Symptom network analysis of pregnancy stress, depressive symptoms and quality of life: a cross-sectional study of pregnant women in Xinjiang, China, 2023-2024.

IF 2.7 3区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Sufeila Shalayiding, Weicui Meng, Xiaoting Wang, Bahedana Sailike, Ting Jiang
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引用次数: 0

Abstract

Background: Pregnancy is a period of high risk for women's mental health problems, and the high prevalence and severity of pregnancy-related stress and depressive symptoms have become an important public health and social issue globally. In addition, pregnant women generally report low levels of quality of life (QoL), and there is a strong bidirectional association between QoL and mental health (pregnancy stress, depression): low QoL exacerbates the risk of mental health problems, while high QoL is protective. Despite the significant associations, existing studies have focused on specific gestational stages, single factors, or outcome effects, and there is a lack of studies examining the substantive associations and core symptoms of pregnancy stress, depressive symptoms, and quality of life across the entire gestational stage. Therefore, the aim of this study was to reveal the specific symptom network relationships and core symptoms of pregnant women's pregnancy stress, depressive symptoms and quality of life by themselves and among the three, using a network analysis methodology that integrates the early, middle and late stages of pregnancy, in order to deepen the understanding and to guide precise health interventions.

Methods: From February 2023 to January 2024, a convenience sampling method was used to conduct a cross-sectional study of 1,349 pregnant women in a tertiary hospital in the Xinjiang Uygur Autonomous Region of China using the Patient Health Questionnaire Depressive Symptom Cluster and the Stress in Pregnancy and Health-Related Quality of Life Scale, to construct a network to perform network estimation, and to determine core nodes of the network structure based on the centrality indexes.

Results: Maternal pregnancy stress score (1.71 ± 0.55), depressive symptoms (15.36 ± 4.70), and quality of life had the highest social functioning score (74.45 ± 12.63) and the lowest physical functioning score (65.18 ± 26.75). There was a statistically significant difference in depressive symptoms among pregnant women with different literacy levels, living environments, types of occupation, gestational cycles, number of fetuses and sleep (P < 0.05), pregnancy stress among pregnant women with different ages, living environments, total monthly family income, gestational cycles, number of fetuses and sleep (P < 0.05), and the quality of life among pregnant women with different gestational cycles (P < 0.05). In the network of maternal pregnancy stress and depressive symptoms, "difficulty sleeping, restlessness, or sleeping too much" had the strongest correlation with "feelings of stress stemming from ensuring the health and safety of the mother and child" (egde = 0.07), and in the network of depression and quality of life "Irritability, fidgeting, moving around to the point where others perceive individual behavior or talking slowly" had the strongest correlation with "affective functioning" (egde = -0.07); In the stress and quality of life network was the strongest correlation with "affective function" (egde = -0.05); "other factors" was the core symptom of the whole network.

Conclusion: This study suggests that psychological intervention programs for pregnant women should focus on increasing their confidence in taking care of their children and becoming competent mothers, fostering the spirit of "teamwork" between husband and wife, and improving the quality of life and mental health of pregnant women.

妊娠应激、抑郁症状与生活质量的症状网络分析:2023-2024年新疆孕妇的横断面研究
背景:妊娠期是妇女心理健康问题的高发期,妊娠相关压力和抑郁症状的高发和严重程度已成为全球重要的公共卫生和社会问题。此外,孕妇普遍报告生活质量(QoL)水平较低,并且生活质量与心理健康(妊娠压力、抑郁)之间存在很强的双向关联:低生活质量加剧了心理健康问题的风险,而高生活质量则具有保护作用。尽管存在显著的关联,但现有的研究主要集中在特定的妊娠阶段、单因素或结果影响上,缺乏对整个妊娠阶段妊娠压力、抑郁症状和生活质量的实质性关联和核心症状的研究。因此,本研究旨在通过结合妊娠早、中、后期的网络分析方法,揭示孕妇妊娠应激、抑郁症状与生活质量三者自身及三者之间的具体症状网络关系及核心症状,以加深认识,指导精准的健康干预。方法:采用便利抽样方法,于2023年2月至2024年1月,采用《患者健康问卷抑郁症状聚类》和《孕期压力与健康相关生活质量量表》对新疆维吾尔自治区某三级医院1349名孕妇进行横断面研究,构建网络进行网络估计,并根据中心性指标确定网络结构的核心节点。结果:产妇妊娠压力评分(1.71±0.55)分、抑郁症状评分(15.36±4.70)分、生活质量评分最高的是社会功能评分(74.45±12.63)分,最低的是身体功能评分(65.18±26.75)分。不同文化程度、生活环境、职业类型、妊娠周期、胎数、睡眠时间的孕妇抑郁症状差异有统计学意义(P)。本研究建议孕妇心理干预方案应著重于增强孕妇照顾孩子和成为称职母亲的信心,培养夫妻“团队精神”,改善孕妇的生活质量和心理健康。
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
BMC Psychology
BMC Psychology Psychology-Psychology (all)
CiteScore
3.90
自引率
2.80%
发文量
265
审稿时长
24 weeks
期刊介绍: BMC Psychology is an open access, peer-reviewed journal that considers manuscripts on all aspects of psychology, human behavior and the mind, including developmental, clinical, cognitive, experimental, health and social psychology, as well as personality and individual differences. The journal welcomes quantitative and qualitative research methods, including animal studies.
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