Sun Xiaoqing, Zhu Zhu, Fan Xuemei, Mei Shijuan, Jiang Lijuan, Cong Shengnan, Xie Hongyan, Han Jingjing, Ni Shiqian, Liu Ying, Zeng Lihua, Gu Tingting, Li Dandan, Zhang Aixia
Women's Hospital of Nanjing Medical University, Nanjing Women and Children's Healthcare Hospital, #123 Tianfei Alley, Qinhuai District, Nanjing, 210004, Jiangsu, China.
Affiliated Hospital of Xuzhou Medical University, Jiangsu, China.
BMC Psychiatry. 2024 Dec 4;24(1):883. doi: 10.1186/s12888-024-06337-3.
Despite the link between neuroticism trait and postnatal depression has been confirmed, little is known about the factors that influence this association. This study aimed to examine whether childbirth experience mediated the association between neuroticism trait and postnatal depression, and whether this indirect effect was moderated by perceived social support.
A cross-sectional study was conducted with 1686 women within one year postpartum from 38 hospitals in China. Participants completed anonymous questionnaires measuring neuroticism trait, postnatal depression, childbirth experience, perceived social support, and demographic and obstetric variables. Data were analyzed using SPSS 26.0 and PROCESS 4.0.
The prevalence of postnatal depression among Chinese women was 24.1%, higher than the global pooled prevalence. The results showed a positive correlation between neuroticism trait and postnatal depression, which was partially mediated by childbirth experience. The negative correlation between neuroticism trait and childbirth experience was moderated by perceived social support. Specifically, the negative impact of neuroticism trait on childbirth experience was stronger among women with high perceived social support.
Our findings highlight the critical importance of interventions dedicated to improving the childbirth experience, which may help reduce postnatal depression. Moreover, neuroticism and perceived social support are highly correlated and must be considered simultaneously to inform individualized interventions for postnatal depression.
尽管神经质特质与产后抑郁之间的联系已得到证实，但对于影响这种关联的因素却知之甚少。本研究旨在探讨分娩经历是否介导了神经质特质与产后抑郁之间的关联，以及这种间接效应是否受到感知社会支持的调节。
对来自中国38家医院的1686名产后一年内的女性进行了横断面研究。参与者完成了匿名问卷，测量神经质特质、产后抑郁、分娩经历、感知社会支持以及人口统计学和产科变量。使用SPSS 26.0和PROCESS 4.0对数据进行分析。
中国女性产后抑郁的患病率为24.1%，高于全球汇总患病率。结果显示神经质特质与产后抑郁之间存在正相关，分娩经历起到了部分中介作用。神经质特质与分娩经历之间的负相关受到感知社会支持的调节。具体而言，在感知社会支持较高的女性中，神经质特质对分娩经历的负面影响更强。
我们的研究结果凸显了致力于改善分娩经历的干预措施的至关重要性，这可能有助于减少产后抑郁。此外，神经质和感知社会支持高度相关，必须同时考虑以指导产后抑郁的个性化干预。
