Multiple domains of stress predict postpartum depressive symptoms in low-income Mexican American women: the moderating effect of social support
Multiple domains of stress predict postpartum depressive symptoms in low-income Mexican American women: the moderating effect of social support
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DOI：
10.1007/s00737-016-0649-x
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发表时间：
2016-12-01
影响因子：
4.5
通讯作者：
Crnic, K. A.
中科院分区：
文献类型：
--
作者：
Coburn, Shayna S.;Gonzales, N. A.;Crnic, K. A.
产前压力可能对妇女分娩后的心理健康产生持久影响。负面影响可能在低收入和少数民族背景的妇女中特别突出，她们患产后抑郁症的风险增加。然而，社会支持可能有可能减轻压力的负面影响。本研究评估了269名墨西哥裔美国妇女（年龄18-42岁; 83%讲西班牙语;中位收入10，000 - 15，000美元）的产前压力（日常麻烦，家庭压力，伴侣压力和特定文化压力）与产后6周抑郁症状的关系。产前社会支持作为缓冲产前压力的影响进行了研究。伴侣压力、家庭压力和日常琐事是抑郁症状的唯一预测因素。中等和高水平的社会支持减弱了由于家庭压力而导致的抑郁风险。产前人际和日常压力对妇女出生后的心理健康产生负面影响，但社会支持可以减轻这些影响。在墨西哥裔美国孕妇中，有效的人际支持和压力管理可能与降低产后抑郁症的风险有关。
Prenatal stress can have a lasting effect on women's mental health after childbirth. The negative effects may be particularly salient in women from low income and ethnic minority backgrounds, who are at increased risk for postpartum depression. However, social support may have the potential to attenuate the negative impact of stress. The present study evaluated 269 Mexican American women (ages 18-42; 83 % Spanish-speaking; median income $10,000-$15,000) for prenatal stress (daily hassles, family stress, partner stress, and culture-specific stress) in relation to depressive symptoms 6 weeks postpartum. Prenatal social support was examined as a buffer against the impact of prenatal stress. Partner stress, family stress, and daily hassles uniquely predicted depressive symptoms. Moderate and high levels of social support attenuated risk for depression due to family stressors. Prenatal interpersonal and daily stressors negatively impact the mental health of women after birth, but social support can mitigate some of these effects. Among Mexican American pregnant women, effective interpersonal support and stress management may be associated with reduced risk for postpartum depression.