以色列阿拉伯妇女产后抑郁症状风险升高：母亲角色满意度和心理灵活性的作用

IF 3.2 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2025-09-18 DOI:10.1016/j.jpsychires.2025.09.026

Samah Mahamid , Miriam Chasson

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引用次数: 0

摘要

目的：少数民族妇女产后抑郁症状（PPDS）更为普遍，但造成这种差异的心理过程，特别是潜在的保护因素，仍未得到充分的了解。本研究以Lazarus和Folkman（1984）的压力与应对模型为指导，考察了以色列犹太母亲和阿拉伯母亲的角色满意度和心理灵活性对产后发展的影响。此外，我们还测试了母亲角色满意度是否介导了种族与PPDS之间的关系，以及心理灵活性是否调节了种族与PPDS之间的关系。方法通过社交媒体方便抽样，在以色列对476名产后妇女（288名犹太妇女，188名阿拉伯妇女）进行横断面研究。参与者完成了有效的希伯来语或阿拉伯语问卷，评估PPDS，母亲角色满意度和心理灵活性。分析包括t检验、相关性、层次回归和检验中介和调节效应的条件过程分析。结果阿拉伯裔母亲的产后抑郁指数和角色满意度均高于犹太裔母亲。此外，23.9%的阿拉伯母亲和9.7%的犹太母亲的产后抑郁症得分高于临床分界线。母亲角色满意度（β = - 0.61, p < .001）和心理灵活性（β = - 0.35, p < .001）与较低的PPDS相关。母亲角色满意度部分介导了种族与PPDS之间的关联（β = - 0.08, CI[- 0.14, - 0.05]），例如阿拉伯母亲的角色满意度较高，这与较低的PPDS相关；然而，心理灵活性并没有缓和这种关联。结论文化敏感干预可增强母亲角色满意度，有助于减少少数民族母亲的产后痛苦和支持弹性。

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Elevated risk of postpartum depressive symptoms among Arab women in Israel: The role of maternal role satisfaction and psychological flexibility

Objectives

Postpartum depressive symptoms (PPDS) are more prevalent among ethnic minority women, yet the psychological processes contributing to this disparity, particularly potential protective factors, remain insufficiently understood. Guided by Lazarus and Folkman's (1984) stress and coping model, this study examined the contribution of maternal role satisfaction and psychological flexibility to PPDS among Jewish and Arab mothers in Israel. In addition, we tested whether maternal role satisfaction mediates, and psychological flexibility moderates, the association between ethnicity and PPDS.

Method

A cross-sectional study was conducted in Israel with 476 postpartum women (288 Jewish, 188 Arab), recruited through convenience sampling via social media. The participants completed validated Hebrew or Arabic questionnaires assessing PPDS, maternal role satisfaction, and psychological flexibility. The analyses included t-tests, correlations, hierarchical regression, and a conditional process analysis testing mediation and moderation effects.

Results

Arab mothers reported higher PPDS and greater role satisfaction than Jewish mothers. Additionally, 23.9 % of Arab mothers and 9.7 % of Jewish mothers scored above the clinical cutoff for probable postpartum depression. Maternal role satisfaction (β = −0.61, p < .001) and psychological flexibility (β = −0.35, p < .001) were associated with lower PPDS. Maternal role satisfaction partially mediated the association between ethnicity and PPDS (β = −0.08, CI [−0.14, −0.05]), such that Arab mothers reported higher role satisfaction, which was associated with lower PPDS; however, psychological flexibility did not moderate this association.

Conclusions

Culturally sensitive interventions strengthening maternal role satisfaction may help to reduce postpartum distress and support resilience among minority mothers.

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;