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婚姻冲突对产妇能力的预测作用:一个结构方程模型,其中包括感知压力和怀孕期间的担忧作为中介变量。

Predictor role of marital conflict on maternal competency with mediating role of perceived stress and concerns during pregnancy: A structural equation model.

机构信息

Alborz University of Medical Sciences, Karaj, Iran.

Social Determinants of Health Research Center, School of public health, Alborz University of Medical Sciences, Karaj, Iran.

出版信息

Neuropsychopharmacol Rep. 2023 Mar;43(1):95-102. doi: 10.1002/npr2.12309. Epub 2023 Jan 24.

Abstract

AIM

Pregnancy prepares the mother for the transition to motherhood. Maternal concerns during pregnancy cause reduced time spent with the spouse and lack of social support; additional stresses such as marital conflicts could impact maternal competency. This study aimed to assess the predictive effect of marital conflicts with the mediating role of perceived stress and pregnancy concern on maternal competency.

METHODS

This was a longitudinal study. It was done on 250 mothers referred to selected health centers in Alborz province. The sampling method was convenient. Marital conflicts, perceived stress, and pregnancy concerns questionnaires were completed in the third trimester of pregnancy, and the maternal competency questionnaire was completed 6 weeks after delivery. Data were analyzed by SPSS software and smart partial least squares.

RESULTS

The results of structural equations showed that marital conflicts have a negative and significant effect on maternal competency (β = -0.14), marital conflicts have a positive and significant effect on perceived stress (β = 0.42), and marital conflicts have a positive and significant effect on pregnancy concern (β = 0.31). Also, perceived stress negatively and significantly affected maternal competency (β = -0.36).

DISCUSSION

Results of the study showed the necessities for screening and identifying mothers with conflicts and assessing the perceived stress of mothers will improve the mental health of pregnant mothers and consequently increase maternal competency.

摘要

目的

妊娠使母亲为母亲身份的转变做好准备。妊娠期间母亲的担忧会导致与配偶相处的时间减少和缺乏社会支持;额外的压力,如婚姻冲突,可能会影响母亲的能力。本研究旨在评估婚姻冲突对母亲能力的预测作用,以及感知压力和妊娠担忧的中介作用。

方法

这是一项纵向研究。在阿尔博兹省选定的卫生中心对 250 名母亲进行了研究。采用方便抽样法。在妊娠晚期完成婚姻冲突、感知压力和妊娠担忧问卷,在分娩后 6 周完成母亲能力问卷。数据采用 SPSS 软件和 smart 偏最小二乘法进行分析。

结果

结构方程的结果表明,婚姻冲突对母亲能力有负向显著影响(β=-0.14),婚姻冲突对感知压力有正向显著影响(β=0.42),婚姻冲突对妊娠担忧有正向显著影响(β=0.31)。此外,感知压力对母亲能力有负向显著影响(β=-0.36)。

讨论

研究结果表明,有必要对有冲突的母亲进行筛查和识别,并评估母亲的感知压力,这将改善孕妇的心理健康,从而提高母亲能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c9c/10009430/0702cb7218a1/NPR2-43-95-g003.jpg

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