妊娠期压力和产前抑郁的关系:主观幸福感的中介作用
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1.南通大学公共卫生学院;2.如皋市人民医院妇产科

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南通市妇幼健康专科联盟科研立项项目


The relationship between prenatal maternal stress and antenatal depressive symptom among pregnant women:the mediating role of subjective well-beingWang Xiao-mei1 2,Wang Tian-tian1,Wang Ya-nan1,Zhong Ya-qin1
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School of Public Health, Nantong University

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    摘要:

    探究妊娠期压力对产前抑郁的影响及主观幸福感在二者间的中介作用。采用便利抽样法,以在南通市某三级乙等综合医院产科门诊产检的妊娠期女性作为研究对象,利用问卷调查研究对象的一般人口学特征,并通过《妊娠期压力量表》、《爱丁堡产后抑郁量表》、《中国城市居民主观幸福感量表》-简本(20条目)调查妊娠期女性心理状态。使用软件SPSS 27.0对数据进行描述分析及统计,并采用SPSS宏程序PROCESS进行中介效应分析。结果显示653名妊娠期女性中,抑郁发生率为34.0%,中重度产前抑郁率为9.2%;妊娠期压力越大,产前抑郁风险越高(β=0.262,P<0.001);妊娠期压力越大,主观幸福感越低(β=-0.284,P<0.001);主观幸福感越高,产前抑郁风险越低(β=-0.246,P<0.001);主观幸福感在妊娠期压力与产前抑郁关系中发挥部分中介作用,中介效应比例为26.21%。妊娠期压力显著正向预测产前抑郁,主观幸福感在妊娠期压力和产前抑郁间发挥不完全中介作用;要注重减轻妊娠期女性压力,不断提升主观幸福感,可以缓解产前抑郁情绪。

    Abstract:

    This paper explored the effect of prenatal maternal stress on antenatal depressive symptom and the mediating effect of subjective well-being. By using the convenience sampling method, pregnant women who were examined in the obstetrics outpatient department of a tertiary general hospital in Nantong were prepared for the research. The general demographic characteristics of the study subjects were investigated by questionnaires. The psychological state of pregnant women was investigated through the Pregnancy Stress Rating Scale(PSRS), Edinburgh Postpartum Depression Scale(EPDS) and Subjective Well-Being Scale for Chinese Citizen(SWBS-CC20). Data analysis was performed using the statistical software SPSS 27.0, and mediation effect analysis was performed using the SPSS macro program PROCESS. The results showed that among 653 pregnant women, the incidence of depressive symptoms was 34.0%, and the incidence of moderate to severe prenatal depressive symptom was 9.2%. The relationship between pregnancy stress, subjective well-being, and prenatal depressive symptom showed that the higher score of the stress during pregnancy, the higher risk of prenatal depressive symptom (β=0.262, P<0.001). The lower score of the stress during pregnancy, the higher risk of the subjective well-being (β=-0.284, P<0.001) and the higher level of subjective well-being was associated with a lower risk of prenatal depressive symptom (β=-0.246, P<0.001). Subjective well-being played an incompletely intermediary role in the relationship between prenatal maternal stress and antenatal depressive symptom, with the mediating effect accounted for 26.61% of the total effect. Pregnancy stress can significantly predict prenatal depressive symptom. The subjective well-being played a partial mediating role between pregnancy stress and prenatal depressive symptom. This study suggest that we should pay attention to reduce the stress during pregnancy and continuously improve subjective well-being, so as to reduce the occurrence of antenatal depressive symptom.

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  • 收稿日期:2023-03-25
  • 最后修改日期:2023-05-26
  • 录用日期:2023-05-29
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