Associations of social support and stress with postpartum maternal mental health symptoms: Main effects, moderation, and mediation.
Associations of social support and stress with postpartum maternal mental health symptoms: Main effects, moderation, and mediation.
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DOI：
10.1080/03630242.2016.1181140
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发表时间：
2017-07
期刊：
影响因子：
1.6
通讯作者：
Ashida S
中科院分区：
文献类型：
--
作者：
Schwab-Reese LM;Schafer EJ;Ashida S
产后期间产妇心理健康状况不佳会对母亲、婴儿和家庭的健康产生重大影响。横断面研究的结果表明，压力和社会支持与产妇的心理健康有关。本研究通过使用纵向数据和研究这些因素之间的适度和调解，有助于文献。在2012-2013年，母亲完成了评估压力，社会支持，抑郁和焦虑症状出生后（n=125），三个月（n=110）和六个月（n=99）后。我们研究了时间的关联，适度和调解的社会支持压力和产后抑郁和焦虑症状之间的关系，使用修改后的泊松回归模型和反事实的调解方法。当前的压力和社会支持水平与抑郁和焦虑症状相关，无论是独立的还是在多个时间点一起考虑的。社会支持没有强烈的缓和或调解压力和产妇心理健康之间的关系。干预措施，以减少目前的压力和增加社会支持的母亲在产后期间可能有助于改善产妇的心理健康症状。需要不断努力评估母亲目前的需要。
Poor maternal mental health during the postpartum period can have significant effects on the health of mothers, infants, and families. The findings from cross-sectional studies suggest that stress and social support are related to maternal mental health. This study contributes to the literature through the use of longitudinal data and examining moderation and mediation among these factors. In 2012–2013, mothers completed surveys assessing stress, social support, and depressive and anxiety symptoms following birth (n=125), and three (n=110) and six months (n=99) after birth. We examined temporal associations, moderation, and mediation of social support on the relationship between stress and postpartum depressive and anxiety symptoms using modified Poisson regression models and the counterfactual approach to mediation. Current levels of stress and social support were associated with depressive and anxiety symptoms, both independently and when considered together at multiple time points. Social support did not strongly moderate or mediate the relationships between stress and maternal mental health. Interventions to reduce current perceptions of stress and increase social support for mothers during the postpartum period may help improve maternal mental health symptoms. Efforts are needed to assess the current needs of mothers continuously.
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DOI：
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发表时间：
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期刊：
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通讯作者：
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