Relationship with the Father of the Baby and Pregnancy-Related Anxiety among Pregnant Black Women.
Relationship with the Father of the Baby and Pregnancy-Related Anxiety among Pregnant Black Women.
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DOI：
10.1097/nmc.0000000000000830
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发表时间：
2022-07-01
影响因子：
2.4
通讯作者：
Giurgescu, Carmen
中科院分区：
文献类型：
--
作者：
Hyer, Suzanne;Hu, Wenfang;Hu, Mengtong;Davis, Jean W.;Xie, Rui;Giurgescu, Carmen
与怀孕有关的焦虑可能会增加早产的风险。有效的应对策略和社会支持可能有助于减少与怀孕有关的焦虑。横截面数据的二次分析。408名怀孕的非西班牙裔黑人妇女在怀孕19周和31周之间完成了问卷调查。采用结构方程模型的中介作用分析探讨与孩子父亲的关系对孕妇妊娠焦虑的影响。婴儿父亲的支持与回避应对（r=-0.22，p<.001）和妊娠相关焦虑（r=-0.17，p<.001）呈负相关，而与婴儿父亲的冲突与回避应对（r= 0.37，p<.001）和妊娠相关焦虑（r= 0.29，p<.001）呈正相关。回避应对与妊娠相关焦虑呈正相关（r= 0.34，p<0.001）。调整后，回避应对部分介导的冲突与父亲的婴儿怀孕相关的焦虑的影响。与妇女讨论妊娠相关焦虑的管理应考虑她目前的社会支持和应对机制。提供者应提供关于适应性应对战略的支持和资源。
Pregnancy-related anxiety may increase the risk of preterm birth. Effective coping strategies and social support may help minimize pregnancy-related anxiety. Secondary analysis of cross-sectional data. A sample of 408 pregnant non-Hispanic Black women completed questionnaires between 19- and 31-weeks gestation. Mediation analysis with structural equation modeling was used to explore effects of the relationship with the father of the baby on pregnancy-related anxiety. Support from the father of the baby was negatively associated with avoidance coping (r=−.22, p<.001) and pregnancy-related anxiety (r= −.17, p<.001) while conflict with the father of the baby was positively associated with avoidance coping (r=.37, p<.001) and pregnancy-related anxiety (r=.29, p<.001). Avoidance coping was positively associated with pregnancy-related anxiety (r=.34, p<.001). After adjustment, avoidance coping partially mediated the effect of conflict with the father of the baby on pregnancy-related anxiety. Discussions with women about management of pregnancy-related anxiety should consider her current social support and coping mechanisms. Providers should offer support and resources on adaptive coping strategies.