Chen Zhihui, Liu Chuntao, Tan Xiaojing, Liao Xiaoli
Changsha Hospital for Maternal and Child Health Care, Changsha, Hunan, China.
The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Sci Rep. 2025 Jul 24;15(1):26870. doi: 10.1038/s41598-025-12309-8.
This study aimed to investigate the influence of postpartum depression literacy on health promoting behaviors among postpartum women, focusing on the mediating role of self-efficacy and the moderating effect of family functioning in this dynamic relationship. A cross-sectional survey was conducted with 622 postpartum women recruited during routine prenatal visits. Data were collected using validated instruments, including the Postpartum Depression Literacy Scale, Health-Promoting Lifestyle Profile II, General Self-Efficacy Scale, and Family Adaptability and Cohesion Scale. A moderated mediation model was adopted to examine direct, indirect, and interaction effects among the variables. Higher levels of postpartum depression literacy were significantly associated with increased engagement in health promoting behaviors. Self-efficacy partially mediated this relationship, with an indirect effect size of 0.35, indicating its central role in translating mental health literacy into positive behavioral outcomes. Family functioning moderated the association between postpartum depression literacy and self-efficacy, with stronger family support amplifying the beneficial effect (interaction effect, p < 0.05). These findings indicate that postpartum depression literacy significantly contributes to the adoption of health promoting behaviors among postpartum women, primarily by enhancing self-efficacy, a mechanism that is further reinforced in the context of high family functioning. This underscores the necessity of incorporating both mental health literacy enhancement and family-centered support strategies into comprehensive maternal health promotion programs to maximize behavioral engagement and improve overall maternal well being.
本研究旨在调查产后抑郁知识对产后女性健康促进行为的影响，重点关注自我效能感的中介作用以及家庭功能在这种动态关系中的调节作用。对在常规产前检查期间招募的622名产后女性进行了横断面调查。使用经过验证的工具收集数据，包括产后抑郁知识量表、健康促进生活方式概况II、一般自我效能感量表和家庭适应性与凝聚力量表。采用有调节的中介模型来检验变量之间的直接、间接和交互效应。较高水平的产后抑郁知识与更多地参与健康促进行为显著相关。自我效能感部分中介了这种关系，间接效应大小为0.35，表明其在将心理健康知识转化为积极行为结果方面的核心作用。家庭功能调节了产后抑郁知识与自我效能感之间的关联，更强的家庭支持增强了有益效果（交互效应，p < 0.05）。这些发现表明，产后抑郁知识显著促进了产后女性采取健康促进行为，主要是通过增强自我效能感，在家庭功能良好的背景下，这一机制会进一步得到强化。这凸显了将心理健康知识提升和以家庭为中心的支持策略纳入全面的孕产妇健康促进计划的必要性，以最大限度地提高行为参与度并改善孕产妇的整体健康状况。
