The Role of Maternal Perceived Social Support on the Relation Between Prenatal Depressive Symptoms and Labor Experience

IF 1.3 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
F. Tani, Simon Ghinassi, L. Ponti
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Abstract

Abstract. Background: Depression during pregnancy is a severe risk factor for negative outcomes in women and children. In particular, prenatal symptoms of depression are linked to a more complicated labor experience, characterized by more painful labor and more frequent recourse to epidural analgesia and/or oxytocin. Although this link is evident, less is known about possible mediators of this relationship. Aims: This study investigated the mediating role of perceived maternal social support on the relationship between prenatal maternal depression and labor experience. Methods: Participants were 152 Italian nulliparous women ( Mage = 31.68 years, SD = 4.94). Data were collected at two different times: T1 (at week 30–33 of gestation) women completed the Beck Depression Inventory and the Maternal Social Support Scale; T2 (at childbirth) clinical data regarding labor was registered from hospital records (duration of labor in hours and administration of oxytocin and epidural analgesia in hours). Results: The Structural Equation Modeling showed that prenatal symptoms of depression are linked to a more complicated labor experience (β = .31, p < .001). However, the quality of the maternal social support can mediate this relationship (indirect effect: β = .17, p < .000). Limitations: The complexity of the proposed model, the characteristics of the sample, the variables investigated, and the questionnaires used are discussed. Conclusion: The perception of having a good social network is an important predictor of women’s health in the transition to motherhood, decreasing the negative effect of maternal prenatal depressive symptoms on the quality of women’s labor experience.
母亲感知社会支持在产前抑郁症状与分娩经验关系中的作用
摘要背景:妊娠期抑郁是妇女和儿童不良结局的严重危险因素。特别是,产前抑郁症状与更复杂的分娩经历有关,其特点是分娩更痛苦,更频繁地求助于硬膜外镇痛和/或催产素。虽然这种联系是显而易见的,但对这种关系的可能中介知之甚少。目的:本研究探讨知觉母亲社会支持在产前母亲抑郁与分娩体验之间的中介作用。方法:研究对象为152名意大利未生育妇女(年龄31.68岁,SD = 4.94)。在两个不同的时间收集数据:T1(妊娠30-33周)妇女完成贝克抑郁量表和产妇社会支持量表;T2(分娩时)从医院记录中登记有关分娩的临床数据(分娩持续时间(小时)和催产素和硬膜外镇痛的使用(小时))。结果:结构方程模型显示,产前抑郁症状与更复杂的分娩经历有关(β = .31, p < .001)。然而,母亲的社会支持质量可以中介这种关系(间接效应:β = 0.17, p < .000)。局限性:所提出的模型的复杂性,样本的特征,调查的变量和使用的问卷进行了讨论。结论:良好的社会网络感知是产妇转产过程中健康状况的重要预测因子,降低了产妇产前抑郁症状对产妇分娩体验质量的负面影响。
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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
29
期刊介绍: Die "Zeitschrift für Gesundheitspsychologie" wurde gegründet, um dem raschen Anwachsen gesundheitspsychologischer Forschung sowie deren Relevanz für verschiedene Anwendungsfelder gerecht zu werden. Gesundheitspsychologie versteht sich als wissenschaftlicher Beitrag der Psychologie zur Förderung und Erhaltung von Gesundheit, zur Verhütung und Behandlung von Krankheiten, zur Bestimmung von Risikoverhaltensweisen, zur Diagnose und Ursachenbestimmung von gesundheitlichen Störungen sowie zur Verbessung des Systems gesundheitlicher Vorsorge.
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