years, at different stages of pregnancy – from 5 to 39 weeks. Methodological apparatus consisted of a structured interview questionnaire “Medical and social data of the pregnant woman” methodology for determining the stress and social adaptation of Holmes and Rage (1967), a questionnaire of coping R. Lazarus and S. Folkman (WCQ, 1988), Tomsk questionnaire rigidity G.V. Zalewski (TORZ, 1987), test on pregnant I.V. Dobryakova (1996). Data processing was carried out using statistical methods Spearman rank correlation coefficient, nonparametric Mann–Whitney U and Kruskal–Wallis H and φ * – Fisher's angular transformation. Results. Significant psychological factors that may influence the formation of readiness for motherhood among women of the main group can be considered an unplanned pregnancy (65%), and also its not gelendost (35%). Studies of stress resistance was detected in pregnant women from the main group low stress levels (88%), and only 12% have a high degree. Most of the women from the сomparison group reverse the situation 64% have a high degree of stress, this suggests that the presence of previously state miscarriage is for this group of stress. On the formation of readiness for motherhood affects not only the presence of stressful situations, butalso how the woman in their lives. Using U-test Mann–Whitney, were statistically significant differences were observed among the main group and сomparison group in the following coping strategies: selfcontrol (p ≤ 0.0014), the search for social support (p ≤ 0.0015), accepting responsibility (p ≤ 0.04), and planning solutions to the problems (p ≤ 0.00016). These differences are considered as one of the risk factors for deviant motherhood main group. In contrast to the сomparison group, where 62% of pregnant women with the optimal type PKGD, main group optimal type PKGD observed only in 38% of the respondents, which indicates that the risk of deviations in the structure of psychological readiness. Conclusion. Risk factors such as social disadvantage, the planned abandonment of a child, the tendency to rigid behavior, inefficient use of coping strategies and low level of optimal psychological component gestational dominant testify about the possible psychological unpreparedness for the upcoming event to become a mother and as a consequence to the development of deviant motherhood.
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Byulleten Sibirskoy Meditsiny
Byulleten Sibirskoy Meditsiny MEDICINE, GENERAL & INTERNAL-
CiteScore
0.70
自引率
50.00%
发文量
102
审稿时长
8 weeks
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