The mediating role of resilience and sleep quality between self-efficacy and prenatal anxiety: A mediational analysis

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-02-01 DOI:10.1016/j.midw.2024.104272

Yanchi Wang , Jian Gu , Feng Zhang , Xujuan Xu

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引用次数: 0

Abstract

Background and objective

During pregnancy, prenatal anxiety is one of the most common mental disorders that women experience. This study aims to assess the prevalence of prenatal anxiety among Chinese pregnant women and explore the parallel mediating role of resilience and sleep quality in the relationship between self-efficacy and prenatal anxiety.

Methods

Between February and June 2023, a total of 1071 pregnant women were recruited from three hospitals in Nantong, Jiangsu Province, China, using a convenience sampling method. The participants completed general survey questionnaires and were assessed using the Depression Anxiety Stress Scale-21, the Pittsburgh Sleep Quality Index, the 10-item Connor–Davidson Resilience Scale, and the Chinese version of the General Self-Efficacy Scale. In addition, a hierarchical multiple regression analysis was employed to investigate the relevant and mediating factors of prenatal anxiety. This study utilized a structural equation model to examine the mediating role of resilience and sleep quality in the relationship between self-efficacy and prenatal anxiety.

Results

Multivariate regression analysis showed that self-efficacy, resilience, and sleep quality were associated with prenatal anxiety (P < 0.05). The results of the mediation analysis indicated that resilience and sleep quality acted as fully mediators between self-efficacy and prenatal anxiety. The mediating effect of resilience was -1.8970 (95% CI -2.5259 to -1.3145), accounting for 72.07% of the total effect, and the mediating effect of sleep quality was -0.5482 (95% CI -0.7450 to -0.3726), accounting for 20.83% of the total effect. While self-efficacy accounted for 7.10% of the total effect (P = 0.5625), resilience, and sleep quality fully mediated prenatal anxiety.

Conclusion

In Chinese pregnant women, the study revealed that sleep quality and resilience played a fully mediating role in the impact of self-efficacy on symptoms of prenatal anxiety. This suggests that enhancing resilience, improving sleep quality, and promoting self-efficacy may help alleviate symptoms of prenatal anxiety.

查看原文本刊更多论文

心理弹性和睡眠质量在自我效能感与产前焦虑之间的中介作用：一项中介分析。

背景与目的：在怀孕期间，产前焦虑是女性最常见的精神障碍之一。本研究旨在评估中国孕妇产前焦虑的发生率，并探讨弹性和睡眠质量在自我效能感与产前焦虑的关系中的平行中介作用。方法：采用方便抽样法，于2023年2月至6月从江苏省南通市三家医院抽取孕妇1071例。参与者完成一般调查问卷，并使用抑郁焦虑压力量表-21、匹兹堡睡眠质量指数、10项康诺-戴维森弹性量表和中文版一般自我效能量表进行评估。此外，采用分层多元回归分析探讨产前焦虑的相关因素和中介因素。本研究采用结构方程模型检验心理弹性和睡眠质量在自我效能感与产前焦虑之间的中介作用。结果：多因素回归分析显示，自我效能感、心理弹性、睡眠质量与产前焦虑相关（P < 0.05）。中介分析结果表明，弹性和睡眠质量在自我效能感和产前焦虑之间起完全中介作用。弹性的中介效应为-1.8970 (95% CI -2.5259 ~ -1.3145)，占总效应的72.07%；睡眠质量的中介效应为-0.5482 (95% CI -0.7450 ~ -0.3726)，占总效应的20.83%。而自我效能感占总效应的7.10% (P = 0.5625)，弹性和睡眠质量完全介导产前焦虑。结论：在中国孕妇中，睡眠质量和恢复力在自我效能感对产前焦虑症状的影响中发挥了充分的中介作用。这表明增强适应力、改善睡眠质量和提高自我效能可能有助于减轻产前焦虑的症状。

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.