Path analysis associations between perceived social support, stressful life events and other psychosocial risk factors during pregnancy and preterm delivery.
Path analysis associations between perceived social support, stressful life events and other psychosocial risk factors during pregnancy and preterm delivery.
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DOI：
10.5812/ircmj.11271
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发表时间：
2013-06
影响因子：
0.4
通讯作者：
Mahmoodi Z
中科院分区：
文献类型：
--
作者：
Mirabzadeh A;Dolatian M;Forouzan AS;Sajjadi H;Majd HA;Mahmoodi Z
尽管已经确定了早产的几个社会医学危险因素，但在理解早产的潜在病因方面存在差距。本研究旨在探讨妊娠期社会支持感、应激性生活事件及其他心理社会危险因素与早产发生率的关系。在德黑兰的四家医院进行的一项前瞻性队列研究中，对500名妊娠第24至28周的孕妇进行了研究。他们填写了一份关于社会支持、抑郁、焦虑、压力和压力性生活事件的自我报告问卷。还评估了社会人口学特征。随访至临产，产后收集母婴相关资料。采用SPSS 16和Lisrel8.8软件包进行通径分析。最终路径模型拟合良好（CFI = 0.96; RMSEA = 0.064）。结果表明，抑郁、焦虑、应激（β = -0.18）和应激性生活事件（β= -0.0396）对分娩孕周有直接预测作用。领悟社会支持直接通过社会经济地位（β=0.25）和间接通过压力、抑郁和焦虑（β= -0.26）影响出生胎龄（β= 0.0468）。目前的研究表明，支持孕妇缓和心理问题，如压力，焦虑和抑郁，从而减少早产。
Although several socio-medical risk factors have been identified for preterm labor, there is a gap in understanding the underlying etiology of preterm labor. The current study aimed to analyze the relationship pathway of perceived social support, stressful life events, and other psychosocial risk factors during pregnancy with incidence of preterm labor. In a prospective cohort study in four hospitals in Tehran, 500 pregnant women in their 24th to 28th gestational weeks were studied. They filled out a self-report questionnaire on perceived social support, depression, anxiety, stress and stressful life events. Sociodemographic characteristics were also assessed. The participants were followed up until labor, and the data about mother and the newborn were collected after labor. The data were analyzed by SPSS 16 and Lisrel 8.8 software programs using pathway analysis. The final path model fit well (CFI = 0.96; RMSEA = .064). The results showed that depression, anxiety, and stress (β = -0.18) directly, and stressful life events indirectly (β= -0.0396) had the most predict on gestational age at labor. Perceived social support, directly through socioeconomic status (β=0.25), and indirectly through stress, depression and anxiety (β= -0.26) affected the gestational age at birth (β= 0.0468). The current study showed that supporting pregnant mother moderates psychological problems such as stress, anxiety, and depression, and hence reduces preterm labor.
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DOI：
10.5539/gjhs.v5n1p52
发表时间：
2012-11-04
期刊：
Global journal of health science
影响因子：
--
作者：
Dolatian M;Mirabzadeh A;Forouzan AS;Sajjadi H;Alavi Majd H;Moafi F
通讯作者：
Moafi F
影响因子：
2.7
作者：
Latendresse, Gwen
通讯作者：
Latendresse, Gwen
影响因子：
4.5
作者：
Ghosh, Jo Kay C.;Wilhelm, Michelle H.;Dunkel-Schetter, Christine;Lombardi, Christina A.;Ritz, Beate R.
通讯作者：
Ritz, Beate R.
影响因子：
4.4
作者：
Coventry, WL;Gillespie, NA;Martin, NG
通讯作者：
Martin, NG
影响因子：
4.7
作者：
HOLMES, TH;RAHE, RH
通讯作者：
RAHE, RH