Bizri Maya, Sharafeddin Sima Fatima, Fahs Duaa, Itani Hala, Kassir Ghida, Ghazeeri Ghina
Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon.
Department of Psychiatry and Psychology, Center for Behavioral Health, Neurological Institute, Cleveland Clinic, Cleveland, OH, United States of America.
BMC Psychol. 2025 May 30;13(1):579. doi: 10.1186/s40359-025-02805-x.
Resilience is a critical determinant of individuals' psychological well-being and their ability to cope with adversity. Resilience has emerged as a point of clinical relevance when addressing the effects of extreme environmental adversity on vulnerable populations. Lebanon experienced an economic collapse, the COVID-19 pandemic and the Beirut Blast within the span of a single year, causing significant lasting damage. Pregnant women were particularly vulnerable during this period of time. This study aims to measure the resilience of pregnant women in Lebanon after exposure to multiple, large-scale traumatic events. It also examines the potential effect of obstetrical factors, perceived stress, perceived social support, and childhood experiences on resilience scores.
We conducted a cross-sectional study among Lebanese pregnant women. A total of 257 pregnant Lebanese women who resided in Lebanon during all three crises were recruited to participate. Resilience, adverse and benevolent childhood experiences, and perceived social support were measured using validated scales: the Connor-Davidson Resilience Scale, the Adverse Childhood Experiences questionnaire, the Benevolent Childhood experiences scale, and the Multidimensional Scale of Perceived Social Support respectively. We also included a section on perceived stress, which included questions about the impact of the COVID-19 pandemic, the economic crisis, and the Beirut blast.
Our findings revealed a significant negative correlation between resilience and perceived stress (b=-0.157), suggesting resilience's protective role against the negative impact of stress during pregnancy. Furthermore, a positive correlation was demonstrated between perceived social support and resilience (b = 0.19), underscoring the importance of supportive networks in boosting resilience.
This research contributes vital knowledge to the understanding of resilience during the perinatal period. It emphasizes the need for comprehensive prenatal care that incorporates social and psychological support, thereby enhancing resilience and overall well-being in pregnant women amidst the multifaceted challenges faced in Lebanon.
心理韧性是个体心理健康及其应对逆境能力的关键决定因素。在应对极端环境逆境对弱势群体的影响时，心理韧性已成为一个具有临床相关性的要点。黎巴嫩在短短一年内经历了经济崩溃、新冠疫情和贝鲁特爆炸事件，造成了重大的持久损害。在此期间，孕妇尤其脆弱。本研究旨在测量黎巴嫩孕妇在经历多重大规模创伤事件后的心理韧性。它还考察了产科因素、感知压力、感知社会支持和童年经历对心理韧性得分的潜在影响。
我们对黎巴嫩孕妇进行了一项横断面研究。共招募了257名在所有三次危机期间都居住在黎巴嫩的黎巴嫩孕妇参与研究。分别使用经过验证的量表来测量心理韧性、童年不良和良性经历以及感知社会支持：康纳 - 戴维森心理韧性量表、童年不良经历问卷、童年良性经历量表和感知社会支持多维量表。我们还纳入了一个关于感知压力的部分，其中包括关于新冠疫情、经济危机和贝鲁特爆炸事件影响的问题。
我们的研究结果显示，心理韧性与感知压力之间存在显著负相关（b = -0.157），表明心理韧性在孕期对压力的负面影响具有保护作用。此外，感知社会支持与心理韧性之间呈现正相关（b = 0.19），强调了支持性网络在增强心理韧性方面的重要性。
本研究为围产期心理韧性的理解提供了重要知识。它强调了提供综合产前护理的必要性，这种护理应纳入社会和心理支持，从而在黎巴嫩孕妇面临多方面挑战的情况下增强其心理韧性和整体幸福感。
