The Spitzer Department of Social Work, Ben Gurion University of the Negev, Beer Sheva 84105, Israel.
School of Psychology, Sport and Physical Activity, AECC University College, Bournemouth BH5 2DF, UK.
Int J Environ Res Public Health. 2020 Aug 26;17(17):6189. doi: 10.3390/ijerph17176189.
Postpartum depression (PPD) has detrimental effects on the health of the mother, child and family. Socio-demographic variables can influence PPD. Sense of coherence (SOC) is a personal resource that mitigates the experience of stressful events. We hypothesized that SOC would have a protective effect against PPD over time. The aim was to investigate the effects of socio-demographic factors and SOC on PPD at birth (T1) and nine months postpartum (T2). A longitudinal study of primiparous women ( = 114; age range 18-47 years) measured PPD, SOC and socio-demographics at T1 and T2. The majority were married, had no economic difficulties and were employed before birth. Results showed that PPD at T1 (15.8%) declined to 6.2% (T2). Job status was positively associated with SOC at T1. The structured equation model accounted for 27% of the variance in PPD (T2). In the first pathway, job status was linked to PPD (T2) via SOC at T1 and T2. In the second, SOC and PPD (T1) and SOC (T2) mediated the link between job status and PPD (T2). Results and clinical implications are discussed in the context of the theory of conservation of resources. An intervention for enhancing SOC is recommended for woman at risk of PPD.
产后抑郁症（PPD）对母亲、孩子和家庭的健康都有不利影响。社会人口学变量会影响 PPD。心理一致感（SOC）是一种个人资源，可以减轻压力事件的体验。我们假设 SOC 会随着时间的推移对 PPD 产生保护作用。本研究旨在探讨社会人口学因素和 SOC 对产后即刻（T1）和九个月后（T2）PPD 的影响。一项针对初产妇的纵向研究（n=114；年龄 18-47 岁）在 T1 和 T2 时测量了 PPD、SOC 和社会人口学因素。大多数产妇已婚、没有经济困难且在产前有工作。结果显示，T1 时的 PPD（15.8%）下降到 T2 时的 6.2%。工作状况与 T1 时的 SOC 呈正相关。结构方程模型解释了 PPD（T2）的 27%方差。在第一条路径中，工作状况通过 T1 和 T2 时的 SOC 与 PPD（T2）相关。在第二条路径中，SOC 和 PPD（T1）以及 SOC（T2）中介了工作状况与 PPD（T2）之间的关系。研究结果及其临床意义在资源保存理论的背景下进行了讨论。建议对有 PPD 风险的女性进行增强 SOC 的干预。
