摘要
目的 探讨新疆维吾尔自治区乌鲁木齐市孕妇妊娠压力与自评抑郁的关系及领悟社会支持在妊娠压力与自评抑郁之间的中介作用。方法 对乌鲁木齐市某三甲医院750位孕妇进行调查,采用自编一般人口学资料调查表、妊娠压力量表(pregnancy pressure scale,PPS)、患者健康问卷抑郁量表(Patients Health Questionnaire Depression Scale-9 item,PHQ-9)、领悟社会支持量表(perceived social support scale,PSSS)进行问卷调查。利用Bootstrap中介效应检验法检验各变量间的效应关系,运用Amos建立结构方程模型。结果 本研究中孕妇自评抑郁评分为(6.26±4.35)分,妊娠压力评分为(0.60±0.48)分,领悟社会支持评分为(62.38±14.54)分。孕妇妊娠压力负向影响社会支持(β=-0.38,P<0.01),社会支持也负向影响自评抑郁(β=-0.17,P<0.01)。孕妇的领悟社会支持水平在妊娠压力与自评抑郁间起部分中介作用,效应量为11.11%。结论 孕妇妊娠压力、领悟社会支持水平和自评抑郁均相关,中介变量领悟社会支持在妊娠压力对影响自评抑郁中起部分中介作用。建议提高孕妇社会支持,从而降低孕妇产前抑郁发生率,促进孕妇生理和心理的健康。
Objective To understand the relationship between pregnancy stress and prenatal depression among pregnant women in Urumqi,Xinjiang Uygur Autonomou Region,and to explore the mediating role of social support between pregnancy stress and prenatal depression.Methods A questionnaire survey was conducted among 750 pregnant women recruited in a hospital in Urumqi using a self-designed general demographic information questionnaire,the pregnancy pressure scale(PPS),Patients′ Health Questionnaire Depression Scale-9 item(PHQ-9) and perceived social support scale(PSSS) questionnaire.Bootstrap mediation effect testing model was used to test the inter-effect between variables,and Amos was used to construct the structural equation model.Results Scores of prenatal depression,pregnancy stress,and perceived social support level were(6.26±4.35),(0.60±0.48),and(62.38±14.54).Pregnancy stress negatively affected social support(β=-0.38,P<0.01),and social support also negatively affected self-rated prenatal depression(β=-0.17,P<0.01).The perceived social support level of pregnant women partially mediated the relationship between pregnancy stress and prenatal depression,with an effect size of 11.11%.Conclusions Pregnancy stress,perceived social support level and prenatal depression are significantly associated,and perceived social support plays a partial mediating role in the influence of pregnancy stress on prenatal depression.It is suggested to improve the social support for pregnant women to prevent prenatal depression and to improve their physical and mental health.
作者
夏比旦·吐逊江
古丽加那提·吾买尔
张薇
姜婷
XIABIDAN Tu-xunjiang;GULIJIANATI Wu-maier;ZHANG Wei;JIANG Ting(College of Public Health,Xinjiang Medical University,Urumqi,Xinjiang Uygur Autonomous,Region 830011,China)
出处
《中国预防医学杂志》
CAS
CSCD
北大核心
2022年第3期180-184,共5页
Chinese Preventive Medicine
基金
新疆维吾尔自治区自然科学基金联合基金项目(2018D01C146)
十三五重点学科-公共卫生与预防医学(11091121204)。
关键词
孕妇
妊娠压力
自评抑郁
社会支持
中介效应
Pregnant women
Pregnancy stress
Prenatal depression
Social support
The mediation effect
