Prenatal Mental Health and Its Stress-Process Mechanisms During a Pandemic Lockdown: A Moderated Parallel Mediation Model.

IF 1.8 4区 医学 Q3 PSYCHIATRY
Psychiatry Investigation Pub Date : 2025-03-01 Epub Date: 2025-03-18 DOI:10.30773/pi.2024.0205
Man Jiang, Lei Chen, Nan Tuo, Dongjian Yang, Shimeng Liu, Zhen Huang
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引用次数: 0

Abstract

Objective: Hundreds of countries have implemented lockdown policies to slow the spread of coronavirus disease-2019 (COVID-19), but the impact of these measures on maternal mental health is not well understood.

Methods: This study integrated a stress-process model to examine the pathways from lockdown-related stressors to prenatal psychological outcomes, with COVID-19 coping strategies (COP) and self-efficacy in managing negative affect (NEG) as mediators and lockdown duration, hours on pandemic-related information, and number of pregnancies as moderators. Pregnant women in Shanghai completed the Regulatory Emotional Self-Efficacy Scale, COVID-19 Coping Scale, Depression, Anxiety, and Stress Scale-21. Structural equation modeling (SEM) was used to test and modify the hypothetical model, and moderated mediation and slope analyses were undertaken.

Results: In the final SEM demonstrating satisfactory fit, three stressors-decreased household income, insufficient daily supplies, and acquired infections-showed positive direct relationships with NEG and COP. Acquired infections, NEG, and COP were identified as direct predictors of mental health outcomes. The relationship between these three stressors and mental health was mediated by NEG and COP. Additionally, the number of pregnancies moderated the mediating effect of COP; this effect was more pronounced among first-time pregnant women than those with multiple pregnancies.

Conclusion: This study provides insights into how lockdown measures impact psychological outcomes in pregnant women quarantined at home. Interventions aimed at increasing coping strategies may be more effective for primiparous women during future public health emergencies.

大流行封锁期间产前心理健康及其应激过程机制:一个有调节的平行中介模型。
目的:数百个国家实施了封锁政策,以减缓2019冠状病毒病(COVID-19)的传播,但这些措施对孕产妇心理健康的影响尚不清楚。方法:本研究整合了一个压力过程模型,以COVID-19应对策略(COP)和管理负面影响的自我效能感(NEG)为中介,以封锁持续时间、获取大流行相关信息的时间和怀孕次数为调节因子,研究了封锁相关压力源到产前心理结果的途径。上海市孕妇完成调节情绪自我效能量表、COVID-19应对量表、抑郁、焦虑和压力量表-21。采用结构方程模型(SEM)对假设模型进行检验和修正,并进行了有调节的中介和斜率分析。结果:在最终的SEM中,家庭收入减少、日常供应不足和获得性感染这三个压力因素与NEG和COP呈直接正相关。获得性感染、NEG和COP被确定为心理健康结果的直接预测因子。这三种应激源与心理健康的关系是由NEG和COP介导的。怀孕次数对COP的中介作用有调节作用;这种影响在第一次怀孕的妇女中比多次怀孕的妇女更明显。结论:本研究为禁闭措施如何影响在家隔离的孕妇的心理结果提供了见解。旨在增加应对策略的干预措施可能在未来突发公共卫生事件中对初产妇更为有效。
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
CiteScore
4.10
自引率
3.70%
发文量
105
审稿时长
6-12 weeks
期刊介绍: The Psychiatry Investigation is published on the 25th day of every month in English by the Korean Neuropsychiatric Association (KNPA). The Journal covers the whole range of psychiatry and neuroscience. Both basic and clinical contributions are encouraged from all disciplines and research areas relevant to the pathophysiology and management of neuropsychiatric disorders and symptoms, as well as researches related to cross cultural psychiatry and ethnic issues in psychiatry. The Journal publishes editorials, review articles, original articles, brief reports, viewpoints and correspondences. All research articles are peer reviewed. Contributions are accepted for publication on the condition that their substance has not been published or submitted for publication elsewhere. Authors submitting papers to the Journal (serially or otherwise) with a common theme or using data derived from the same sample (or a subset thereof) must send details of all relevant previous publications and simultaneous submissions. The Journal is not responsible for statements made by contributors. Material in the Journal does not necessarily reflect the views of the Editor or of the KNPA. Manuscripts accepted for publication are copy-edited to improve readability and to ensure conformity with house style.
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