Associate Professor, East Carolina University College of Nursing, 3160 Health Sciences Building, Greenville, NC 27858; Brody School of Medicine, Greenville, NC.
Res Nurs Health. 2014 Jun;37(3):241-52. doi: 10.1002/nur.21600. Epub 2014 May 4.
The purpose of this secondary analysis was to determine whether satisfaction with social support and self-esteem mediated the relationship between antepartum stress and depressive symptoms in women attending prenatal clinics in a rural Southeastern community (N = 318). Path analysis with linear regression indicated that the relationship between antepartum stress and depressive symptoms was partially mediated by higher levels of the internal resources of satisfaction with social support and self-esteem. Self-esteem had a greater influence on the relationship between antepartum stress and depressive symptoms than did satisfaction with social support. These findings suggest further study to determine whether developing culturally tailored interventions that emphasize stress reduction activities in addition to enhancing self-esteem and increasing satisfaction with social support can decrease the burden of antepartum depressive symptoms in rural low-income women.
本二次分析旨在确定在东南部农村社区产前诊所就诊的女性中，产前压力与抑郁症状之间的关系是否通过对社会支持和自尊的满意度以及自尊的中介作用来调节（N=318）。线性回归路径分析表明，产前压力与抑郁症状之间的关系部分通过更高水平的社会支持满意度和自尊这两个内部资源来调节。自尊对产前压力与抑郁症状之间关系的影响大于社会支持满意度。这些发现表明，需要进一步研究，以确定是否可以制定文化适应的干预措施，除了增强自尊和增加对社会支持的满意度外，还强调减轻压力的活动，从而降低农村低收入妇女产前抑郁症状的负担。
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