Mei Xiaoxiao, Mei Ranran, Li Yan, Yang Funa, Liang Minyu, Chen Qianwen, Ye Zengjie
School of Nursing, Hong Kong Polytechnic University, Hong Kong, People's Republic of China.
Department of Breast Oncology, Guangzhou Institute of Cancer Research, The Affiliated Cancer Hospital, Guangzhou Medical University, Guangzhou, People's Republic of China.
Psychol Res Behav Manag. 2025 Mar 31;18:743-757. doi: 10.2147/PRBM.S509684. eCollection 2025.
Postpartum depression affects many women after childbirth, impacting both maternal and child well-being. Psychological traits such as trait mindfulness, resilience, and self-efficacy have been linked to postpartum depression, but their interactions and collective influence are not well understood.
The study aims to examine the associations between trait mindfulness, resilience, self-efficacy, and postpartum depression.
A cross-sectional survey was conducted from August 2022 to May 2023 using the Mindful Attention Awareness Scale, the 10-item Connor-Davidson Resilience Scale, the General Self-efficacy Scale, and the Edinburgh Postnatal Depression Scale. Dominance analysis, latent profile analysis, and serial-multiple mediation models were employed for data analysis.
Dominance analysis showed that trait mindfulness, resilience, and self-efficacy explained 36.3%, 35.4%, and 28.3% of the variance in postpartum depression, respectively. Three trait mindfulness profiles were identified as mild (23.2%), moderate (55.5%), and high (21.3%). Postpartum women in the mild group exhibited higher postpartum depressive symptoms than those in the moderate and high groups. The effects of trait mindfulness on postpartum depression were significantly mediated by resilience (=-0.064, 95% CI -0.088 to -0.044), self-efficacy (=-0.014, 95% CI -0.023 to -0.006), and serial mediation between resilience and self-efficacy (=-0.027, 95% CI -0.040 to -0.015). Similar significant mediation effects were observed for moderate (resilience: =-0.126, 95% CI .169 to -0.065, self-efficacy: =-0.041, 95% CI -0.078 to -0.010, resilience and self-efficacy: =-0.053, 95% CI -0.090 to -0.023) and high trait mindfulness profiles (resilience: =-0.381, 95% CI -0.514 to -0.267, self-efficacy: =-0.082, 95% CI -0.139 to -0.033, resilience and self-efficacy: =-0.160, 95% CI -0.237 to -0.089) when compared to the mild reference group.
Trait mindfulness significantly impacts postpartum depression and exhibits heterogeneity among postpartum women. The relationship between trait mindfulness and postpartum depression was mediated by resilience and self-efficacy.
产后抑郁症影响着许多产后女性，对母婴健康均有影响。特质正念、心理韧性和自我效能感等心理特质与产后抑郁症有关，但其相互作用和共同影响尚不清楚。
本研究旨在探讨特质正念、心理韧性、自我效能感与产后抑郁症之间的关联。
于2022年8月至2023年5月进行了一项横断面调查，使用了正念注意觉知量表、10项Connor-Davidson心理韧性量表、一般自我效能感量表和爱丁堡产后抑郁量表。采用优势分析、潜在剖面分析和系列多重中介模型进行数据分析。
优势分析表明，特质正念、心理韧性和自我效能感分别解释了产后抑郁症变异的36.3%、35.4%和28.3%。确定了三种特质正念剖面，分别为轻度（23.2%）、中度（55.5%）和高度（21.3%）。轻度组的产后女性比中度和高度组的产后女性表现出更高的产后抑郁症状。特质正念对产后抑郁症的影响通过心理韧性（=-0.064，95%CI -0.088至-0.044）、自我效能感（=-0.014，95%CI -0.023至-0.006）以及心理韧性和自我效能感之间的系列中介（=-0.027，95%CI -0.040至-0.015）显著介导。与轻度参照组相比，中度（心理韧性：=-0.126，95%CI -0.169至-0.065，自我效能感：=-0.041，95%CI -0.078至-0.010，心理韧性和自我效能感：=-0.053，95%CI -0.090至-0.023）和高度特质正念剖面（心理韧性：=-0.381，95%CI -0.514至-0.267，自我效能感：=-0.082，95%CI -0.139至-0.033，心理韧性和自我效能感：=-0.160，95%CI -0.237至-0.089）也观察到类似的显著中介效应。
特质正念对产后抑郁症有显著影响，且在产后女性中存在异质性。特质正念与产后抑郁症之间的关系由心理韧性和自我效能感介导。
