SOCIAL SUPPORT IN PREGNANCY - PSYCHOSOCIAL CORRELATES OF BIRTH OUTCOMES AND POSTPARTUM DEPRESSION
SOCIAL SUPPORT IN PREGNANCY - PSYCHOSOCIAL CORRELATES OF BIRTH OUTCOMES AND POSTPARTUM DEPRESSION
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DOI：
10.1037/0022-3514.65.6.1243
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发表时间：
1993-12-01
影响因子：
7.6
通讯作者：
SCRIMSHAW, SCM
中科院分区：
文献类型：
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作者：
COLLINS, NL;DUNKELSCHETTER, C;SCRIMSHAW, SCM
这项前瞻性研究调查了产前社会支持对低收入孕妇(N=129)母婴健康和幸福感的影响。研究了三个方面的支持(获得的数量、获得的支持的质量和网络资源)和四个结果(出生体重、阿普加评分、分娩进展和产后抑郁)。结果表明，获得更多支持的妇女有更好的分娩进展和更高的阿普加评分。有更高质量支持的女性生下的孩子阿普加评分更高，产后抑郁症状更少。此外，人脉较大的女性所生婴儿的出生体重也较高。进一步的分析表明，结果作为一个整体，更一致地通过工具形式而不是情感形式的支持来预测。最后，虽然有一些证据表明支持对压力有缓冲作用，但总体上的发现更符合主效应模型。
This prospective study examined the effects of prenatal social support on maternal and infant health and well-being in a sample of low-income pregnant women (N = 129). Three aspects of support (amount received, quality of support received, and network resources) and four outcomes (birth weight, Apgar scores, labor progress, and postpartum depression) were studied. Results indicated that women who received more support had better labor progress and babies with higher Apgar scores. Women with higher quality support had babies with higher Apgar scores and experienced less postpartum depression. Also, women with larger networks had babies of higher birth weight. Further analyses indicated that the outcomes as a whole were more consistently predicted by instrumental rather than emotional forms of support. Finally, although there was some evidence for stress-buffering effects of support, the overall findings were more consistent with a main effect model.