Haslam Divna M, Pakenham Kenneth I, Smith Amanda
University of Queensland.
Infant Ment Health J. 2006 May;27(3):276-291. doi: 10.1002/imhj.20092.
Research shows that social support and maternal self-efficacy are inversely related to postpartum depression; however, little is known about the mechanisms by which these variables impact on depressive symptomatology. This study uses path analysis to examine the proposal that maternal self-efficacy mediates the effects of social support on postpartum depressive symptomatology. Primiparous women (n=247) completed questionnaires during their last trimester and then again at 4 weeks' postpartum (n=192). It was hypothesized that higher levels of parental support, partner support, and maternal self-efficacy would be associated with lower levels of depressive symptomatology postpartum and that the relationship between social support and depressive symptomatology would be mediated by maternal self-efficacy. Results indicated that as expected, higher parental support and maternal self-efficacy were associated with lower levels of depressive symptomatology postpartum. Partner support was found to be unrelated to both depressive symptomatology and maternal self-efficacy. Results from the path analysis supported the mediation model. Findings suggest that parental support lowers depressive symptomatology by the enhancement of maternal self-efficacy.
研究表明,社会支持和母亲自我效能感与产后抑郁呈负相关;然而,对于这些变量影响抑郁症状的机制知之甚少。本研究采用路径分析来检验母亲自我效能感介导社会支持对产后抑郁症状影响的假设。初产妇(n = 247)在妊娠晚期完成问卷调查,产后4周时再次进行调查(n = 192)。研究假设是,更高水平的父母支持、伴侣支持和母亲自我效能感与产后较低水平的抑郁症状相关,并且社会支持与抑郁症状之间的关系将由母亲自我效能感介导。结果表明,正如预期的那样,更高的父母支持和母亲自我效能感与产后较低水平的抑郁症状相关。发现伴侣支持与抑郁症状和母亲自我效能感均无关。路径分析结果支持中介模型。研究结果表明,父母支持通过增强母亲自我效能感来降低抑郁症状。