Tuxunjiang Xiabidan, Wumaier Gulijianati, Zhang Wei, Sailike Bahedana, Wang Xiaoting, Jiang Ting
Department of Public Health, Xinjiang Medical University, Ürümqi, China.
Xinjiang Production and Construction Corps 13th Division Red Star Hospital, Hami, China.
Front Psychol. 2023 Jan 5;13:1067757. doi: 10.3389/fpsyg.2022.1067757. eCollection 2022.
The objective of this study was to investigate the relationship between positive psychological qualities and negative emotions of pregnant women.
We surveyed 774 pregnant women in a tertiary hospital in Urumqi using the following measures: a self-report general demographic data questionnaire, Generalized Anxiety Disorder scale (GAD-7), Patients Health Questionnaire depression scale (PHQ-9), Pregnancy Pressure Scale (stocktickerPPS), Perceived Social Support Scale (PSSS), General Self-Efficacy Scale (GSES), and Connor-Davidson Resilience scale (CD-RISC). We used the Amos2.03 system to build a structural equation model.
A total of 774 subjects had an average age of 30 years and an average gestational age of 23 weeks. Among the 774 respondents, 122 (15.8%) had moderate or above pregnancy stress (stocktickerPPS > 1), 376 (48.6%) had mild or above anxiety symptoms (GAD-7 ≥ 5), 456 (58.9%) had mild or above depression symptoms (PHQ-9 ≥ 5), 740 (95.6%) had moderate or above social support scores (PSSS ≥ 37), and 124 (16.0%) had good or above psychological resilience scores (CD-RISC ≥ 60). Notably, 372 (48.1%) people had a self-efficacy score above the overall average (GSES ≥ 2.6). Pregnancy stress had positive correlations with anxiety and depression (β = 0.57, 0.30, < 0.01) and negative correlations with self-efficacy (β = -0.19, < 0.01). Anxiety had positive correlations with depression (β = 0.54, < 0.01) and negative correlations with social support (β = -0.45, < 0.01). Social support had positive correlations with self-efficacy and resilience (β = 0.37, 0.47, < 0.01). Resilience had negative correlations with anxiety (β = -0.09, < 0.01), and self-efficacy had positive correlations with resilience (β = 0.41, < 0.01).
Identification of pregnancy stress should be emphasized in pregnant women with negative emotions. Efforts to strengthen the positive psychological qualities of pregnant women should focus on cultivating psychological resilience to reduce the occurrence of anxiety, and improving social support should be a priority because it can enhance psychological resilience and self-efficacy. We provide a reason to intervene in the negative emotions of pregnant women from the perspective of the positive psychology of pregnant women.
本研究旨在探讨孕妇积极心理品质与消极情绪之间的关系。
我们采用以下测量工具对乌鲁木齐一家三级医院的774名孕妇进行了调查：一份自我报告的一般人口统计学数据问卷、广泛性焦虑障碍量表（GAD - 7）、患者健康问卷抑郁量表（PHQ - 9）、妊娠压力量表（stocktickerPPS）、领悟社会支持量表（PSSS）、一般自我效能量表（GSES）以及康纳 - 戴维森心理韧性量表（CD - RISC）。我们使用Amos2.03系统构建了一个结构方程模型。
总共774名受试者的平均年龄为30岁，平均孕周为23周。在774名受访者中，122人（15.8%）有中度或以上妊娠压力（stocktickerPPS > 1），376人（48.6%）有轻度或以上焦虑症状（GAD - 7≥5），456人（58.9%）有轻度或以上抑郁症状（PHQ - 9≥5），740人（95.6%）有中度或以上社会支持得分（PSSS≥37），124人（16.0%）有良好或以上心理韧性得分（CD - RISC≥60）。值得注意的是，372人（48.1%）的自我效能得分高于总体平均分（GSES≥2.6）。妊娠压力与焦虑和抑郁呈正相关（β = 0.57，0.30，<0.01），与自我效能呈负相关（β = -0.19，<0.01）。焦虑与抑郁呈正相关（β = 0.54，<0.01），与社会支持呈负相关（β = -0.45，<0.01）。社会支持与自我效能和心理韧性呈正相关（β = 0.37，0.47，<0.01）。心理韧性与焦虑呈负相关（β = -0.09，<0.01），自我效能与心理韧性呈正相关（β = 0.41，<0.01）。
对于有消极情绪的孕妇应强调识别妊娠压力。加强孕妇积极心理品质的努力应侧重于培养心理韧性以减少焦虑的发生，并且改善社会支持应作为优先事项，因为它可以增强心理韧性和自我效能。我们为从孕妇积极心理学的角度干预孕妇的消极情绪提供了依据。
