Learned Resourcefulness, Social Support, and Perinatal Depression in Chinese Mothers
Learned Resourcefulness, Social Support, and Perinatal Depression in Chinese Mothers
复制标题
DOI：
10.1097/nnr.0b013e318240dd3f
复制
发表时间：
2012-03-01
期刊：
影响因子：
2.5
通讯作者：
Chan, Sally Wai-Chi
中科院分区：
文献类型：
--
作者：
Ngai, Fei-Wan;Chan, Sally Wai-Chi
背景：产后抑郁症是一个主要的健康问题，可能对婴儿的心理社会发展产生不利影响；然而，关于习得机智对产后抑郁症发展的保护作用的纵向研究很少。目的：本研究旨在探讨围产期习得机智、社会支持、压力和抑郁症状之间的关系，并确定习得机智和社会支持在围产期压力和抑郁症状之间的中介作用。方法：采用纵向设计。方便选取170名首次怀孕的中国母亲在怀孕期间完成评估，并在产后6周和6个月进行随访。采用自我控制量表、医疗结果研究、社会支持调查、社会再适应评定量表和爱丁堡产后抑郁量表。采用通径分析。结果：学习应变能力对妊娠期和产后6周抑郁症状有直接影响，并介导应激对抑郁症状的影响。社会支持对妊娠期抑郁症状有直接影响，并在压力对抑郁症状的影响中起中介作用。后天应变能力和社会支持直接预测产后6个月的抑郁症状。讨论：习得机智和社会支持有助于预防围产期抑郁症状的发展，并介导压力与抑郁症状之间的关系。应发展具有文化能力的保健，使妇女具备学习到的机智技能，并建立支助网络，以对抗新母亲的压力，从而最大限度地减少围产期抑郁症的风险。
Background: Postnatal depression is a major health problem that can have detrimental effects on infants' psychosocial development; however, there are few longitudinal studies on the protective role of learned resourcefulness against the development of postnatal depression.Objectives: The aims of this study were to examine the relationships among learned resourcefulness, social support, stress, and depressive symptoms across the perinatal period and to determine the mediating role of learned resourcefulness and social support between stress and depressive symptoms in the perinatal period.Methods: A longitudinal design was used. A convenience sample of 170 first-time Chinese mothers completed the assessment during pregnancy and were followed up at 6 weeks and 6 months postpartum. The Self-Control Schedule, Medical Outcomes Study Social Support Survey, Social Readjustment Rating Scale, and Edinburgh Postnatal Depression Scale were used. Path analysis was employed.Results: Learned resourcefulness had a direct impact on depressive symptoms and mediated the effect of stress on depressive symptoms during pregnancy and at 6 weeks postpartum. Social support had a direct impact on depressive symptoms and mediated the effect of stress on depressive symptoms during pregnancy. Learned resourcefulness and social support directly predicted depressive symptoms at 6 months postpartum.Discussion: Learned resourcefulness and social support serve to protect against the development of depressive symptoms and mediate the relationship between stress and depressive symptoms in the perinatal period. Culturally competent healthcare should be developed to equip women with learned resourcefulness skills and foster support network to combat the stress of new motherhood, thereby minimizing the risk of perinatal depression.