Relationships among maternal-fetal attachment, prenatal depression, and health practices in pregnancy
Relationships among maternal-fetal attachment, prenatal depression, and health practices in pregnancy
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DOI：
10.1002/nur.1023
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发表时间：
2001-06-01
影响因子：
2
通讯作者：
Lindgren, K
中科院分区：
文献类型：
--
作者：
Lindgren, K
本研究的目的是探讨一个概念模型，在该模型中，抑郁症通过母胎依恋（MFA）对积极的健康行为产生直接的负面影响，并间接地产生负面影响。参与者是252名怀孕20到40周的成年孕妇，她们来自5个产前护理机构。使用邮寄自我报告工具收集数据，测量MFA、抑郁、健康习惯、人口统计和妊娠信息。采用层次回归来检验抑郁症、个人特征（产妇年龄、妊娠风险状况、胎次、种族、教育程度、收入、婚姻状况）和MFA对健康实践的直接和间接影响。研究结果支持概念模型。高等教育、较低的性别平等和有伴侣预示着更积极的健康行为（p < 0.05）。在控制了个人特征后，发现抑郁是MFA的重要预测因子。抑郁和MFA都是积极健康习惯的显著预测因子，但方向相反。抑郁与积极的健康行为呈负相关，MFA与积极的健康行为呈正相关。(C) 2001约翰威利父子公司
The purpose of this study was to investigate a conceptual model in which depression was proposed to have direct negative effects on positive health practices as well as indirect negative effects through maternal-fetal attachment (MFA). Participants were 252 adult pregnant women, between 20 and 40 weeks postgestation, who were recruited from five Prenatal care sites. Data were collected using mailed self-report instruments measuring MFA, depression, health practices, and demographic and Pregnancy information. Hierarchical regression was used to examine direct and indirect effects of depression, person characteristics (maternal age, Pregnancy risk status, parity, ethnicity, education, income, marital status), and MFA on health Practices. Results of the study supported the conceptual model. Higher education, lower parity, and being partnered predicted more positive health practices (p < .05). After controlling for person characteristics, depression was found to be a significant predictor of MFA. Both depression and MFA were significant predictors of positive health practices but in opposite directions. Depression had a negative relationship and MFA a positive relationship with positive health practices. (C) 2001 John Wiley & Sons, Inc.