Carmen Giurgescu1, Natthananporn Sanguanklin2, Christopher G Engeland3, Rosemary C White-Traut4, Chang Park5, Herbert L Mathews6, Linda Witek Janusek7. 1. College of Nursing, Wayne State University. Electronic address: carmen.giurgescu@wayne.edu. 2. Faculty of Nursing, Thammasat University. 3. Biobehavioral Health, Pennsylvania State University. 4. College of Nursing, University of Illinois at Chicago; Children's Hospital of Wisconsin. 5. College of Nursing, University of Illinois at Chicago. 6. Microbiology and Immunology, Loyola University of Chicago. 7. Marcella Niehoff School of Nursing, Loyola University of Chicago.
Abstract
AIM: To explore the relationships among psychosocial factors (optimism, uncertainty, social support, coping, psychological distress), biomarkers (cortisol, cytokines), preeclampsia, and preterm birth in African American women. METHODS: Forty-nine pregnant African American women completed psychosocial questionnaires and had blood collected for biomarkers between 26 and 36 weeks of gestation. Birth outcomes were obtained from birth records. RESULTS: Women reporting higher levels of social support had lower levels of pro-inflammatory cytokines (IL-2, IL-5, and IL-6). Surprisingly, compared with low-risk pregnant women, women diagnosed with preeclampsia reported more optimism and less avoidance, and had lower levels of cortisol and IFN-γ. Similarly, compared to women with full-term birth, women with preterm birth reported higher levels of optimism and lower levels of avoidance, and had lower levels of IL-10. CONCLUSION: Psychosocial factors influence inflammation and pregnancy outcomes. Close assessment and monitoring of psychosocial factors may contribute to improved pregnancy outcomes.
AIM: To explore the relationships among psychosocial factors (optimism, uncertainty, social support, coping, psychological distress), biomarkers (cortisol, cytokines), preeclampsia, and preterm birth in African American women. METHODS: Forty-nine pregnant African American women completed psychosocial questionnaires and had blood collected for biomarkers between 26 and 36 weeks of gestation. Birth outcomes were obtained from birth records. RESULTS:Women reporting higher levels of social support had lower levels of pro-inflammatory cytokines (IL-2, IL-5, and IL-6). Surprisingly, compared with low-risk pregnant women, women diagnosed with preeclampsia reported more optimism and less avoidance, and had lower levels of cortisol and IFN-γ. Similarly, compared to women with full-term birth, women with preterm birth reported higher levels of optimism and lower levels of avoidance, and had lower levels of IL-10. CONCLUSION:Psychosocial factors influence inflammation and pregnancy outcomes. Close assessment and monitoring of psychosocial factors may contribute to improved pregnancy outcomes.
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Authors: Carmen Giurgescu; Lara Fahmy; Jaime Slaughter-Acey; Alexandra Nowak; Cleopatra Caldwell; Dawn P Misra Journal: AIMS Public Health Date: 2018-03-30