Liu ShanYan, Huang Meijiao, Zhang FengYing, Tao Jing, Wen Dan, Deng WeiYuan, Lin YaoHua, Zhang Ping, Li Min
The Affiliated Nanhua Hospital, Department of Obstetrics, Hengyang Medical College, University of South China, Hengyang, Hunan, 421002, People's Republic of China.
The Affiliated Nanhua Hospital, Department of Neurology, Hengyang Medical College, University of South China, Hengyang, Hunan, 421002, People's Republic of China.
Nat Sci Sleep. 2025 Feb 6;17:261-270. doi: 10.2147/NSS.S496205. eCollection 2025.
Insomnia is a common issue that pregnant women often have to deal with. This study seeks to examine the connections between pregnancy stress, depressive symptoms, family support, and insomnia symptoms.
Convenience sampling was employed to recruit 1049 valid participants. The primary measurement tools utilized were the Pregnancy Stress Scale, the Family Support Subscale, and the Patient Health Questionnaire-2. Data analysis was conducted using SPSS 24.0 software. Using binary logistic regression to verify the independent effects of pregnancy stress, depression symptoms, and family support on insomnia symptoms. PROCESS macro Model 4 was applied to assess the mediating effect, while PROCESS macro Model 5 was used to evaluate the moderating effect.
The overall prevalence of insomnia symptoms and depressive symptoms among pregnant women was 54% (n=572) and 20% (n=207) in this study. Pregnancy stress, depressive symptoms and family support positively affect insomnia symptoms. The indirect effect of depressive symptoms between pregnancy stress and insomnia symptoms was significant, with the mediator proportion of 45.16%. As moderator, family support weakens the impact of pregnancy stress on insomnia symptoms.
Increased pregnancy stress and increased depressive symptoms could trigger insomnia symptoms. Depressive symptoms mediated the path from between pregnancy stress and insomnia symptoms. Family support weakened the link between pregnancy stress and insomnia symptoms. These findings can assist pregnant women in managing stress more effectively and improving their mental well-being.
失眠是孕妇经常要面对的常见问题。本研究旨在探讨妊娠压力、抑郁症状、家庭支持与失眠症状之间的联系。
采用便利抽样法招募1049名有效参与者。使用的主要测量工具为妊娠压力量表、家庭支持分量表和患者健康问卷-2。数据分析使用SPSS 24.0软件。采用二元逻辑回归验证妊娠压力、抑郁症状和家庭支持对失眠症状的独立影响。应用PROCESS宏模型4评估中介效应，而PROCESS宏模型5用于评估调节效应。
本研究中孕妇失眠症状和抑郁症状的总体患病率分别为54%（n = 572）和20%（n = 207）。妊娠压力、抑郁症状和家庭支持对失眠症状有正向影响。抑郁症状在妊娠压力和失眠症状之间的间接效应显著，中介比例为45.16%。作为调节因素，家庭支持减弱了妊娠压力对失眠症状的影响。
妊娠压力增加和抑郁症状加重会引发失眠症状。抑郁症状介导了妊娠压力与失眠症状之间的路径。家庭支持减弱了妊娠压力与失眠症状之间的联系。这些发现有助于孕妇更有效地管理压力并改善心理健康。
