Associations between religiosity and perinatal anxiety symptoms among women of Mexican descent.

Associations between religiosity and perinatal anxiety symptoms among women of Mexican descent.
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DOI:
10.1016/j.jad.2021.06.066
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发表时间:
2021-11-01
影响因子:
6.6
通讯作者:
D'Anna-Hernandez KL
D'Anna-Hernandez KL
中科院分区:
医学2区
文献类型:
--
作者:
Osman KM;Lara-Cinisomo S;D'Anna-Hernandez KL

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超过一半的孕妇经历焦虑症状,但围产期心理健康存在差异。墨西哥裔妇女表现出较高程度的焦虑症状,这可能与社会文化压力源有关。然而,在这个快速增长的人口中,人们对可能防止焦虑的文化相关因素知之甚少,比如宗教信仰,这是墨西哥文化的一个重要方面。方法从当地社区诊所招募墨西哥裔孕妇197例,随访至产后。女性完成了评估宗教信仰、文化适应、文化适应压力和焦虑症状的调查。结果较高的宗教信仰水平与妊娠期间较低的焦虑症状相关,但与产后无相关性(b= -1.01,p= 0.002)。此外,在妊娠早期(R2= .13,b= - 0.12,p= .041)、妊娠中期(R2= .19,b= - 0.19,p< .001)和妊娠后期(R2= .14,b= - 0.13,p= .023)和产后6周(R2= .08,b= - 0.12, R2= .08,p= .016),宗教信仰显著缓冲了异文化压力与焦虑症状的关系。局限性:该研究仅限于墨西哥裔妇女,其他移民群体可能表现出不同的宗教信仰和焦虑症状。结论宗教信仰可能对墨西哥裔妇女的母亲焦虑有保护作用,这对文化相关的围产期干预和治疗具有重要意义。
BackgroundOver half of pregnant women experience anxiety symptoms, however perinatal mental health disparities exist. Women of Mexican descent exhibit higher levels of anxiety symptoms which may be linked to sociocultural stressors. However, little is known about culturally relevant factors that may protect against anxiety in this fast-growing population, such as religiosity, an important facet of Mexican culture.MethodsPregnant women of Mexican descent (n= 197) were recruited from a local community clinic and followed into the postpartum period. Women completed surveys assessing religiosity, acculturation, acculturative stress, and anxiety symptoms.ResultsHigher levels of religiosity were associated with lower levels of anxiety symptoms throughout pregnancy, but not postpartum (b= -1.01,p= .002). Additionally, religiosity significantly buffered the relationship between acculturative stress and anxiety symptoms during early (R2= .13,b= -.12,p= .041), mid- (R2= .19,b= -.19,p< .001) and late pregnancy (R2= .14,b= -.13,p= .023), and at six weeks postpartum (R2= .08,b= -.12, R2= .08,p= .016).LimitationsThe study was limited to women of Mexican descent and it is possible that other immigrant groups may exhibit different patterns of religiosity and anxiety symptoms.ConclusionsThese results suggest that religiosity may be protective against maternal anxiety among women of Mexican descent, which has important implications for culturally relevant perinatal interventions and treatments.
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