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产妇产后抑郁和焦虑症状与个人和家庭资源的关系。

Personal and Family Resources Related to Depressive and Anxiety Symptoms in Women during Puerperium.

机构信息

Department of Nursing, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain.

出版信息

Int J Environ Res Public Health. 2020 Jul 20;17(14):5230. doi: 10.3390/ijerph17145230.

Abstract

: This study investigated the relationship between personal and family resources (i.e., social support, family functioning, self-efficacy in care, sense of coherence and perceived burden of care) and depressive and anxiety symptoms in women during the puerperium, adjusting for stressors. : This is a quantitative research design, carried out through a descriptive, cross-sectional correlation study. This study includes 212 women over the age of 19 who gave birth from March to September 2019 in Maternal and Child Hospital of Jaén (Spain). Women were selected during the immediate postpartum period. The variables analysed were postpartum depressive symptoms (Edinburgh scale), anxiety symptoms (STAI state anxiety questionnaire), perceived social support (Duke-UNC-11), family functioning (family APGAR), self-efficacy in care (Lawton), sense of coherence (SOC-13), perceived burden (Caregiver Strain Index) and stressful life events (Holmes and Rahe). The main analysis consisted of a multiple linear regression. : The regression model of depressive symptoms found a positive association with perceived burden (β = 0.230, = 0.015) and negative associations with self-efficacy in care (β = -0.348, < 0.001), social support (β = -0.161, < 0.001) and sense of coherence (β = -0.081, = 0.001). The regression model of anxiety symptoms obtained a positive association with perceived burden (β = 1.052, < 0.001) and negative associations with self-efficacy in care (β = -0.329, = 0.041), social support (β = -0.234, = 0.001) and sense of coherence (β = -0.262, < 0.001). : Firstly, depressive and anxiety symptoms in the puerperium period may be more prevalent than in other periods of a woman's life. Secondly, perceived social support, self-efficacy in caring for the newborn and sense of coherence may be protective factors for depressive and anxiety symptoms in the puerperium period. Finally, perceived burden in caring for the newborn may be a risk factor for these symptoms.

摘要

: 本研究旨在探讨个人和家庭资源(即社会支持、家庭功能、照顾自我效能感、心理一致感和照顾负担感)与产褥期妇女抑郁和焦虑症状之间的关系,并对压力源进行了调整。: 这是一项定量研究设计,通过描述性、横断面相关性研究进行。本研究包括 212 名年龄在 19 岁以上的 2019 年 3 月至 9 月在西班牙哈恩母婴医院分娩的妇女。这些妇女在产后即刻被选中。分析的变量包括产后抑郁症状(爱丁堡量表)、焦虑症状(STAI 状态焦虑问卷)、感知社会支持(杜克-UNC-11)、家庭功能(家庭 APGAR)、照顾自我效能感(Lawton)、心理一致感(SOC-13)、照顾负担感(照顾者压力指数)和生活压力事件(Holmes 和 Rahe)。主要分析包括多元线性回归。: 抑郁症状的回归模型发现,与照顾负担感呈正相关(β=0.230, =0.015),与照顾自我效能感(β=-0.348, <0.001)、社会支持(β=-0.161, <0.001)和心理一致感(β=-0.081, =0.001)呈负相关。焦虑症状的回归模型发现,与照顾负担感呈正相关(β=1.052, <0.001),与照顾自我效能感(β=-0.329, =0.041)、社会支持(β=-0.234, =0.001)和心理一致感(β=-0.262, <0.001)呈负相关。: 首先,产褥期的抑郁和焦虑症状可能比女性生命中的其他时期更为普遍。其次,感知社会支持、照顾新生儿的自我效能感和心理一致感可能是产褥期抑郁和焦虑症状的保护因素。最后,照顾新生儿的负担感可能是这些症状的一个风险因素。

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