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Psychosocial factors and obstetric complications

Published online by Cambridge University Press:  09 July 2009

B. Chalmers
B. Chalmers*
Affiliation:
School of Psychology, University of the Witwatersrand, Johannesburg, South Africa
*
1Address for correspondence: Dr B. Chalmers, School Psychology, University of the Witwatersrand, Jan Smuts Avenue, Johannesburg, South Africa.
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Synopsis

A number of studies have attempted to explain obstetric difficulties on the basis of psychosocial conditions which exist during pregnancy. In addition, recent research in the field of life event stress has indicated that life experiences occurring prior to a pregnancy may influence pregnancy outcome. The present study examines the ability of life event stress as well as a variety of medical, social and psychological variables to predict complications of pregnancy. In contrast to previous small-sample research, the present study examines 782 subjects. Multivariate statistical techniques are employed to analyse the numerous variables measured. Results suggest that ‘age at birth of first child’, ‘education level’, ‘menstrual history’, ‘attitudes to pregnancy’ and ‘age at menstruation’ best predict obstetric difficulties. However, only a small percentage of the variance of pregnancy complication scores is explained by these factors.

Type
Research Article
Information
Psychological Medicine , Volume 13 , Issue 2 , May 1983 , pp. 333 - 339
Copyright
Copyright © Cambridge University Press 1983

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References

REFERENCES

Ader, R. & Belfer, M. S. (1962). Prenatal maternal anxiety and offspring emotionality in the rat. Psychological Reports 10,711–718.Google Scholar
Blau, A., Welkowitz, J. & Cohen, J. (1964). Maternal attitudes to pregnancy instrument. Archives of General Psychiatry 10, 324–331.CrossRefGoogle ScholarPubMed
Brown, G. W. (1974). Meaning, measurement and stress of life events. In Stressful Life Events: Their Nature and Effects (ed. Dohrenwend, B. S. and Dohrenwend, B. P.), pp. 217–243. Wiley: New York.Google Scholar
Brown, G. W. & Harris, T. (1978). The Social Origins of Depression. Tavistock: London.Google ScholarPubMed
Butler, N. (1969). Perinatal Problems. Second Report: Perinatal Mortality Survey. Livingstone: Edinburgh.Google Scholar
Chalmers, B. E. (1979). The role of ‘stressful’ life events in the development of complications of pregnancy. Unpublished doctoral dissertation: University of the Witwatersrand, Johannesburg.Google Scholar
Chalmers, B. (1981). Development of a life event scale for pregnant, white South African Women. South African Journal of Psychology 11, 74–79.CrossRefGoogle Scholar
Chalmers, B. (1982). Psychological aspects of pregnancy: some thoughts for the eighties. Social Science and Medicine 16, 323–331.CrossRefGoogle ScholarPubMed
Cohen, S. I. & Hajioff, J. (1972). Life events and the onset of acute closed-angle glaucoma. Journal of Psychosomatic Research 16, 335–341.CrossRefGoogle ScholarPubMed
Dohrenwend, B. S. & Dohrenwend, B. P. (eds.) (1974). Stressful Life Events: Their Nature and Effects. Wiley: New York.Google Scholar
Ferreira, A. J. (1965). Emotional factors in the prenatal environment. Journal of Nervous and Mental Disease 141, 108–118.CrossRefGoogle ScholarPubMed
Gersten, J. C., Langner, T. S., Eisenberg, J. G. & Orzek, L. (1974). Child behaviour and life events: undesirable change or change per se? In Stressful Life Events: Their Nature and Effects (ed. Dohrenwend, B. S. and Dohrenwend, B. P.), pp. 159–170. Wiley: New York.Google Scholar
Gorsuch, R. L. & Key, M. K. (1974). Abnormalities of pregnancy as a function of anxiety and life stress. Psychosomatic Medicine 36, 352–362.CrossRefGoogle ScholarPubMed
Grimm, E. R. (1961). Psychosocial tension in pregnancy. Psychosomatic Medicine 23, 520–527.CrossRefGoogle Scholar
Grimm, E. R. (1967). Psychological and social factors in pregnancy, delivery and outcome. In Childbearing: Its Social and Psychological Aspects (ed. Richardson, S. A. and Guttmacher, A. F.), pp. 1–52. Williams and Wilkins: Baltimore.Google Scholar
Heisel, A. J. (1972). Life changes as etiologic factors in juvenile rheumatoid arthritis. Journal of Psychosomatic Research 16, 411–420.CrossRefGoogle ScholarPubMed
Hockman, C. H. (1961). Prenatal maternal stress in the rat: its effect on emotional behaviour in the offspring. Comparative and Physiological Psychology 54, 609–684.CrossRefGoogle ScholarPubMed
Holmes, T. H., Hawkins, N. S., Bowerman, C. E., Clarke, E. R. Jr, & Joffe, J. R. (1957). Psychosocial and psychophysiologic studies of tuberculosis. Psychosomatic Medicine 19, 134–143.CrossRefGoogle ScholarPubMed
Johnson, J. H. & Sarason, I. S. (1978). Life stress, depression and anxiety: internal–external control as a moderator variable. Journal of Psychosomatic Research 22, 205–208.CrossRefGoogle ScholarPubMed
Kass, G. U. (1972). AID system at the NIPR user's and programmer's guide. CSIR special report No. 168. Johannesburg.Google Scholar
Littman, B. & Parmelee, A. H. (1974). Manual for obstetrical complications. Unpublished manuscript: University of California at Los Angeles.Google Scholar
Llewellyn-Jones, D. (1974). Human Reproduction and Society. Faber and Faber: London.Google Scholar
Markush, R. E. & Favero, R. F. (1974). Epidemiological assessment of stressful life events, depressed mood and psychophysiological symptoms – a preliminary report. In Stressful Life Events: Their Nature and Effects (ed. Dohrenwend, B. S. and Dohrenwend, B. P.), pp. 171–190. Wiley: New York.Google Scholar
McDonald, R. C. (1968). The role of emotional factors in obstetric complications: a review. Psychosomatic Medicine 30, 222–237.CrossRefGoogle ScholarPubMed
Milosović, B., Djukić, M., Krstić, M. & Radojkovie, Z. (1972). Social aspects of the prematurity problem. In Psychosomatic Medicine in Obstetrics and Gynaecology, pp. 197–199. Proceedings of the 3rd International Congress,London,1971.Karger: Basel.Google Scholar
Nuckolls, K. B., Cassel, J. & Kaplan, B. H. (1972). Psychosocial assets, life crisis and the prognosis of pregnancy. American Journal of Epidemiology 95, 431–441.CrossRefGoogle ScholarPubMed
Paykel, E. S. (1974). Life stress and psychiatric disorder: applications of the clinical approach. In Stressful Life Events: Their Nature and Effects (ed. Dohrenwend, B. S. and Dohrenwend, B. P.), pp. 135–149. Wiley: New York.Google Scholar
Rabkin, J. S. and Struening, E. L. (1976). Life events, stress and illness. Science 194, 1013–1020.CrossRefGoogle ScholarPubMed
Rahe, R. H. (1974). The pathway between subjects' recent life changes and their near-future illness reports: representative results and methodological issues. In Stressful Life Events: Their Nature and Effects (ed. Dohrenwend, B. S. and Dohrenwend, B. P.), pp. 73–86. Wiley: New York.Google Scholar
Rahe, R. H. & Paasikivi, J. (1971). Psychosocial factors and myocardial infarction: 2. An outpatient study in Sweden. Journal of Psychosomatic Research 15, 33–39.CrossRefGoogle Scholar
Rahe, R. H., Meyer, M., Smith, M., Kjaer, G. & Holmes, T. H. (1964). Social stress and illness onset. Journal of Psychosomatic Research 8, 35–44.CrossRefGoogle ScholarPubMed
Rotter, J. B. (1966). Generalized expectations for internal versus external control of reinforcement. Psychology Monograph (whole number 609), 1–28.Google Scholar
Spielberger, C. D., Gorsuch, R. L. & Lushene, R. E. (1970). STAI Manual for the State-Trait Anxiety Inventory. Consulting Psychologists Press: Palo Alto.Google Scholar
Sontag, L. W. (1962). Effect of maternal emotions on fetal development. In Psychosomatic Obstetrics, Gynecology and Endocrinology (ed. Kroger, W. S.), pp. 8–13. Charles C. Thomas: Springfield, Ill.Google Scholar
Tennant, C., Bebbington, P. & Hurry, J. (1981). The role of life events in depressive illness: is there a substantial causal relation? Psychological Medicine 11, 379–389.CrossRefGoogle Scholar
Theorell, T. & Rahe, R. H. (1971). Psychosocial factors and myocardial infarction: I. An inpatient study in Sweden. Journal of Psychosomatic Research 15, 25–31.CrossRefGoogle ScholarPubMed
Williams, L. F., Williams, R. A., Griswold, M. J. & Holmes, T. H. (1975). Pregnancy and life change. Journal of Psychosomatic Research 19, 123–129.CrossRefGoogle ScholarPubMed
Wold, D. A. (1968). The adjustment of siblings to childhood leukemia. Medical thesis: University of Washington, Seattle. In Ruch, L. O. (1977). A multidimensional analysis of the concept of life change. Journal of Health and Social Behaviour 18, 71–83.Google Scholar
Wyler, A. R., Masuda, M. & Holmes, T. H. (1968). Seriousness of illness rating scale. Journal of Psychosomatic Research 11, 363–374.CrossRefGoogle ScholarPubMed
Wyler, A. R., Masuda, M. & Holmes, T. H. (1971). Magnitude of life events and seriousness of illness. Psychosomatic Medicine 33, 115–122.CrossRefGoogle ScholarPubMed