婴儿父亲的关系与黑人孕妇的妊娠相关焦虑。
Relationship with the Father of the Baby and Pregnancy-Related Anxiety among Pregnant Black Women.
出版信息
MCN Am J Matern Child Nurs. 2022;47(4):213-219. doi: 10.1097/NMC.0000000000000830.
PURPOSE
Pregnancy-related anxiety may increase the risk of preterm birth. Effective coping strategies and social support may help minimize pregnancy-related anxiety.
STUDY DESIGN
Secondary analysis of cross-sectional data.
METHODS
A sample of 408 pregnant non-Hispanic Black women completed questionnaires between 19 and 31 weeks gestation. Mediation analysis with structural equation modeling was used to explore effects of the relationship with the father of the baby on pregnancy-related anxiety.
RESULTS
Support from the father of the baby was negatively associated with avoidance coping ( r = -.22, p < .001) and pregnancy-related anxiety ( r = - .17, p < .001), whereas conflict with the father of the baby was positively associated with avoidance coping ( r = .37, p < .001) and pregnancy-related anxiety ( r = .29, p < .001). Avoidance coping was positively associated with pregnancy-related anxiety ( r = .34, p < .001). After adjustment, avoidance coping partially mediated the effect of conflict with the father of the baby on pregnancy-related anxiety.
CLINICAL IMPLICATIONS
Discussions with women about management of pregnancy-related anxiety should consider her current social support and coping mechanisms. Providers should offer support and resources on adaptive coping strategies.
目的
与妊娠相关的焦虑可能会增加早产的风险。有效的应对策略和社会支持可以帮助最大限度地减少与妊娠相关的焦虑。
研究设计
横断面数据的二次分析。
方法
对 408 名非西班牙裔黑人孕妇在妊娠 19 至 31 周时完成了问卷调查。采用结构方程模型的中介分析来探讨与婴儿父亲的关系对与妊娠相关的焦虑的影响。
结果
婴儿父亲的支持与回避应对呈负相关（r=-.22，p<.001）和与妊娠相关的焦虑呈负相关（r=-.17，p<.001），而与婴儿父亲的冲突与回避应对呈正相关（r=37，p<.001）和与妊娠相关的焦虑呈正相关（r=29，p<.001）。回避应对与与妊娠相关的焦虑呈正相关（r=34，p<.001）。调整后，回避应对部分中介了与婴儿父亲的冲突对与妊娠相关的焦虑的影响。
临床意义
与女性讨论管理与妊娠相关的焦虑时，应考虑她当前的社会支持和应对机制。提供者应提供关于适应性应对策略的支持和资源。
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