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南京医科大学学报（社会科学版）京医科大学学报（社会科学版）
第3期 总第116期 南
2023年6月 Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） · 259 ·
Journal

The relationship between prenatal maternal stress and antenatal

depressive symptom among pregnant women：the mediating role of
subjective well⁃being

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1
1，2
WANG Xiaomei ，WANG Tiantian ，WANG Yanan ，ZHONG Yaqin 1
1. School of Public Health，Nantong University，Nantong 226019；2. Department of Gynaecology and Obstetrics，Rugao People’s
Hospital，Nantong 226500，China
Abstract：This paper explored the impact of prenatal maternal stress on antenatal depressive symptoms and
the mediating effect of subjective well⁃being. By using the convenience sampling method，this paper adopted
pregnant women in the obstetrics outpatient department of a general tertiary hospital in Nantong as samples and
investigated their general demographic characteristics through questionnaires. The paper utilized the Pregnancy
Stress Rating Scale（PSRS），Edinburgh Postpartum Depression Scale（EPDS）and Subjective Well⁃being Scale
for Chinese Citizens（SWBS⁃CC20）to measure their psychological state. This paper used the statistical software
SPSS 27.0 for descriptive analysis and adopted SPSS macro program PROCESS for mediation effect analysis.
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 symptoms was 9.2%. The relationship between pregnancy
stress，subjective well ⁃ being，and prenatal depressive symptom showed that the higher the stress during
pregnancy，the higher risk of prenatal depressive symptoms（β=0.262，P<0.001）with lower subjective well⁃being
（β=-0.284，P<0.001）. The higher the subjective well⁃being，the lower the risk of having antenatal depressive
symptoms （β =- 0.246，P<0.001）. Subjective well ⁃ being partially mediated the relationship between prenatal
maternal stress and antenatal depressive symptom，with the mediating effect accounting for 26.21% of the total
effect. Prenatal maternal stress significantly and positively predicted antenatal depressive symptoms. This study
suggests that we should focus on reducing prenatal maternal stress and continuously improving subjective well⁃
being to alleviate the occurrence of antenatal depressive symptom.
Key words：prenatal maternal stress（PMS）；antenatal depressive symptom；subjective well ⁃ being；
mediating effect