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001-es BibID:	BIBFORM016237
Első szerző:	Bödecs Tamás
Cím:	Effects of depression, anxiety, self-esteem, and health behaviour on neonatal outcomes in a population-based Hungarian sample / Bödecs Tamás, Horváth Boldizsár, Szilágyi Enikő, Gonda Xénia, Rihmer Zoltán, Sándor János
Dátum:	2011
ISSN:	0301-2115
Megjegyzések:	OBJECTIVE: To investigate possible associations of maternal antenatal depression, anxiety and self-esteem with negative neonatal outcomes controlling for the effects of demographic covariates and health behaviour in a Hungarian sample. STUDY DESIGN: A population-based monitoring system was established in 10 districts of health visitors in Szombathely, Hungary, covering every woman registered as pregnant between February 1, 2008 and February 1 2009. Three hundred and seven expectant women in the early stage of their pregnancy were surveyed using the Short Form of Beck Depression Inventory for the measurement of depression and the Spielberger Trait-Anxiety Inventory for the measurement of anxiety. Self-esteem was evaluated by the Rosenberg's Self-Esteem Scale. At the end of the follow-up period, data on 261 mothers and their singleton neonates were available. The relationship between the explanatory and outcome variables (birth weight, length, chest circumference, gestational age, and 1- and 5-min Apgar score) was tested in girls and boys separately by multiple linear regression analysis (Forward method). Categorical variables were used as "dummy variables". RESULTS: Maternal depression, anxiety and health behaviour did not show any association with neonatal outcomes. Higher level of maternal self-esteem was associated with higher birth weight and birth length in boys and higher birth length in girls. Maternal education positively correlated with birth length, gestational age and chest circumference in boys, and with birth length in girls. In girls, maternal socioeconomic status showed a positive association with birth weight and gestational age, while common law marriage had a negative effect on birth weight and chest circumference. CONCLUSIONS: Lower level of maternal self-esteem possibly leads to a higher level of maternal stress which may reduce fetal growth via physiologic changes. Gender differences in associations between demographic factors and neonatal outcome measures indicate differences in fetal development between boys and girls.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban Depression Anxiety Self-esteem Health behaviour Early pregnancy
Megjelenés:	European Journal Of Obstetrics Gynecology And Reproductive Biology. - 154 : 1 (2011), p. 45-50. -
További szerzők:	Horváth Boldizsár Szilágyi Enikő Gonda Xénia Rihmer Zoltán Sándor János (1966-) (orvos-epidemiológus)
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