Association between family functions and antenatal depression symptoms: a cross-sectional study among pregnant women in urban communities of Hengyang city, China

Abstract

ObjectiveTo explore the prevalence of depressive symptoms among women in late pregnancy, and assess mediating effect of self-efficacy in the association between family functions and the antenatal depressive symptoms.DesignCommunity-based, cross-sectional study was conducted among women during the third trimester of pregnancy.SettingThis study was conducted among pregnant women registered at community health service centres of urban Hengyang City, China from July to October 2019.Participants813 people were selected from 14 communities by multi-staged cluster random sampling method.Main outcome measuresThe Family Adaptation Partnership Growth Affection and Resolve Index, the General Self-efficacy Scale and Patient Health Questionnaire were used to access family functions, self-efficacy and antenatal depression symptoms, respectively.ResultsIn this study, 9.2% pregnant women reported the symptoms of antenatal depression (95 CI% 7.2% to 11.2%). After adjustment, the results showed that severe family dysfunction (adjusted OR, AOR 3.67; 95% CI 1.88 to 7.14) and low level of self-efficacy (AOR 3.16; 95% CI 1.37 to 7.27) were associated with antenatal depressive symptoms (p<0.05). Furthermore, self-efficacy level partially mediated the association between family functions and antenatal depressive symptoms(β=−0.05, 95% CI −0.07 to −0.03, p<0.05) and the mediating effect accounted for 17.09% of the total effect.ConclusionsThis study reported 9.2% positive rates of antenatal depression symptoms among women in the third trimester of pregnancy in Hengyang city, China. The mediating effect of self-efficacy on the association between family functions and antenatal depression symptoms among women in the third trimester of pregnancy was found in this study, which provide a theoretical basis to maternal and child health personnel to identify high-risk pregnant women and take targeted intervention for them.

Funcionalidade familiar percebida por gestantes: estudo transversal

“…A análise dos dados apontou que 46 mulheres (69,7%, IC95% 57,6-81,8) viviam com algum companheiro, o que pode relacionar-se com o aumento dos escores das respostas das questões para o instrumento APGAR de Família, que impactou em uma maior prevalência, isto é 76,6% (IC95% 65,6-87,5), de famílias com boa funcionalidade entre as gestantes analisadas. Estudos demonstraram que o apoio familiar e do companheiro influenciam de forma assertiva o período gestacional (CALDEIRA et al, 2017;ZHENG et al, 2020).…”

“…Na análise da funcionalidade familiar pela amostra estudada, encontrou-se similaridade com outros estudos internacionais no que tange ao instrumento utilizado e a população escolhida (NAKAMURA; SATO; WATANABE, 2018;TSAI, 2019;ZHENG et al, 2020). Contudo, até o momento de finalização do relatório de IC, não se encontrou estudos que versaram sobre os domínios do APGAR de Família nas relações familiares de gestantes, denotando que a presente pesquisa se revelou inédita quando se propôs a analisá-los.…”

Maternal Self‐Efficacy as a Mediator in the Relationship Between Postpartum Depression and Maternal Role Competence: A Cross‐Sectional Survey

“…Although the above‐mentioned evidence indicates that women with depression tend to have poor maternal role competence, maternal self‐efficacy potentially buffers this relationship 13 . Maternal self‐efficacy is defined as a mother's belief in her abilities to organize and execute tasks dealing with parenting children 14 . Regardless of actual skill or ability (competence), maternal self‐efficacy alone is a vital index for a successful transition to motherhood and positive maternal behavior 15 .…”

The relationship among pregnancy-related anxiety, perceived social support, family function and resilience in Chinese pregnant women: a structural equation modeling analysis

“…Family function is more crucial for pregnant women in the families from Asia and other countries with a Confucian cultural context [ 30 , 31 ]. A cross-sectional study in China found that the risk of depression symptoms in pregnant women who had poor family function was 3.67 times as much as that in the better functions group [ 32 ].…”