Cited by 357Maternal Mental Health During Pregnancy and PostpartumMaternal and Perinatal Health InterventionsMaternal and Neonatal Healthcare

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Psychosocial factors and pregnancy outcome: A review with emphasis on methodological issues

Paarlberg, K.Marieke, Vingerhoets, AD J.J.M., Passchier, Jan, Dekker, Gustaaf A., Van Geijn, Herman P.·1995·Journal of Psychosomatic Research

DOI 10.1016/0022-3999(95)00018-6

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Abstract

This review focuses on the research concerning the relation between psychosocial factors and pregnancy outcome. The following four outcome measures are dealt with: (1) birth weight, (2) preeclampsia, (3) preterm labour, and (4) intrapartum complications. The most consistent finding concerns the association between maternal exposure to taxing situations and preterm delivery. Three possible pathways are hypothesized: (1) an indirect influence via unhealthy coping and life style behaviour, (2) a direct influence via stress-dependent hormones, and (3) an additional direct influence via psycho-immunological factors. Intervention studies aimed at improving pregnancy outcome show fairly mixed results. It is recommended that studies on the relationship between psychosocial factors and pregnancy outcome should employ a prospective design with due attention to chronic stressors, should include appropriate biochemical assessments, and multivariate techniques are applied.

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Authors: Paarlberg, K. M., Vingerhoets, A. J. J. M., Passchier, J., Dekker, G. A., & Van Geijn, H. P.
Affiliations: Tilburg University (NL)
Erasmus University Rotterdam (NL)
ORCID: Paarlberg, K.Marieke
Vingerhoets, AD J.J.M.
Passchier, Jan
Dekker, Gustaaf A.
Venue: Journal of Psychosomatic Research
Publisher: Elsevier BV
Published: 1995-07
Volume: 39
Issue: 5
Pages: 563-595
ISSN: 0022-3999 (ISSN-L)
DOI: 10.1016/0022-3999(95)00018-6
OpenAlex: W1966171569
Cited by: 356
References: 135
Citations by year: 2026: 1 · 2025: 2 · 2024: 8 · 2023: 6 · 2022: 7 · 2021: 4 · 2020: 8 · 2019: 3 · 2018: 6 · 2017: 7 · 2016: 8 · 2015: 7 · 2014: 24 · 2013: 12 · 2012: 13
FWCI: 0.92
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Psychosomatic Research (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Keywords: psychosocial factors, pregnancy outcomes, birth weight, preeclampsia, preterm labour, labor complications, maternal stress, coping behaviour, stress hormones, psychoneuroimmunology, lifestyle habits, prenatal intervention, research methodology
MeSH terms: Birth Weight, Data Interpretation, Statistical, Female, Humans, Infant, Newborn, Obstetric Labor Complications, Obstetric Labor, Premature, Pre-Eclampsia, Pregnancy, Pregnancy Outcome, Prospective Studies, Retrospective Studies, Risk Factors, Social Environment, Stress, Psychological, Bias

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Psychosocial factors and pregnancy outcome: A review with emphasis on methodological issues

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