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人格特质与社会支持:它们在产后抑郁中的作用。

Personality Traits and Social Support: Their Role in Postpartum Depression.

作者信息

Richa Saumya, Parveen Sumaila, Abullais Shahabe Saquib, Mahmood Syed Esam, Alsamghan Awad, Alshaikh Ayoub Ali

机构信息

Department of Psychology, Lovely Professional University, Phagwara, Punjab, India.

Department of Anesthesia and Operations, College of Applied Medical Sciences, King Khalid University, Muhayil Asir, Saudi Arabia.

出版信息

Psychol Res Behav Manag. 2025 Aug 10;18:1685-1699. doi: 10.2147/PRBM.S507701. eCollection 2025.

Abstract

INTRODUCTION

Postpartum depression (PPD) is a significant mood disorder occurring within the first year after childbirth, characterized by persistent sadness, fatigue, and bonding difficulties. This study focuses on mothers in Aurangabad, Bihar-a region with limited health-care facilities, high poverty, low education, and strong cultural beliefs about motherhood and mental health. We hypothesized that positive Big Five personality traits correlate with lower PPD levels, and that social support enhances this protective effect.

METHODS

This cross-sectional survey involved 300 mothers of children aged 1-2 years, recruited via convenience sampling between February and April 2023. Data collection used face-to-face interviews with the Big Five Inventory (BFI), Multidimensional Scale of Perceived Social Support (MSPSS), and Edinburgh Postnatal Depression Scale (EPDS). Analyses included descriptive statistics, correlation analysis, moderation testing with PROCESS macro (SPSS v4.2), and Structural Equation Modeling (SEM).

RESULTS

The average EPDS score was 7.9 (SD = 4.3), indicating generally low to moderate levels of PPD. Higher depression scores were significantly associated with neuroticism (r = 0.51, p < 0.01), lower extraversion, older mothers' age, and lower income. Perceived social support did not directly predict PPD but marginally moderated the relationship between personality traits and depression (interaction p = 0.0995), with reduced effect at higher levels of support (p = 0.2245). SEM supported partial indirect effects but did not indicate strong mediation.

CONCLUSION

Personality traits, particularly neuroticism, are key predictors of PPD in this population. While social support shows a limited moderating effect, it may offer modest protective benefits under certain conditions. The findings underscore the need for early psychological screening, especially for neuroticism, and tailored support interventions for new mothers. Given the cross-sectional design and sampling method, results should be interpreted cautiously. Longitudinal studies are recommended for further validation.

摘要

引言

产后抑郁症(PPD)是一种在分娩后第一年内出现的严重情绪障碍,其特征为持续的悲伤、疲劳以及母婴情感联结困难。本研究聚焦于比哈尔邦奥兰加巴德地区的母亲们,该地区医疗保健设施有限、贫困率高、教育水平低,且对于母亲身份和心理健康有着强烈的文化观念。我们假设大五人格特质中的积极特质与较低的产后抑郁症水平相关,并且社会支持会增强这种保护作用。

方法

这项横断面调查涉及300名1至2岁儿童的母亲,于2023年2月至4月通过便利抽样招募。数据收集采用面对面访谈的方式,使用大五人格量表(BFI)、领悟社会支持多维量表(MSPSS)和爱丁堡产后抑郁量表(EPDS)。分析包括描述性统计、相关性分析、使用PROCESS宏程序(SPSS v4.2)进行调节效应检验以及结构方程模型(SEM)。

结果

爱丁堡产后抑郁量表的平均得分为7.9(标准差 = 4.3),表明产后抑郁症总体处于低至中度水平。较高的抑郁得分与神经质显著相关(r = 0.51,p < 0.01),外向性较低、母亲年龄较大以及收入较低也与之相关。领悟社会支持并未直接预测产后抑郁症,但对人格特质与抑郁之间的关系有微弱的调节作用(交互作用p = 0.0995),在较高支持水平下这种作用减弱(p = 0.2245)。结构方程模型支持部分间接效应,但未表明有强大的中介作用。

结论

人格特质,尤其是神经质,是该人群产后抑郁症的关键预测因素。虽然社会支持的调节作用有限,但在某些条件下可能会提供适度的保护益处。研究结果强调了早期心理筛查的必要性,尤其是针对神经质的筛查,以及为新妈妈量身定制支持性干预措施。鉴于横断面设计和抽样方法,结果应谨慎解读。建议进行纵向研究以作进一步验证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f2b/12352430/30d1691fdfbc/PRBM-18-1685-g0001.jpg

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