Maternal social support, quality of birth experience, and post-partum depression in primiparous women
Maternal social support, quality of birth experience, and post-partum depression in primiparous women
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DOI：
10.1080/14767058.2016.1182980
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发表时间：
2017-03-01
影响因子：
1.8
通讯作者：
Castagna, Valeria
中科院分区：
文献类型：
--
作者：
Tani, Franca;Castagna, Valeria
背景：社会关系为个人提供了普遍的自我价值感和心理健康，并让他们在压力时期和生活转变时能够获得资源。怀孕对于每个女性来说都是人生发生重大变化的时期。本研究的目的是验证母亲在怀孕期间感受到的社会支持对其分娩经历质量和产后抑郁的影响。方法：对179名未生育孕妇进行三个不同时间的纵向研究。妇女在妊娠晚期完成了母亲社会支持调查问卷。然后，在分娩后第一天，收集临床分娩指数。最后，在分娩一个月后，进行爱丁堡产后抑郁量表。结果：产后抑郁受到母亲感知的社会支持的负面影响，并受到阴性临床出生指数的正面影响。除了这些直接影响之外，分析还揭示了母亲感知的社会支持对产后抑郁症的显着影响，这是由所考虑的临床指标介导的。结论：母亲在怀孕期间感知到的社会支持作为预防产后抑郁症的保护因素发挥着重要作用，无论是直接还是间接，减少了分娩经历的负面临床方面。
Background: Social relationships provide individuals with a general sense of self-worth, psychological wellbeing, as well as allowing them access to resources during stressful periods and transitions in life. Pregnancy is a time of significant life change for every woman. The aim of this study was to verify the influence of social support perceived by mothers during pregnancy on the quality of their birth experience and post-partum depression.Method: A longitudinal study at three different times was carried out on 179 nulliparous pregnant women. Women completed a Maternal Social Support Questionnaire during the third trimester of their pregnancy. Then, on the first day after childbirth, clinical birth indices were collected. Finally, a month after childbirth, the Edinburgh Postnatal Depression Scale was administered.Results: Post-partum depression was influenced negatively by maternal perceived social support and positively by negative clinical birth indices. In addition to these direct effects, analyses revealed a significant effect of maternal perceived social support on post-partum depression, mediated by the clinical indices considered.Conclusions: Social support perceived by mothers during pregnancy plays a significant role as a protection factor against post-partum depression, both directly and indirectly, reducing the negative clinical aspects of the birth experience.