Protecting mothers against posttraumatic stress symptoms related to childbirth: What's the role of formal and informal support?

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2024-11-16 DOI:10.1016/j.midw.2024.104236

Ana Beato , Stephanie Alves , Burcu Kömürcü Akik , Sara Albuquerque

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引用次数: 0

Abstract

Background and objectives

The risk and protective factors of posttraumatic stress symptoms related to childbirth (CB-PTSD) have been recently investigated. Although the general support received by the mothers is considered to play a positive role, the precise function of each type of support is still misunderstood. This study aimed to ascertain whether forms of informal and formal support better predict CB-PTSD symptoms and whether adverse delivery experiences and prior psychological issues moderated this relationship.

Methods

526 mothers of infants (< 24 months) completed an online survey containing the Modified Perinatal Post-Traumatic Stress Disorder Questionnaire, the Depression, Anxiety, and Stress Scale-21, and items that evaluated various sources of support.

Results

Findings showed that satisfaction with support received from friends and during hospital stay contributed negatively to CB-PTSD symptoms, regardless of other forms of formal and informal support. Overall, the conditional effects revealed that less satisfaction with distinct forms of formal support was associated with more CB-PTSD symptoms among mothers with a high or moderate history of psychological problems. Adverse delivery experiences moderated the relationships between satisfaction with support during childbirth and hospital stay and CB-PTSD symptoms through a similar pattern.

Conclusions

The findings highlight the importance of specific forms of support and contextual factors in preventing CB-PTSD.

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保护母亲免受与分娩有关的创伤后应激症状：正式和非正式支持的作用是什么？

背景与目的近年来对分娩相关创伤后应激症状（CB-PTSD）的危险因素和保护因素进行了研究。虽然母亲得到的一般支持被认为发挥了积极作用，但每种支持的确切功能仍然被误解。本研究旨在确定非正式和正式支持的形式是否能更好地预测CB-PTSD症状，以及不良交付经历和先前的心理问题是否会调节这种关系。方法526例新生儿母亲(<；24个月)完成了一项在线调查，包括修改围产期创伤后应激障碍问卷，抑郁，焦虑和压力量表-21，以及评估各种支持来源的项目。结果发现，无论其他形式的正式和非正式支持，从朋友和住院期间获得的支持满意度对CB-PTSD症状有负向影响。总的来说，条件效应显示，在有高或中度心理病史的母亲中，对不同形式的正式支持的满意度较低与更多的CB-PTSD症状相关。不良分娩经历通过类似的模式调节了分娩支持满意度、住院时间和CB-PTSD症状之间的关系。结论研究结果强调了特定形式的支持和环境因素在预防CB-PTSD中的重要性。

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.