Mediating effect of resilience during pregnancy on the association between maternal trait anger and postnatal depression
Mediating effect of resilience during pregnancy on the association between maternal trait anger and postnatal depression
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孕期心理弹性在母亲特质愤怒与产后抑郁关系中的中介作用
DOI：
10.1016/j.comppsych.2020.152190
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发表时间：
2020
影响因子：
7.3
通讯作者：
Kiyoko Kamibeppu
中科院分区：
文献类型：
--
作者：
HiromiTobe;Sachiko Kita;Mayu Hayashi;Kaori Umeshita;Kiyoko Kamibeppu
愤怒和产后抑郁症之间的联系在以前的研究中已有报道。然而，这种关联是否由弹性介导尚不清楚。复原力是个体积极适应压力和逆境的动态过程。本研究探讨了在怀孕期间的特质愤怒和产后抑郁症之间的关联在一个month.MethodsA纵向研究从孕晚期到产后一个月使用在线自我报告问卷的中介作用，在两个产科诊所在东京进行。特质愤怒和韧性在怀孕期间和产后抑郁症在一个月的状态特质愤怒表达量表，韧性测试，爱丁堡产后抑郁量表测量。为了验证这一假设，结构方程模型被用来。最后的结构方程模型表明，在怀孕期间的弹性有一个部分的中介作用之间的关联在怀孕期间的特质愤怒和产后抑郁症在一个月。特质愤怒与怀孕期间的复原力（β =-0.28）和产后抑郁症（β = 0.24）显着相关。怀孕期间的弹性与产后抑郁症显著相关（β =-0.20）.ConclusionsThis study demonstrated，resilience during pregnancy has a partial mediating effect on the association between trait anger during pregnancy and postnatal depression at one month.研究结果强调了识别具有高特质愤怒的孕妇并提供干预措施以提高其弹性以降低产后抑郁风险的重要性。
ObjectiveThe association between anger and postnatal depression has been reported in previous studies. However, whether this association is mediated by resilience is unknown. Resilience is a dynamic process of individuals' positive adaptation to stress and adversity. This study investigated the mediating effect of resilience during pregnancy on the association between trait anger during pregnancy and postnatal depression at one-month.MethodsA longitudinal study from the third trimester to one-month postnatal using online self-report questionnaires was conducted in two maternity clinics in Tokyo. Trait anger and resilience during pregnancy and postnatal depression at one-month were measured by the State-Trait Anger Expression Inventory, resilience test, and the Edinburgh Postnatal Depression Scale. To test the hypothesis, Structural Equation Modeling was used.ResultsData of 531 participants were analyzed. The final Structural Equation Modeling model demonstrated that resilience during pregnancy had a partial mediating effect on the association between trait anger during pregnancy and postnatal depression at one-month. Trait anger was significantly associated with resilience during pregnancy (β = −0.28) and postnatal depression (β = 0.24). Resilience during pregnancy was significantly associated with postnatal depression (β = −0.20).ConclusionsThis study demonstrated that resilience during pregnancy had a partial mediating effect on the association between trait anger during pregnancy and postnatal depression at one-month. The findings highlight the importance of identifying pregnant women with high trait anger and providing interventions to enhance their resilience to decrease the risk of postnatal depression.