Perceived stress and prenatal depression symptoms among couples with gestational diabetes mellitus: The mediating role of dyadic coping

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2024-09-24 DOI:10.1016/j.midw.2024.104190

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引用次数: 0

Abstract

Problem

No studies have been conducted to examine the relationships between perceived stress, positive/negative dyadic coping, and prenatal depression symptoms in Chinese couples with gestational diabetes mellitus (GDM).

Background

GDM is a stressful event for pregnant women and their partners, which may result in clinically significant prenatal depression symptoms in couples.

Aim

This study aims to examine the relationships and differences in perceived stress, positive/negative dyadic coping, and prenatal depression symptoms between Chinese pregnant women with GDM and their partners and to explore the mediating role of positive/negative dyadic coping.

Methods

A cross-sectional study was conducted in Guangzhou, China, from January to October 2021. 402 pairs of GDM couples completed the questionnaires, including the Edinburgh Postnatal Depression Scale, the Chinese version of the Dyadic Coping Inventory, and the Perceived Stress Scale. Dyadic data was analyzed using the actor-partner interdependence mediation model.

Findings

37.6 % of pregnant women with GDM and 24.6 % of their partners experienced clinically significant prenatal depression symptoms. Depression symptoms in couples mutually influence each other. Perceived stress was directly or indirectly related to their and partners’ prenatal depression symptoms in GDM couples, with negative dyadic coping acting as a mediator. Maternal negative dyadic coping was also a partner-mediator.

Discussion

The findings of the present study may provide healthcare professionals with a better understanding of the effect of the interpersonal interaction between the couples as a dyad on prenatal depression symptoms in Chinese context.

Conclusion

There were intrapersonal and interpersonal associations among perceived stress, negative dyadic coping, and prenatal depression symptoms in pregnant women with GDM and their partners. It suggests a need for screening clinically significant prenatal depression symptoms and decreasing perceived stress and negative dyadic coping among couples with GDM with a focus on pregnant women with GDM.

查看原文本刊更多论文

妊娠糖尿病夫妇感知到的压力与产前抑郁症状：夫妻应对的中介作用

问题目前还没有研究探讨中国妊娠期糖尿病（GDM）夫妇的感知压力、积极/消极的夫妇应对方式与产前抑郁症状之间的关系。本研究旨在探讨中国 GDM 孕妇及其伴侣在感知到的压力、积极/消极的夫妻应对方式和产前抑郁症状之间的关系和差异，并探讨积极/消极的夫妻应对方式的中介作用。402对GDM夫妇填写了问卷，包括爱丁堡产后抑郁量表、中文版夫妻应对量表和感知压力量表。研究结果37.6%的GDM孕妇及其24.6%的伴侣在临床上有明显的产前抑郁症状。夫妻双方的抑郁症状相互影响。GDM夫妇所感受到的压力与他们及其伴侣的产前抑郁症状有直接或间接的关系，而消极的夫妻关系则是其中的一个中介。讨论本研究的结果可使医护人员更好地了解在中国背景下夫妇作为一个双人组合的人际互动对产前抑郁症状的影响。结论GDM孕妇及其伴侣的感知压力、负性双人应对和产前抑郁症状之间存在个人内和个人间的关联。这表明有必要对有临床意义的产前抑郁症状进行筛查，并减少GDM夫妇的感知压力和消极的夫妻应对方式，重点关注GDM孕妇。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.