Perceived Social Support Partially Mediates the Impact of Temperament and Character on Postpartum Depression.
Perceived Social Support Partially Mediates the Impact of Temperament and Character on Postpartum Depression.
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DOI：
10.3389/fpsyt.2021.816342
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发表时间：
2021
影响因子：
4.7
通讯作者：
Ozaki N
中科院分区：
文献类型：
--
作者：
Nakamura Y;Takahashi N;Yamauchi A;Morikawa M;Okada T;Ozaki N
孕妇的气质和性格，特别是伤害回避（HA）和自我导向（SD）已被确定为产后抑郁症的危险因素，除了社会支持差。然而，这些人格特质和社会支持之间的关系，分娩后的抑郁症状还没有被检查。数据提取自一项在日本名古屋进行的孕妇前瞻性队列调查，包括气质和性格量表（TCI）、社会支持问卷（J-SSQ）和爱丁堡产后抑郁量表（EPDS），时间约为产后25周和1个月。采用结构方程模型（SEM）的中介分析，以检验是否社会支持在妊娠期人格特质和产后抑郁症状之间的中介作用。一千五百五十九名妇女被纳入分析。伤害回避和SD均与抑郁症状显著相关（伤害回避的总效应：β [SE]，0.298 [0.041]，P < 0.001; SD的总效应：β [SE]，-0.265 [0.067]，P < 0.001）。中介效应分析显示，低社会支持部分中介了伤害回避对抑郁症状的影响（直接效应：β [SE]，0.193 [0.004]，P < 0.001;间接效应：β [SE]，0.082 [0.034]，P = 0.015）。自我导向的抑郁症状没有被发现介导的低社会支持。结果表明，社会支持差的高HA妇女在怀孕期间的抑郁症状。局限性包括由于目标设施有限而可能存在选择偏倚;大多数变量基于自我报告问卷进行评价，以及可用于分析伤害避免和SD之间的样本数量不同。
Temperament and character of pregnant women, especially harm avoidance (HA) and self-directedness (SD) have been identified as risk factors for postpartum depression, in addition to poor social support. However, the relationship between these personality traits and social support for depressive symptoms after delivery has not been examined. Data were extracted from a prospective cohort survey on pregnant women conducted in Nagoya, Japan that included the Temperament and Character Inventory (TCI), the Social Support Questionnaire (J-SSQ), and the Edinburgh Postnatal Depression Scale (EPDS) at approximately week 25 and 1 month postpartum. A mediation analysis using structural equation modeling (SEM) was used to test if social support in pregnancy is a mediator between personality traits and postpartum depressive symptoms. Thousand five hundred and fifty-nine women were included in the analysis. Both harm avoidance and SD were significantly associated with depressive symptoms (total effect: β [SE], 0.298 [0.041], P < 0.001 for harm avoidance; total effect: β [SE], −0.265 [0.067], P < 0.001 for SD). Mediation analysis showed that the effect of harm avoidance on depressive symptoms was partially mediated by low social support (direct effect: β [SE], 0.193 [0.004], P < 0.001; indirect effect: β [SE], 0.082 [0.034], P = 0.015). Self-directedness on depressive symptoms was not found to be mediated by low social support. Results indicate that poor social support worsens depressive symptoms in women with high HA during pregnancy. Limitations include a possible selection bias due to the limited target facilities; most variables being evaluated based on self-report questionnaires, and different number of samples available for analysis between harm avoidance and SD.
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DOI：
10.3390/ijerph15061231
发表时间：
2018-06-11
影响因子：
--
作者：
Lim CR;Barlas J;Ho RCM
通讯作者：
Ho RCM
影响因子：
4.8
作者：
Hansenne, M;Reggers, J;Ansseau, M
通讯作者：
Ansseau, M
影响因子：
17.7
作者：
Kendler, KS;Gardner, CO;Prescott, CA
通讯作者：
Prescott, CA
影响因子：
2.3
作者：
Kijima, N;Tanaka, E;Kitamura, T
通讯作者：
Kitamura, T
影响因子：
17.7
作者：
Dietz, Patricia M.;Williams, Selvi B.;Hornbrook, Mark C.
通讯作者：
Hornbrook, Mark C.