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28-12-2022 | Mood Disorders | Original Article

Association between pregnant specific stress and depressive symptoms in the late pregnancy of Chinese women: the moderate role of family relationship and leisure hobbies

Authors: Hanfang Zhao, Hong Shi, Chen Chen, Zheng Ren, Minfu He, Xiangrong Li, Yuyu Li, Yajiao Pu, Li Cui, Shixun Wang, Jieyu Zhao, Hongjian Liu, Xiumin Zhang

Published in: Journal of Public Health | Issue 1/2024

Abstract

Background

Little research has been conducted on the association between pregnant specific stress and depressive symptoms, and whether family relationship and leisure hobbies moderate the association.

Methods

A cross-sectional survey of 647 pregnant women was conducted in Shenyang City, Liaoning Province of China. Pregnancy Pressure Scale (PPS), Edinburgh Postnatal Depression Scale (EPDS) and two single items were used to assess stress, perinatal depressive symptoms, family relationship and leisure hobbies, respectively. The analysis included χ²-test, Fisher’s exact test, and binary logistic regression.

Results

The prevalence of perinatal depressive symptoms was 22.9% among the participants. After adjustment, four dimensions of pregnancy stress were found to increase the risk of depressive symptoms, and odds ratios (ORs) were 4.175 (95% confidence interval (CI) = 2.240, 7.779), 5.947 (95% CI = 2.624, 13.478), 3.907 (95% CI = 2.375, 6.425), and 8.534 (95% CI = 4.588, 15.873) for factors 1, 2, 3, and 4 (recognition of the role of parents, worrying about maternal and child health and safety, the changes in body shape and physical activity level, as well as child care and marriage), respectively. In addition, significant interactions were found between factor 2, factor 4 and family relationship, leisure hobbies with depressive symptoms, respectively (interaction P < 0.10).

Conclusion

Tailored stress-overcoming programs, as well as health services, are needed to relieve women’s pregnancy stress and prevent them from depressive symptoms. Clinical practice should conduct family relationship-oriented interventions and women themselves can cultivate extensive leisure hobbies in the period of pregnancy preparation.

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Title: Association between pregnant specific stress and depressive symptoms in the late pregnancy of Chinese women: the moderate role of family relationship and leisure hobbies
Authors: Hanfang Zhao
Hong Shi
Chen Chen
Zheng Ren
Minfu He
Xiangrong Li
Yuyu Li
Yajiao Pu
Li Cui
Shixun Wang
Jieyu Zhao
Hongjian Liu
Xiumin Zhang
Publication date: 28-12-2022
Publisher: Springer Berlin Heidelberg
Keywords: Mood Disorders
Affective Disorder
Published in: Journal of Public Health / Issue 1/2024
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI: https://doi.org/10.1007/s10389-022-01806-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Association between pregnant specific stress and depressive symptoms in the late pregnancy of Chinese women: the moderate role of family relationship and leisure hobbies

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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