The role of mental health on maternal-fetal attachment in low-income women.
The role of mental health on maternal-fetal attachment in low-income women.
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DOI：
10.1111/j.1552-6909.2012.01385.x
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发表时间：
2012-11
期刊：
影响因子：
--
通讯作者：
Sharps P
中科院分区：
文献类型：
--
作者：
Alhusen JL;Gross D;Hayat MJ;Rose L;Sharps P
研究和描述母亲抑郁症状对主要是低收入妇女的母胎依恋（MFA）的影响。混合法三个城市妇产科诊所，主要为低收入妇女服务。166名妇女的便利样本参与了定量部分，12名妇女的有目的的子样本参与了定性部分;所有妇女在收集数据时均处于妊娠24-28周之间。采用线性回归模型分析抑郁症状和社会支持对MFA的影响。个别深入访谈中进行的子样本的妇女，探讨母亲的抑郁症状对MFA的影响。59%（n=98）的参与者的抑郁症状评分具有临床意义。在MFA回归的社会支持和抑郁症状的最终模型中，社会支持（B = 0.23，95% CI [0.09，0.37]，p = 0.002）和抑郁症状（B =-1.02，95% CI [-1.32，-0.73]，p < 0.001）是显著的预测因子。这两个变量的多元线性回归模型解释了总体MFA总方差的65.2%。定性的参与者讨论了社会支持在促进他们的情绪状态和MFA的重要性。这项研究的结果强调了评估怀孕期间抑郁症状的重要性，因为它对MFA的影响。通过了解这些妇女有一个支持性的人来体验怀孕的重要性，护士可以改善弱势群体的怀孕体验。
To examine and describe the influence of maternal depressive symptoms on maternal-fetal attachment (MFA) in predominantly low-income women. Mixed method. Three urban obstetric/gynecologic (OB/GYN) clinics serving predominantly low-income women. A convenience sample of 166 women participated in the quantitative component and a purposeful sub-sample of 12 women participated in the qualitative component; all women were between 24–28 weeks gestation at the time of data collection. Linear regression models were used to examine the influence of depressive symptoms and social support on MFA. Individual in-depth interviews were conducted among a sub-sample of women to explore the influence of maternal depressive symptoms on MFA. Fifty-nine percent (n=98) of participants had scores that were clinically significant for depressive symptoms. In the final model of social support and depressive symptoms regressed on MFA, social support (b = 0.23, 95% CI [0.09, .37], p = .002) and depressive symptoms (b = −1.02, 95% CI [−1.32, −.73], p < 0.001) were significant predictors. This multivariate linear regression model with two variables accounted for 65.2% of the total variance in overall MFA. Qualitative participants discussed the importance of social support in contributing to their mood state and MFA. Findings from this study highlight the importance of assessing for depressive symptoms during pregnancy given its influence on MFA. By understanding how important it was for these women to have a supportive person to experience their pregnancies with, nurses can improve the pregnancy experience for vulnerable populations.
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