Cumulative psychosocial stress, coping resources, and preterm birth
Preterm birth constitutes a significant international public health issue, with implications for child and family well-being. High levels of psychosocial stress and negative affect before and during pregnancy are contributing factors to shortened gestation and preterm birth. We developed a cumulativ...
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| Veröffentlicht in: | Archives of women's mental health 2014-12, Vol.17 (6), p.559-568 |
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| creator | McDonald, Sheila W. Kingston, Dawn Bayrampour, Hamideh Dolan, Siobhan M. Tough, Suzanne C. |
| description | Preterm birth constitutes a significant international public health issue, with implications for child and family well-being. High levels of psychosocial stress and negative affect before and during pregnancy are contributing factors to shortened gestation and preterm birth. We developed a cumulative psychosocial stress variable and examined its association with early delivery controlling for known preterm birth risk factors and confounding environmental variables. We further examined this association among subgroups of women with different levels of coping resources. Utilizing the All Our Babies (AOB) study, an ongoing prospective pregnancy cohort study in Alberta, Canada (
n
= 3,021), multinomial logistic regression was adopted to examine the independent effect of cumulative psychosocial stress and preterm birth subgroups compared to term births. Stratified analyses according to categories of perceived social support and optimism were undertaken to examine differential effects among subgroups of women. Cumulative psychosocial stress was a statistically significant risk factor for late preterm birth (OR = 1.73; 95 % CI = 1.07, 2.81), but not for early preterm birth (OR = 2.44; 95 % CI = 0.95, 6.32), controlling for income, history of preterm birth, pregnancy complications, reproductive history, and smoking in pregnancy. Stratified analyses showed that cumulative psychosocial stress was a significant risk factor for preterm birth at |
| doi_str_mv | 10.1007/s00737-014-0436-5 |
| format | Article |
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n
= 3,021), multinomial logistic regression was adopted to examine the independent effect of cumulative psychosocial stress and preterm birth subgroups compared to term births. Stratified analyses according to categories of perceived social support and optimism were undertaken to examine differential effects among subgroups of women. Cumulative psychosocial stress was a statistically significant risk factor for late preterm birth (OR = 1.73; 95 % CI = 1.07, 2.81), but not for early preterm birth (OR = 2.44; 95 % CI = 0.95, 6.32), controlling for income, history of preterm birth, pregnancy complications, reproductive history, and smoking in pregnancy. Stratified analyses showed that cumulative psychosocial stress was a significant risk factor for preterm birth at <37 weeks gestation for women with low levels of social support (OR = 2.09; 95 % CI = 1.07, 4.07) or optimism (OR = 1.87; 95 % CI = 1.04, 3.37). Our analyses suggest that early vulnerability combined with current anxiety symptoms in pregnancy confers risk for preterm birth. Coping resources may mitigate the effect of cumulative psychosocial stress on the risk for early delivery.</description><identifier>ISSN: 1434-1816</identifier><identifier>EISSN: 1435-1102</identifier><identifier>DOI: 10.1007/s00737-014-0436-5</identifier><identifier>PMID: 24948100</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Adaptation, Psychological ; Adult ; Anxiety ; Anxiety - complications ; Anxiety - epidemiology ; Canada - epidemiology ; Demographic aspects ; Female ; Gestational Age ; Health risks ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Logistic Models ; Medicine ; Medicine & Public Health ; Mothers - psychology ; Mothers - statistics & numerical data ; Obstetric Labor, Premature - psychology ; Original Article ; Pregnancy ; Pregnancy Outcome ; Premature birth ; Premature Birth - psychology ; Prospective Studies ; Psychiatry ; Psychological aspects ; Psychotherapy ; Public health ; Risk Factors ; Social Support ; Stress ; Stress (Psychology) ; Stress, Psychological - complications ; Stress, Psychological - epidemiology ; Stress, Psychological - psychology</subject><ispartof>Archives of women's mental health, 2014-12, Vol.17 (6), p.559-568</ispartof><rights>Springer-Verlag Wien 2014</rights><rights>COPYRIGHT 2014 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c640t-db7d2eaf09e80ab470322a5fa3cd77648e7388fbbf60c97296489fbf6af5629b3</citedby><cites>FETCH-LOGICAL-c640t-db7d2eaf09e80ab470322a5fa3cd77648e7388fbbf60c97296489fbf6af5629b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00737-014-0436-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00737-014-0436-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24948100$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McDonald, Sheila W.</creatorcontrib><creatorcontrib>Kingston, Dawn</creatorcontrib><creatorcontrib>Bayrampour, Hamideh</creatorcontrib><creatorcontrib>Dolan, Siobhan M.</creatorcontrib><creatorcontrib>Tough, Suzanne C.</creatorcontrib><title>Cumulative psychosocial stress, coping resources, and preterm birth</title><title>Archives of women's mental health</title><addtitle>Arch Womens Ment Health</addtitle><addtitle>Arch Womens Ment Health</addtitle><description>Preterm birth constitutes a significant international public health issue, with implications for child and family well-being. High levels of psychosocial stress and negative affect before and during pregnancy are contributing factors to shortened gestation and preterm birth. We developed a cumulative psychosocial stress variable and examined its association with early delivery controlling for known preterm birth risk factors and confounding environmental variables. We further examined this association among subgroups of women with different levels of coping resources. Utilizing the All Our Babies (AOB) study, an ongoing prospective pregnancy cohort study in Alberta, Canada (
n
= 3,021), multinomial logistic regression was adopted to examine the independent effect of cumulative psychosocial stress and preterm birth subgroups compared to term births. Stratified analyses according to categories of perceived social support and optimism were undertaken to examine differential effects among subgroups of women. Cumulative psychosocial stress was a statistically significant risk factor for late preterm birth (OR = 1.73; 95 % CI = 1.07, 2.81), but not for early preterm birth (OR = 2.44; 95 % CI = 0.95, 6.32), controlling for income, history of preterm birth, pregnancy complications, reproductive history, and smoking in pregnancy. Stratified analyses showed that cumulative psychosocial stress was a significant risk factor for preterm birth at <37 weeks gestation for women with low levels of social support (OR = 2.09; 95 % CI = 1.07, 4.07) or optimism (OR = 1.87; 95 % CI = 1.04, 3.37). Our analyses suggest that early vulnerability combined with current anxiety symptoms in pregnancy confers risk for preterm birth. Coping resources may mitigate the effect of cumulative psychosocial stress on the risk for early delivery.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Anxiety</subject><subject>Anxiety - complications</subject><subject>Anxiety - epidemiology</subject><subject>Canada - epidemiology</subject><subject>Demographic aspects</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Health risks</subject><subject>Humans</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Logistic Models</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mothers - psychology</subject><subject>Mothers - statistics & numerical data</subject><subject>Obstetric Labor, Premature - psychology</subject><subject>Original Article</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Premature birth</subject><subject>Premature Birth - psychology</subject><subject>Prospective Studies</subject><subject>Psychiatry</subject><subject>Psychological aspects</subject><subject>Psychotherapy</subject><subject>Public health</subject><subject>Risk Factors</subject><subject>Social Support</subject><subject>Stress</subject><subject>Stress (Psychology)</subject><subject>Stress, Psychological - complications</subject><subject>Stress, Psychological - epidemiology</subject><subject>Stress, Psychological - psychology</subject><issn>1434-1816</issn><issn>1435-1102</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>QXPDG</sourceid><recordid>eNp1kmuL1TAQhoMo7kV_gF-kIMgKdk3StGk-LgcvCwuCl88hTSfnZGmbmkkX99-belbdI0ogyUye92WYDCHPGD1nlMo3mLdKlpSJkoqqKesH5JiJqi4Zo_zhz7soWcuaI3KCeE0prZUSj8kRF0q02eKYbDbLuAwm-RsoZry1u4DBejMUmCIgvi5smP20LXIQlmghZ8zUF3OEBHEsOh_T7gl55MyA8PTuPCVf3739svlQXn18f7m5uCptI2gq-072HIyjClpqOiFpxbmpnalsL2UjWpBV27qucw21SnKVU8rlyLi64aqrTsnZ3neO4dsCmPTo0cIwmAnCgpo1XNLVSGX0xV_odS5_ytWtVMOY4pz9obZmAO0nF1I0djXVF5Vikimh6kyd_4PKq4fR2zCB8zl_IHh1IMhMgu9paxZEffn50yH78h67AzOkHYZhST5MeAiyPWhjQIzg9Bz9aOKtZlSv06D306DzNOh1GvSqeX7XhaUbof-t-PX9GeB7APPTtIV4r03_df0BH-K7ew</recordid><startdate>20141201</startdate><enddate>20141201</enddate><creator>McDonald, Sheila W.</creator><creator>Kingston, Dawn</creator><creator>Bayrampour, Hamideh</creator><creator>Dolan, Siobhan M.</creator><creator>Tough, Suzanne C.</creator><general>Springer Vienna</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISR</scope><scope>3V.</scope><scope>7R6</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>888</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K6X</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQGEN</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>QXPDG</scope><scope>7X8</scope></search><sort><creationdate>20141201</creationdate><title>Cumulative psychosocial stress, coping resources, and preterm birth</title><author>McDonald, Sheila W. ; Kingston, Dawn ; Bayrampour, Hamideh ; Dolan, Siobhan M. ; Tough, Suzanne C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c640t-db7d2eaf09e80ab470322a5fa3cd77648e7388fbbf60c97296489fbf6af5629b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Anxiety</topic><topic>Anxiety - complications</topic><topic>Anxiety - epidemiology</topic><topic>Canada - epidemiology</topic><topic>Demographic aspects</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Health risks</topic><topic>Humans</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Logistic Models</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mothers - psychology</topic><topic>Mothers - statistics & numerical data</topic><topic>Obstetric Labor, Premature - psychology</topic><topic>Original Article</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Premature birth</topic><topic>Premature Birth - psychology</topic><topic>Prospective Studies</topic><topic>Psychiatry</topic><topic>Psychological aspects</topic><topic>Psychotherapy</topic><topic>Public health</topic><topic>Risk Factors</topic><topic>Social Support</topic><topic>Stress</topic><topic>Stress (Psychology)</topic><topic>Stress, Psychological - complications</topic><topic>Stress, Psychological - epidemiology</topic><topic>Stress, Psychological - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McDonald, Sheila W.</creatorcontrib><creatorcontrib>Kingston, Dawn</creatorcontrib><creatorcontrib>Bayrampour, Hamideh</creatorcontrib><creatorcontrib>Dolan, Siobhan M.</creatorcontrib><creatorcontrib>Tough, Suzanne C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>GenderWatch</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>GenderWatch (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest Women's & Gender Studies</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Diversity Collection</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of women's mental health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McDonald, Sheila W.</au><au>Kingston, Dawn</au><au>Bayrampour, Hamideh</au><au>Dolan, Siobhan M.</au><au>Tough, Suzanne C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cumulative psychosocial stress, coping resources, and preterm birth</atitle><jtitle>Archives of women's mental health</jtitle><stitle>Arch Womens Ment Health</stitle><addtitle>Arch Womens Ment Health</addtitle><date>2014-12-01</date><risdate>2014</risdate><volume>17</volume><issue>6</issue><spage>559</spage><epage>568</epage><pages>559-568</pages><issn>1434-1816</issn><eissn>1435-1102</eissn><abstract>Preterm birth constitutes a significant international public health issue, with implications for child and family well-being. High levels of psychosocial stress and negative affect before and during pregnancy are contributing factors to shortened gestation and preterm birth. We developed a cumulative psychosocial stress variable and examined its association with early delivery controlling for known preterm birth risk factors and confounding environmental variables. We further examined this association among subgroups of women with different levels of coping resources. Utilizing the All Our Babies (AOB) study, an ongoing prospective pregnancy cohort study in Alberta, Canada (
n
= 3,021), multinomial logistic regression was adopted to examine the independent effect of cumulative psychosocial stress and preterm birth subgroups compared to term births. Stratified analyses according to categories of perceived social support and optimism were undertaken to examine differential effects among subgroups of women. Cumulative psychosocial stress was a statistically significant risk factor for late preterm birth (OR = 1.73; 95 % CI = 1.07, 2.81), but not for early preterm birth (OR = 2.44; 95 % CI = 0.95, 6.32), controlling for income, history of preterm birth, pregnancy complications, reproductive history, and smoking in pregnancy. Stratified analyses showed that cumulative psychosocial stress was a significant risk factor for preterm birth at <37 weeks gestation for women with low levels of social support (OR = 2.09; 95 % CI = 1.07, 4.07) or optimism (OR = 1.87; 95 % CI = 1.04, 3.37). Our analyses suggest that early vulnerability combined with current anxiety symptoms in pregnancy confers risk for preterm birth. Coping resources may mitigate the effect of cumulative psychosocial stress on the risk for early delivery.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>24948100</pmid><doi>10.1007/s00737-014-0436-5</doi><tpages>10</tpages></addata></record> |
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| subjects | Adaptation, Psychological Adult Anxiety Anxiety - complications Anxiety - epidemiology Canada - epidemiology Demographic aspects Female Gestational Age Health risks Humans Infant, Low Birth Weight Infant, Newborn Logistic Models Medicine Medicine & Public Health Mothers - psychology Mothers - statistics & numerical data Obstetric Labor, Premature - psychology Original Article Pregnancy Pregnancy Outcome Premature birth Premature Birth - psychology Prospective Studies Psychiatry Psychological aspects Psychotherapy Public health Risk Factors Social Support Stress Stress (Psychology) Stress, Psychological - complications Stress, Psychological - epidemiology Stress, Psychological - psychology |
| title | Cumulative psychosocial stress, coping resources, and preterm birth |
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