关键词: emotional impact perceptions pregnancy stretch marks striae distensae striae gravidarum

来  源:   DOI:10.1016/j.ijwd.2021.10.015   PDF(Pubmed)

Abstract:
BACKGROUND: The impact of striae gravidarum (SG), or stretch marks of pregnancy, on quality of life (QoL) is unclear.
OBJECTIVE: The purpose of this study was to investigate how SG affect QoL in pregnant women.
METHODS: In this cross-sectional survey study of healthy pregnant women who developed SG during their current pregnancy, we asked about the impact of lesions on emotional, psychological, and life-quality facets. Spearman product-moment correlation coefficients were generated to determine the strength of relationships between variables.
RESULTS: We analyzed 116 valid surveys. Participants reported permanency of SG as the top physical concern (n = 87; 75%). With regard to severity, nearly three-quarters of participants rated their lesions as very prominent (n = 24; 21%) or moderate (n = 57; 49%). Among the life-quality facets queried, embarrassment/self-consciousness was the most frequently associated with SG, with over one-third of participants reporting \"a lot\" (n = 19; 16%) or a \"moderate\" (n = 26; 22%) amount of embarrassment/self-consciousness related to having SG. Lesion severity significantly correlated with the degree of embarrassment/self-consciousness (r = .543), as well as the impact of SG on other life-quality facets, including overall QoL (r = .428), clothing choice (r = .423), self-image/self-esteem (r = .417), feelings of anxiety/depression (r = .415), and social activities (r = .313; all p ≤ .001). Nearly one-quarter of participants believed that emotional distress related to SG was similar or greater than that caused by other skin problems, such as acne, psoriasis, or eczema.
CONCLUSIONS: SG can be associated with a host of negative reactions reflecting increased psychological and emotional distress, including embarrassment and decreased QoL. These consequences may compound the emotional stress of pregnancy, potentially warranting psychological support and adjustment strategies.
摘要:
背景:妊娠纹(SG)的影响,或妊娠妊娠纹,生活质量(QoL)尚不清楚。
目的:本研究的目的是调查SG如何影响孕妇的QoL。
方法:在这项针对健康孕妇的横断面调查研究中,这些孕妇在当前怀孕期间患有SG,我们询问病变对情绪的影响,心理,和生活质量方面。生成Spearman积矩相关系数以确定变量之间的关系强度。
结果:我们分析了116项有效调查。参与者报告SG的永久性是首要的身体问题(n=87;75%)。关于严重性,近3/4的参与者将其病变评价为非常突出(n=24;21%)或中度(n=57;49%).在被质疑的生活质量方面,尴尬/自我意识是最常与SG联系在一起的,超过三分之一的参与者报告“很多”(n=19;16%)或“中度”(n=26;22%)与SG相关的尴尬/自我意识。病变严重程度与尴尬/自我意识程度显着相关(r=.543),以及SG对其他生活质量方面的影响,包括总体QoL(r=.428),服装选择(r=0.423),自我形象/自尊(r=0.417),焦虑/抑郁的感觉(r=.415),和社会活动(r=.313;所有p≤.001)。近四分之一的参与者认为与SG相关的情绪困扰与其他皮肤问题引起的情绪困扰相似或更大,比如痤疮,牛皮癣,或湿疹。
结论:SG可能与许多负面反应有关,这些负面反应反映了心理和情绪困扰的增加,包括尴尬和QoL下降。这些后果可能会加剧怀孕的情绪压力,可能需要心理支持和调整策略。
公众号