Психологические и психосоматические нарушения в период беременности и родов: обзор современных зарубежных исследований ¹²⁴⁷⁰

В последние десятилетия в связи с возрастанием во всем мире проблем в репродуктивной сфере людей, весьма актуальной стала проблема сохранения репродуктивного здоровья населения. Это требует объединения усилий медицины и психологии. В статье представлен обзор современных англоязычных научных публикаций, посвященных изучению психологических и психосоматических особенностей мужчин, женщин и семейных пар с репродуктивными нарушениями, а также исследованию психологических предикторов и последствий данных проблем. Выделены наиболее и наименее изученные психологические аспекты нарушения репродуктивного здоровья, описаны результаты исследований и метод психотерапевтической работы с женщинами по предупреждению преждевременных родов Р. Линдера. Статья состоит из двух частей: в первой представлены результаты исследований психосоматических аспектов заболеваний репродуктивной сферы у женщин и мужчин, в том числе бесплодия; вторая посвящена психологическим и психосоматическим нарушениям в период беременности и родов

Ключевые слова: нарушение репродуктивного здоровья, бесплодие, стресс, психосоматика, тревожность, осложненная беременность, акушерские осложнения, невынашивание беременности, преждевременные роды, психология репродуктивной сферы

Рубрика: Клиническая психология

Тип: научная статья

DOI: https://doi.org/10.17759/jmfp.2016050210

1. Anxiety in early pregnancy: prevalence and contributing factors [Электронный ресурс] / C. Rubertsson, J. Hellström, M. Cross, G. Sydsjö // Archives of Women's Mental Health. 2014. Vol. 17, № 3. P. 221–229. URL: http://link.springer.com/article/10.1007/s00737-013-0409-0 (дата обращения: 15.11.2015). doi: 10.1007/s00737-013-0409-0
2. Anxiety, depression and saliva cortisol in women with a medical disorder during pregnancy / N. King, J. Chamers, K. O'donnell, S.R. Jayaweera, Glover V. Williamson // Archives of Women's Mental Health. 2010. Vol. 13, № 4. P. 339–384. doi 10.1007/s00737-009-0139-5
3. Aplin J. Maternal influences on placental development // Seminars in Cell and Developmental Biology. 2000. Vol. № 11. Р. 107–116. doi:10.1006/scdb.2000.0157
4. Caesarean section on request: Are there loco-regional factors influencing maternal choice? An Italian experience / A. Mancuso, A. De Vivo, G. Fanara, A. Albiero, A.M. Priolo, A. Giacobbe, M. Franchi // Journal of Obstetrics and Gynaecology. 2008. Vol. 28. № 4. P. 382–385. doi 10.1080/01443610802091545
5. Depressive symptoms predict exaggerated inflammatory responses to an in vivo immune challenge among pregnant women / L.M. Christian, A. Franco, J.D. Iams, J. Sheridan, R. Glaser // Brain, Behavior and Immunity. 2010. Vol. 24. № 1. P. 49–53. doi: 10.1016/j.bbi.2009.05.055
6. Does stress influence early pregnancy loss? / D.B. Nelson, J.A. Grisso, M.M. Joffe [et al.] // Annals of Epidemiology. 2003. Vol. 13. № 4. P. 223–229. doi: 10.1016/S1047-2797(02)00419-2
7. First-time mothers' wish for a planned caesarean section [Электронный ресурс]: Deeply rooted emotions / M. Sahlin, A.K. Carlander-Klint, I. Hildingsson, I. Wiklund // Midwifery. 2013. Vol. 29. № 5. P. 447–452. URL: http://www.sciencedirect.com/science/article/pii/S0266613812000423 (дата обращения: 20.11.2015). doi 10.1016/j.midw.2012.02.009
8. Gavin A.R., Nurius P., Logan-Greene P. Mediators of Adverse Birth Outcomes Among Socially Disadvantaged Women [Электронный ресурс] // Journal of Women's Health. 2012. Vol. 21. № 6. P. 634–642. URL: http://online.liebertpub.com/doi/abs/10.1089/jwh.2011.2766 (дата обращения: 20.11.2015). doi: 10.1089/jwh.2011.2766
9. Increased levels of macrophage migration inhibitory factor (MIF) in preeclampsia / T. Todros, S. Bontempo, E. Piccoli, F. Ietta, R. Romagnoli, M. Biolcati, M. Castellucci, L. Paulesu // European Journal of Obstetrics and Gynecology and Reproductive Biology. 2005. Vol. 123. № 2. P. 162–166. doi: 10.1016/j.ejogrb.2005.03.014
10. Johnson R. C., Slade P. Obstetric complications and anxiety during pregnancy: Is there a relationship? // Journal of Psychosomatic Obstetrics and Gynecology. 2003. Vol. 24. № 1. P. 1–14. DOI: 10.3109/01674820309042796
11. Johnson R.C., Slade P. Does fear of childbirth during pregnancy predict emergency caesarean section? // International Journal of Obstetrics and Gynaecology. 2002. Vol. 109. № 11. P. 1213–1221. doi 10.1046/j.1471-0528.2002.01351.x
12. Linder R. How Women Can Carry Their Unborn Babies to Term – The Prevention of Premature Birth Through Psychosomatic Methods // Journal of Prenatal And Perinatal Psychology And Health. 2006. Vol. 20. № 4. P. 293–304.
13. Linder R. Overcoming Somatic and Psychological Difficulties: New Experiences from an Integrated Linkage of Obstetrics and Psychotherapy // Journal of Prenatal and Perinatal Psychology and Health. 2010. Vol. 24. № 4. P. 201–215.
14. Loss of a close family member the year before or during pregnancy and the risk of placental abruption: a cohort study from Denmark and Sweden / K.D. Lászlo, C.V. Ananth, A.K. Wikström, Li J. Svensson // Psychological Medicine. 2014. Vol. 44. № 9 . P. 1855–1921. doi: 10.1017/S0033291713002353
15. Marín-Morales D., Carmona-Monge F.J. Personality, depressive symptoms during pregnancy and their influence on postnatal depression in Spanish pregnant Spanish women // Anales de Psicología. 2014. Vol. 30. № 3. P. 908–915. doi:10.6018/analesps.30.3.153101
16. Maternal positive affect over the course of pregnancy is associated with the length of gestation and reduced risk of preterm delivery / A. Voellmin, S. Entringer, N. Moog, P.D. Wadhwa, C. Buss // Journal of Psychosomatic Research. 2013. Vol. 75. № 4. P. 336–340. doi: 10.1016/j.jpsychores.2013.06.031
17. McCrory C., McNally C. The Effect of Pregnancy Intention on Maternal Prenatal Behaviours and Parent and Child Health: Results of an Irish Cohort Study // Paediatric and Perinatal Epidemiology. 2013. Vol. 27. № 2. P. 208–215. doi: 10.1111/ppe.12027
18. Pearce B.D. The role of a unique immunohormonal molecule (MIF) in depression during pregnancy // NARSAD’s 16th annual scientific symposium. New York City, 2004.
19. Preeclampsia is associated with abnormal expression of adhesion molecules by invasive cytotrophoblasts / Y. Zhou Y., C.H. Damsky, K. Clin, S.J. Fisher // Journal of Clinical Investigation. 1993. № 91. № 3. P. 950–960. doi: 10.1172/JCI116316
20. Prenatal maternal stress is associated with delivery analgesia and unplanned cesareans / T.A. Saunders, M. Lobel, C. Veloso, B.S. Meyer // Journal of Psychosomatic Obstetrics and Gynecology. 2006. Vol. 27. № 3. Р. 141–146.  doi: 10.1080/01674820500420637
21. Psychosocial predictors of successful delivery after unexplained recurrent spontaneous abortions: a cohort study / Y. Nakano, M. Oshima, M. Sugiura-Ogasawara, K. Aoki, T. Kitamura, T.A. Furukawa // Acta Psychiatrica Scandinavica. 2004. № 109. P. 440–446. doi: 10.1111/j.1600-0047.2004.00273.x
22. Risk of Spontaneous Preterm Birth in Relation to Maternal Depressive, Anxiety and Stress Symptoms / S.E. Sanchez, G.C. Puente, G. Atencio, C. Qiu, D. Yanez, B. Gelaye, M.A. Williams // Journal of Reproduction Medicine. 2013. Vol. 58. № 1–2. P. 25–33.
23. Saisto T. Obstetric, psychological and pain-related background, and treatment of fear of childbirth. Academic Dissertation / University of Helsinki, Institute of Clinical Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine. Helsinki, 2011. 77 p.
24. Sejourne N., Callahan S. Women's motivations to give birth with or without epidural analgesia // Journal de Gynecologie Obstetrique et Biologie de la Reproduction. 2013. Vol. 42. № 1. P. 56–63. doi 10.1016/j.jgyn.2012.03.007.
25. Serum macrophage migration inhibitory factor in the prediction of preterm delivery / B.D. Pearce, S.E. Garvin, J. Grove, E.A. Bonney, D.J. Dudley, D.E. Schendel, P. Thorsen // American Journal of Obstetrics and Gynecology. 2008. Vol. 199. № 46. P. 41–46.
26. Stark M.A., Brinkley R.L. The relationship between perceived stress and health-promoting behaviors in high-risk pregnancy // Journal Of Perinatal And Neonatal Nursing. 2007. Vol. 21. № 4. P. 307–314.
27. Stress neuropeptides in the human endometrium: Paracrine effects on cell differentiation and apoprosis / Gravantis A., Makrigiannakis A., Chatzaki E. et al. // Hormones. 2002. №1 (3). P.139–148.
28. The association between prenatal stress and preterm delivery: an interdisciplinary research / Grandi C., Gonzalez M.A ., Naddeo S., Basualdo N., Salgado M.P. // Pediatric Research. 2009. Vol. 65. № 4. P. 480–489.
29. The Effects of Preeclampsia on Perinatal Risks and Infant Temperaments Among Mothers With Antenatal Depression / Y. Nomura, J. Finik, J. Salzbank, J. Ly, N. Huynh, T. Davey, M. Dineva, A. Abelow, C. Flores, R. Daniel, H. Loudon, J. Stone, P. Pierre, G. Eglinton, J. Newcorn // Psychology Research. 2014. Vol. 4. № 6. Р. 451–461.
30. The influence of women’s fear, attitudes and beliefs of childbirth on mode and experience of birth [Электронный ресурс] / H.M. Haines, C. Rubertsson, J.F. Pallant, I. Hildingsso // Pregnancy and Childbirth. 2012. URL: http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-12-55 (дата обращения: 20.11.2015). doi: 10.1186/1471-2393-12-55