Department of Health Management, Third XiangYa Hospital, Central South University, Changsha, China.
Jishou University School of Medical, Jishou, China.
J Clin Nurs. 2023 Apr;32(7-8):1410-1420. doi: 10.1111/jocn.16372. Epub 2022 May 17.
The purpose of this study was to explore the effect and paths of stigma on depressive symptoms in women who underwent termination of pregnancy for foetal anomaly (TOPFA).
Stigma may cause distress and depressive symptoms for women with TOPFA. However, few studies have examined the relationship between stigma and depression in women with TOPFA.
This study followed the STROBE checklist. A cross-sectional survey was conducted among 469 women with TOPFA. The path analysis used hierarchical multiple regression and structural equation model to examine the mediating role of social support and psychological flexibility on the relationship between stigma and depressive symptoms.
Hierarchical multiple regression analysis revealed the mediation effect of psychological flexibility between stigma and depressive symptoms. By contrast, social support did not present such effect. The structural equation model confirmed that stigma, directly and indirectly, affected depressive symptoms.
Many women with TOPFA have severe depressive symptoms and that stigma is an important influencing factor. Psychological flexibility plays an essential role in mitigating the effects of stigma on depressive symptoms.
Healthcare professionals should focus on measuring and intervening on stigma and psychological flexibility for alleviating the depressive symptoms of women with TOPFA. No Patient or Public Contribution.
本研究旨在探讨胎儿畸形终止妊娠（TOPFA）女性耻辱感对抑郁症状的影响及其作用途径。
耻辱感可能会给 TOPFA 女性带来痛苦和抑郁症状。然而，很少有研究探讨 TOPFA 女性耻辱感与抑郁之间的关系。
本研究遵循 STROBE 清单。对 469 名 TOPFA 女性进行了横断面调查。路径分析采用分层多元回归和结构方程模型，检验社会支持和心理灵活性在耻辱感与抑郁症状之间的中介作用。
分层多元回归分析显示，心理灵活性在耻辱感和抑郁症状之间存在中介效应。相比之下，社会支持没有这种效应。结构方程模型证实，耻辱感直接和间接地影响抑郁症状。
许多 TOPFA 女性有严重的抑郁症状，耻辱感是一个重要的影响因素。心理灵活性在减轻耻辱感对抑郁症状的影响方面起着至关重要的作用。
医疗保健专业人员应注重测量和干预耻辱感和心理灵活性，以减轻 TOPFA 女性的抑郁症状。无患者或公众参与。
