This study evaluated a multivariate model in which the influence of maternal anxiety, depression and stress on infant postnatal status are seen as mediated by attitudes toward pregnancy, internal vs. external locus of control and perception of available social supports. Ante-partum and intra-partum complications are also included since they are associated with anxiety, depression and stress and have been shown to influence infant postnatal status.A total of 133 pregnant women completed: Beck Depression Inventory; State-Trait Anxiety Inventory; PER1 Life Events Scale; Rotter I-E Scale, Maternal Attitude Toward Pregnancy; Perceived Social Support Inventory. Composite Perinatal Risk Scales, Outcome-Specific Scales, the Nesbitt-Aubry Maternal-Child Health Care Index and Aubry-Pennington Labor Index were scored from medical records.Anxiety, depression and stress in pregnancy, while weakly correlated with outcome, showed expected relationships with mediating factors predicting gestational age, 5-min Apgar and Neonatal Factors scores. Mediating factors with perinatal scores best predicted 1 -min Apgar and Postnatal Complications scores. Results support the notion that these variables work in synergy. The new risk scales produced stronger beta weights than personality, stress and mediator variables and stronger equations than Nesbitt-Aubry or Aubry-Pennington scales. 01 67-482X/87/%03.50 0 1987 Elsevier Science Publishers B.V. (Biomedical Division) J Psychosom Obstet Gynaecol Downloaded from informahealthcare.com by University of Toronto on 01/03/15 For personal use only. J Psychosom Obstet Gynaecol Downloaded from informahealthcare.com by University of Toronto on 01/03/15 For personal use only.
This article describes a study in which a true experimental design was used to evaluate a multifaceted community aide support system for frequently hospitalized individuals with a diagnosis of schizophrenia. Intervention techniques included psychiatric rehabilitation, attention to medication compliance, pre-identification of possible stressors and methods of coping with them, and a plan for daily physical activity. This study demonstrates a need for further controlled research to determine what components of psychosocial rehabilitation do make a difference, and the development of dependent measures more appropriate than hospitalization to use in the evaluation of psychosocial rehabilitation programs.The importance of having an appropriate social network in maintaining frequently hospitalized individuals in the community has been the subject of recent research (
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.