Women’s Psychological Health, Family Function, and Social Support During Their Third Trimester of Pregnancy Within the COVID-19 Epidemic: A Cross-sectional Survey

He, Dongning; Ren, Jianhua; Luo, Biru; Xiang, Jie; Wang, Guoyu; Gu, Li; Chen, Peng

doi:10.1017/dmp.2021.244

Cited by 15 publications

(9 citation statements)

References 8 publications

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“…Pregnant women may receive more support from their spouses who play an important role in preventing and alleviating the occurrence and development of mental disorders during pregnancy. Our results showed that pregnant women who spent more time with their partners during the pandemic had a lower risk of developing anxiety symptoms, which was consistent with the results of previous studies [ 36 , 37 , 38 ].…”

Section: Discussionsupporting

confidence: 93%

Impacts of the COVID-19 Pandemic on Anxiety and Depressive Symptoms in Pregnant Women and Related Perinatal Outcomes

Han

Wang

Lü

et al. 2022

JPM

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To evaluate the impacts of the COVID-19 pandemic on anxiety and depression symptoms in pregnant women and their relationship with pregnancy outcomes, 1087 pregnant women completed online questionnaires. Anxiety symptoms were measured using the Self-Rating Anxiety Scale (SAS). Depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS), and the Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality. Univariate analysis and logistic regression analysis were used to determine the association between depression and anxiety symptoms, participants’ characteristics, and pregnancy outcomes. Of the 986 pregnant women who were included in this study, the rates of anxiety symptoms and depressive tendencies were 13.4% and 18.3%, respectively. Sleep disorder ((Adjusted odds ratio, AOR = 4.166; 95% confidence interval, CI: 2.797–6.205), time spent paying attention to the epidemic per day (≥1 h/d AOR = 1.568; 95% CI: 1.052–2.338), and the time spent with their spouses (Increase AOR = 0.629; 95% CI: 0.409–0.967) were associated with the risk of anxiety. Sleep disorder (AOR = 3.839; 95% CI: 2.718–5.432) and educational level (bachelor’s degree or above AOR = 1.833; 95% CI: 1.004–3.345) were associated with the risk of depression. Psychological status was not correlated with the pregnancy outcomes (p > 0.05). Anxiety and depression symptoms were common among pregnant women during the COVID-19 pandemic. Special attention should be paid to manage their risk factors.

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Section: Discussionsupporting

confidence: 93%

Impacts of the COVID-19 Pandemic on Anxiety and Depressive Symptoms in Pregnant Women and Related Perinatal Outcomes

Han

Wang

Lü

et al. 2022

JPM

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“…Furthermore, our results verified that family function also had a direct impact on PRA. The study conducted by He in China is consistent with our result [ 64 ]. In a healthy family, family members can detect the psychological and physical changes of pregnant women, and provide timely material and spiritual help when women cope with anxiety or stressors [ 65 ].…”

Section: Discussionsupporting

confidence: 92%

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

Huang

et al. 2022

BMC Women's Health

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Background Accumulating evidence suggests that pregnancy-related anxiety (PRA) has adverse impacts on maternity health and infant development. A substantial body of literature has documented the important influence of family function, perceived social support and resilience on PRA. However, research identifying the mediating mechanisms underlying this relationship in China are still lacking. Therefore, the current study aimed to investigate the prevalence of PRA under the three-child policy in China, and also explore the interrelationships among perceived social support, family function, resilience, and PRA. Methods In this cross-sectional study, a convenient sampling method was used to select 579 pregnant women who underwent prenatal examination at the maternity outpatient departments of the First Affiliated Hospital of Chongqing Medical University in China from December 2021 to April 2022. Participants were required to complete the following questionnaires: the demographic form, the Chinese Pregnancy-related Anxiety scale, the 10-item Connor-Davidson Resilience Scale, the APGAR Family Care Index Scale, and Multidimensional Scale of Perceived Social Support. Pearson correlation analysis was utilized to examine the rudimentary relationship among the study variables. Bootstrapping analyses in the structural equation modeling were applied to identify the significance of indirect effects. Results There were 41.4% of pregnant Chinese women indicating PRA. Correlational analyses indicated that perceived social support, family function and resilience were negatively associated with PRA (r = − 0.47, P < 0.01; r = − 0.43, P < 0.01; r = − 0.37, P < 0.01, respectively). The results of bootstrapping analyses demonstrated significant indirect effects of perceived social support (β = − 0.098, 95% CI [− 0.184, − 0.021]) and family function (β = − 0.049, 95% CI [− 0.103, − 0.011]) on PRA via resilience. Conclusions Chinese pregnant women are suffering from high levels of PRA. Better family function and perceived social support might reduce the occurrence of PRA, as well as by the mediating effects of resilience. Healthcare providers must be concerned about PRA and perform corresponding actions to reduce it. By strengthening social support and improving family function, antenatal care providers could effectively reduce or prevent PRA. And more importantly, implementing resilience-promoting measures are also essential to relieve anxiety and support mental health in pregnant women.

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“…The findings suggest that social support plays a mediating role between family adaptability and adolescent depression with an effect size of −0.085 ( Table 2 ). H2 was valid, which is consistent with He et al’s (2021) study that family adaptability is significantly and positively associated with social support. Individuals with high family adaptability have clear roles for their family members.…”

Section: Discussionsupporting

confidence: 89%

The association between family adaptability and adolescent depression: the chain mediating role of social support and self-efficacy

Lin,

Jia,

Zhao

et al. 2024

Front. Psychol.

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ObjectivePrevious research has shown a correlation between family adaptability and adolescent depression. However, there is a lack of studies that have investigated the underlying mechanism between family adaptability and adolescent depression. Based on the Ecological Systems Theory, this study aims to investigate the link between family adaptability and depression in adolescents, mediated by the sequential roles of social support and self-efficacy.MethodsThe sample consisted of 1086 students randomly selected from seven public middle schools in Shandong Province, Eastern China. All the participants filled in the structured self-report questionnaires on family adaptability, social support, self-efficacy, and depression. The data were analyzed using SPSS 25.0 and Structural Equation Modeling (SEM) in AMOS 24.0.ResultsThe findings of this study are as follows: (1) Family adaptability is negatively associated with adolescent depression; (2) Social support plays a mediating role between family adaptability and adolescent depression; (3) Self-efficacy plays a mediating role between family adaptability and adolescent depression; (4) Social support and self-efficacy play a chain mediation role between family adaptability and adolescent depression.ConclusionIt is suggested that early interventions and support should be provided to facilitate adolescents’ family adaptability, social support, and self-efficacy, thus reducing their depression and improving mental health of adolescents.

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Women’s Psychological Health, Family Function, and Social Support During Their Third Trimester of Pregnancy Within the COVID-19 Epidemic: A Cross-sectional Survey

Cited by 15 publications

References 8 publications

Impacts of the COVID-19 Pandemic on Anxiety and Depressive Symptoms in Pregnant Women and Related Perinatal Outcomes

Impacts of the COVID-19 Pandemic on Anxiety and Depressive Symptoms in Pregnant Women and Related Perinatal Outcomes

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

The association between family adaptability and adolescent depression: the chain mediating role of social support and self-efficacy

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