The moderating impact of personal and collective resilience resources on postpartum depression in conflict-affected environments

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-04-17 DOI:10.1016/j.midw.2025.104425

Tsofia Zelis, Stav Shapira

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引用次数: 0

Abstract

Background

Women exposed to conflict are at greater risk of experiencing adverse mental health impacts, and women in the postpartum period may face additional distress and heightened risk. Resilience resources, known to mitigate the impacts of stressful events, could offer protection to these new mothers. The current study aimed to assess whether conflict exposure was associated with greater postpartum depression symptoms, and whether three distinct resilience resources – personal resilience, community resilience, and social support – would moderate this association among women highly exposed to an ongoing conflict.

Methods

This comparative cross-sectional study included 110 women from regions with high conflict exposure near the Israel-Gaza border and 210 women from areas with lower conflict exposure of Israel. Depression symptoms were evaluated six months postpartum, alongside measures of conflict exposure and personal and collective resilience resources. Multiple linear regression analyses tested the hypotheses.

Results

Higher conflict exposure was not associated with increased postpartum depression symptoms. Instead, all resilience resources showed a negative association with depression symptoms. Notably, community resilience significantly moderated the effect of conflict exposure on postpartum depression among highly exposed women, after adjusting for personal characteristics.

Limitations

The study's cross-sectional design and reliance on online data collection may have introduced a selection bias.

Conclusions

These findings underscore the critical protective role of community resilience for new mothers in conflict-laden regions. They indicate the importance of mental health interventions that bolster not just individual resilience but also community support, and suggest a shift toward more integrative, community-focused approaches in addressing mental health challenges in such settings.

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个人和集体复原力资源对受冲突影响环境中产后抑郁症的调节作用

面临冲突的妇女更有可能遭受不利的心理健康影响，产后妇女可能面临额外的痛苦和更高的风险。众所周知，恢复力资源可以减轻压力事件的影响，可以为这些新妈妈提供保护。目前的研究旨在评估冲突暴露是否与更严重的产后抑郁症状有关，以及三种不同的恢复力资源——个人恢复力、社区恢复力和社会支持——是否会缓和高度暴露于持续冲突的妇女之间的这种关联。方法本比较横断面研究包括来自以色列-加沙边境冲突高暴露地区的110名妇女和来自以色列冲突低暴露地区的210名妇女。产后6个月评估抑郁症状，同时测量冲突暴露和个人和集体恢复力资源。多元线性回归分析检验了假设。结果高冲突暴露与产后抑郁症状的增加无关。相反，所有恢复力资源都与抑郁症状呈负相关。值得注意的是，在调整了个人特征后，社区弹性显著调节了冲突暴露对高冲突暴露妇女产后抑郁的影响。局限性：该研究的横断面设计和对在线数据收集的依赖可能导致了选择偏差。这些发现强调了社区复原力对冲突地区新妈妈的关键保护作用。他们指出了心理健康干预的重要性，不仅可以增强个人的恢复能力，还可以增强社区的支持，并建议在应对此类环境中的心理健康挑战时转向更加综合的、以社区为中心的方法。

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.