a aUniversity of Missouri Sinclair School of Nursing, S235 School of Nursing, University of Missouri , Columbia , Missouri , USA.
b bFrances Payne Bolton School of Nursing, Case Western Reserve University , Cleveland , Ohio , USA.
Issues Ment Health Nurs. 2019 Jul;40(7):613-620. doi: 10.1080/01612840.2019.1565873. Epub 2019 Apr 25.
Stress in pregnancy is an exceedingly common issue that impacts the mother's mental health and the health of her baby. Yet, women with a supportive network of friends and family may experience lower stress and improved mental health. Therefore, the aims of this secondary analysis were to (a) examine relationships between stress experiences (i.e. perceived stress, pregnancy-specific stress) and indicators of mental health (i.e. absence of depressive symptoms and resourcefulness), (b) determine the effects of social support on stress experiences and indicators of mental health, and (c) determine if social support mediates the relationship between stress experiences and indicators of mental health. A convenience sample of 82 women in their second and third trimester of pregnancy participated in the parent study. Findings indicate that stress experiences were moderately correlated with indicators of mental health and social support predicted stress experiences and indicators of mental health. All social support mediation models were not significant with the exception of social support mediating the relationship between pregnancy-specific stress and resourcefulness. This was the first study to investigate the mediating role of social support on the relationship between pregnancy-specific stress and resourcefulness. Pregnant women may benefit from social support interventions to meaningfully reduce their stress and promote mental health. Such interventions may be physical activity, group prenatal care, or even peripartum home visits.
孕期压力是一个极其普遍的问题，会影响母亲的心理健康和婴儿的健康。然而，有朋友和家人支持网络的女性可能会经历较低的压力和改善的心理健康。因此，本次二次分析的目的是：(a) 研究压力体验（即感知压力、孕期特有的压力）与心理健康指标（即无抑郁症状和应对能力）之间的关系；(b) 确定社会支持对压力体验和心理健康指标的影响；(c) 确定社会支持是否在压力体验与心理健康指标之间起中介作用。在母研究中，对 82 名处于妊娠第二和第三阶段的女性进行了便利样本调查。研究结果表明，压力体验与心理健康指标中度相关，社会支持预测压力体验和心理健康指标。除了社会支持在孕期特有的压力与应对能力之间的关系中起中介作用外，所有社会支持的中介模型都不显著。这是第一项研究社会支持在孕期特有的压力与应对能力之间的关系中的中介作用。孕妇可能受益于社会支持干预，以有意义地减轻压力，促进心理健康。此类干预措施可能是体育活动、团体产前护理，甚至是围产期家访。
