School of Nursing, Southern Medical University, Baiyun District, Shatai South Road, Guangzhou, No.1023-1063, Guangdong, China.
University of Texas at Austin School of Nursing, #3.446; 1710 Red River St, Austin, TX, 78712, USA.
BMC Pregnancy Childbirth. 2022 Jun 14;22(1):488. doi: 10.1186/s12884-022-04811-y.
Due to changes in family policy in China, pregnancy at advanced age (30 years old or above) is prevalent. Advanced maternal age is known to be related to a variety of negative health outcomes, including antenatal depression. Family relationship quality might be an important factor for antenatal depressive symptoms among Chinese women with advanced maternal age. However, the underlying mechanisms in which family relationship quality can affect antenatal depressive symptoms among this population and how positive psychological capital (PsyCap) intervenes in this impact are not clear.
To describe the prevalence and demographic characteristics of antenatal depressive symptoms among Chinese pregnant women with advanced maternal age, and to explore the mediation effect of PsyCap in the associations between family relationship quality and antenatal depressive symptoms.
We conducted a cross-sectional survey at a tertiary hospital in China. A total of 192 women with maternal age of 30 years or older completed the questionnaires. Data on antenatal depressive symptoms, PsyCap, family relationship quality and demographic characteristics were collected. The multiple mediation models in SPSS's PROCESS macro were used to test whether PsyCap mediated the relationship between family relationship quality and antenatal depressive symptoms.
Approximately 28.6% of participants had antenatal depressive symptoms and 6.8% reported poor family relationship quality. Participants with higher education (p = .02) and better family relationship quality (p = .00) were less likely to have antenatal depressive symptoms. PsyCap collectively (β = 1.14, p < .05), or more specifically resilience (β = 0.61, p < .05) significantly mediated the relationship between poor family relationship quality and antenatal depressive symptoms.
The relationship between family relationship quality and antenatal depressive symptoms can be mediated by PsyCap collectively or via resilience specifically. It is important to screen antenatal depressive symptoms among pregnant women with advanced age, especially those who have poor family relationship quality. Counseling and psychotherapy initiatives for resilience-enhancing training for pregnant women at advanced age may provide a promising target to break the link between poor family relationship quality and antenatal depressive symptoms.
由于中国家庭政策的变化，高龄妊娠（30 岁及以上）较为普遍。高龄产妇与多种不良健康结局相关，包括产前抑郁。家庭关系质量可能是高龄产妇产前抑郁的一个重要因素。然而，家庭关系质量如何影响这一人群的产前抑郁症状，以及积极的心理资本（PsyCap）如何干预这种影响，其潜在机制尚不清楚。
描述中国高龄初产妇产前抑郁症状的流行情况和人口学特征，并探讨 PsyCap 在家庭关系质量与产前抑郁症状之间关系中的中介作用。
我们在中国的一家三级医院进行了横断面调查。共有 192 名年龄在 30 岁及以上的孕妇完成了问卷。收集了产前抑郁症状、PsyCap、家庭关系质量和人口学特征的数据。采用 SPSS 的 PROCESS 宏中的多重中介模型检验 PsyCap 是否在家庭关系质量与产前抑郁症状之间的关系中起中介作用。
约 28.6%的参与者有产前抑郁症状，6.8%的参与者报告家庭关系质量较差。受教育程度较高（p=0.02）和家庭关系质量较好（p=0.00）的参与者产前抑郁症状的可能性较低。PsyCap 整体（β=1.14，p<0.05），或更具体地说，韧性（β=0.61，p<0.05）显著中介了家庭关系质量差与产前抑郁症状之间的关系。
家庭关系质量与产前抑郁症状的关系可以通过 PsyCap 整体或通过韧性来介导。对高龄产妇进行产前抑郁症状筛查非常重要，尤其是那些家庭关系质量较差的产妇。对高龄产妇进行韧性增强训练的咨询和心理治疗干预措施，可能为打破家庭关系质量差与产前抑郁症状之间的联系提供一个有前途的目标。
