Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2017

Open Access 01-01-2017 | Research

The impact of resilience on psychological outcomes in women with threatened premature labor and spouses: a cross-sectional study in Southwest China

Authors: Chunhua Nie, Qin Dai, Ren Zhao, Yushu Dong, Yushan Chen, Hui Ren

Published in: Health and Quality of Life Outcomes | Issue 1/2017

Login to get access

Abstract

Background

Threatened premature labor (TPL) is a severe obstetric complication which affects the mental and physical health of both the mother and fetus. Family resilience may have protective role against psychological distress in women experiencing these pregnancy complications. There may be resilience related risk factors in TPL women, and interplays may exist among psychological variables and within couples. This study aims to examine psychological outcomes influenced by different levels of resilience, and explore psychological interactions in TPL women, spouses, and between women and spouses.

Methods

Six validated questionnaires were used to measure the psychological outcomes (Connor-Davidson resilience scale CD-RISC, Edinburgh postnatal depression scale EPDS, positive and negative affect scale PANAS, pregnancy pressure scale PPS, simplified coping style questionnaire SCSQ, social support rating scale SSRS) in 126 TPL women hospitalized in three tertiary hospitals and 104 spouses in Southwest China.

Results

Low resilient women had significantly more complicated placenta praevia, longer pediatric observation, more pressure than high resilient women. They also had significantly less active coping and positive affect, more negative affect and depression compared to high resilient women and their spouses. Although the socio-demographic characteristics of both TPL women and spouses and psychometric parameters of spouses had no significant differences, the prevalence rates of depression in spouses were notable. Compared with spouses, TPL women had a more complex interaction among these psychometric factors, with women’s resilience negatively associated with their partners’ negative affect, and their pressure positively correlated with pressure and negative affect of spouses.

Conclusions

Pregnancy complicated with placenta praevia and pediatric observation may be risk factors for resilience of women with TPL. Maternal resilience has an important impact on the psychological outcomes in TPL women. A screening for resilience, depression and other psychological outcomes in couples with TPL and early psychological intervention of low resilient couples may be appropriate to promote resilience and well-being of these families.
Appendix
Available only for authorised users
Literature
1.
Hack M, Fanaroff AA. Outcomes of children of extremely low birthweight and gestational age in the 1990’s. Early Hum Dev. 1999;53(3):193–218.CrossRefPubMed
2.
Marlow N, Wolke D, Bracewell MA, Samara M. Neurologic and developmental disability at six years of age after extremely preterm birth. N Engl J Med. 2005;352(1):9–19.CrossRefPubMed
3.
Ward RM, Beachy JC. Neonatal complications following preterm birth. BJOG. 2003;110 Suppl 20:8–16.CrossRefPubMed
4.
Kramer MS, Demissie K, Yang H, Platt RW, Sauve R, Liston R. The contribution of mild and moderate preterm birth to infant mortality. Fetal and infant health study group of the Canadian perinatal surveillance system. JAMA. 2000;284(7):843–49.CrossRefPubMed
5.
McCormick MC, Litt JS, Smith VC, Zupancic JA. Prematurity: an overview and public health implications. Annu Rev Public Health. 2011;32:367–79.CrossRefPubMed
6.
7.
Saigal S, Doyle LW. An overview of mortality and sequelae of preterm birth from infancy to adulthood. Lancet. 2008;371(9608):261–69.CrossRefPubMed
8.
Doyle LW, Anderson PJ. Adult outcome of extremely preterm infants. Pediatrics. 2010;126(2):342–51.CrossRefPubMed
9.
Petrou S, Sach T, Davidson L. The long-term costs of preterm birth and low birth weight: results of a systematic review. Child Care Health Dev. 2001;27(2):97–115.CrossRefPubMed
10.
McCubbin HI, McCubbin MA. Typologies of resilient families: emerging roles of social class and ethnicity. Fam Relat. 1988;37:247–54.CrossRef
11.
Cox JL, Murray D, Chapman G. A controlled study of the onset, duration and prevalence of postnatal depression. Brit J Psychiat. 1993;163:27–31.CrossRefPubMed
12.
Murray L, Cooper PJ. Postpartum depression and child development. Psychol Med. 1997;27(2):253–60.CrossRefPubMed
13.
O’Hara MW, Swain AM. Rates and risk of postpartum depression: a meta-analysis. Int Rev Psychiatry. 1996;8(1):37–54.CrossRef
14.
Righetti-Veltema M, Bousquet A, Manzano J. Impact of postpartum depressive symptoms on mother and her 18-month-old infant. Eur Child Adolesc Psychiatry. 2003;12(2):75–83.CrossRefPubMed
15.
Weinberg MK, Tronick EZ. The impact of maternal psychiatric illness on infant development. J Clin Psychiatry. 1998;59(2):53–61.PubMed
16.
Koh YW, Chui CY, Tang CS, Lee AM. The Prevalence and Risk Factors of Paternal Depression from the Antenatal to the Postpartum Period and the Relationships between Antenatal and Postpartum Depression among Fathers in Hong Kong. Depress Res Treat. 2014;2014:127632.
17.
Ramchandani P, Stein A, Evans J, O’Connor TG. Paternal depression in the postnatal period and child development: a prospective population study. Lancet. 2005;365(9478):2201–05.CrossRefPubMed
18.
Ramchandani PG, Stein A, O’Connor TG, Heron J, Murray L, Evans J. Depression in men in the postnatal period and later child psychopathology: a population cohort study. J Am Acad Child Adolesc Psychiatry. 2008;47(4):390–98.CrossRefPubMedPubMedCentral
19.
Morse CA, Buist A, Durkin S. First-time parenthood: influences on pre- and postnatal adjustment in fathers and mothers. J Psychosom Obstet Gynecol. 2000;21(2):109–20.CrossRef
20.
Boyce P, Condon J, Barton J, Corkindale C. First-time fathers’ study: psychological distress in expectant fathers during pregnancy. Aust NZ J Psychiat. 2007;41(9):718–25.CrossRef
21.
Matthey S, Barnett B, Ungerer J, Waters B. Paternal and maternal depressed mood during the transition to parenthood. J Affect Disord. 2000;60(2):75–85.CrossRefPubMed
22.
Connor KM, Davidson JRT. Development of a new resilience scale: the Connor-Davidson resilience scale (CD-RISC). Depress Anxiety. 2003;18:76–82.CrossRefPubMed
23.
Lu W, Wang Z, You X. Physiological responses to repeated stress in individuals with high and low trait resilience. Biol Psychol. 2016;120:46–52.CrossRefPubMed
24.
Fu C, Leottsakos JM, Underwood C. An examination of resilience cross-culturally in child and adolescent survivors of the 2008 china earthquake using the Connor-Davidson resilience scale (CD-RISC). J Affect Disord. 2014;155:149–53.CrossRefPubMed
25.
Lennon SL, Heaman M. Factors associated with family resilience during pregnancy among inner-city women. Midwifery. 2015;31(10):957–64.CrossRefPubMed
26.
Zhang ZJ. Manuals of behavioral medicine measure. Beijing: Chinese Medical Electrical Publisher; 2001 [in Chinese].
27.
Zeng Y, Cui Y, Li J. Prevalence and predictors of antenatal depressive symptoms among Chinese women in their third trimester: a cross-sectional survey. BMC Psychiatry. 2015;15:66.CrossRefPubMedPubMedCentral
28.
Xie YN. Reliability and validity of the simplified coping style questionnaire. Chin J Clin Psych. 1998;6:114–15.
29.
30.
31.
Xiao SY. The social support rating scale. Psychological health rating scale manual. Beijing: China Psychology Health Publisher; 1994 [in Chinese].
32.
Cheng Y, Liu C, Mao C. Social support plays a role in depression in Parkinson’s disease: a cross-section study in a Chinese cohort. Parkinsonism Relat Disord. 2008;14(1):43–5.CrossRefPubMed
33.
Gao L, Chan S, Mao Q. Depression, perceived stress, and social support among first-time Chinese mothers and fathers in the postpartum period. Res Nurs Health. 2009;32(1):50–8.CrossRefPubMed
34.
Xie R, He G, Koszycki D. Social support, postnatal social support, and postpartum depression. Ann Epidemiol. 2009;19(9):637–43.CrossRefPubMed
35.
Wang YH, Haslam M, Yu M, Ding J, Lu Q, Pan F. Family functioning, marital quality and social support in Chinese patients with epilepsy. Health Qual Life Outcomes. 2015;13:10.CrossRefPubMedPubMedCentral
36.
Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale. Brit J Psychiat. 1987;150:782–6.CrossRefPubMed
37.
Murray D, Cox J. Screening for depression during pregnancy with the Edinburgh depression scale (EDDS). J Reprod Infant Psychol. 1990;8(2):99–107.CrossRef
38.
Matthey S, Barnett B, Kavanagh DJ, Howie P. Validation of the Edinburgh postnatal depression scale for men, and comparison of item endorsement with their partners. J Affect Disord. 2001;64(2–3):175–84.CrossRefPubMed
39.
Lee DT, Yip SK, Chiu HF, Leung TY, Chan KP, Chau IO, Leung HC, Chung TK. Detecting postnatal depression in Chinese women. Validation of the Chinese version of the Edinburgh postnatal depression scale. Brit J Psychiat. 1998;172:433–37.CrossRefPubMed
40.
Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol. 1988;54(6):1063–70.CrossRefPubMed
41.
Huang L, Yang TZ, Ji ZM. Applicability of the positive and negative affect scale in Chinese. Chin J Ment Health. 2003;17:54–6.
42.
43.
44.
Provenzi L, Barello S, Fumagalli M, Graffigna G, Sirgiovanni I, Savarese M, Montirosso R. A comparison of maternal and paternal experiences of becoming parents of a very preterm infant. J Obstet Gynecol Neonatal Nurs. 2016;45(4):528–41.CrossRefPubMed
45.
Provenzi L, Santoro E. The lived experience of fathers of preterm infants in the Neonatal Intensive Care Unit: a systematic review of qualitative studies. J Clin Nurs. 2015;24(13–14):1784–94.
46.
47.
Andersson L, Sundström-Poromaa I, Bixo M, Wulff M, Bondestam K, Åström M. Point prevalence of psychiatric disorders during the second trimester of pregnancy: a population-based study. Am J Obstet Gynecol. 2003;189(1):148–54.CrossRefPubMed
48.
Bennett HA, Einarson A, Taddio A, Koren G, Einarson TR. Prevalence of depression during pregnancy: systematic review. Obstet Gynecol. 2004;103(4):698–709.CrossRefPubMed
49.
Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T. Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol. 2005;106(5):1071–83.CrossRefPubMed
50.
Areias M, Kumar R, Barros H, Figueiredo E. Correlates of postnatal depression in mothers and fathers. Brit J Psychiat. 1996;169(1):36–41.CrossRefPubMed
51.
Agostini F, Neri E, Salvatori P, Dellabartola S, Bozicevic L, Monti F. Antenatal depressive symptoms associated with specific life events and sources of social support among Italian women. Matern Child Health J. 2015;19(5):1131–41.CrossRefPubMed
52.
Southwick SM, Charney DS. The science of resilience: implications for the prevention and treatment of depression. Science. 2012;338:79–82.CrossRefPubMed
53.
Cronenwett LR, Kunst-Wilson W. Stress, social support, and the transition to fatherhood. Nurs Res. 1981;30(4):196–201.CrossRefPubMed
54.
Blier MJ, Blier-Wilson LA. Gender differences in self-rated emotional expressiveness. Sex Roles. 1989;21(3–4):287–95.CrossRef
55.
Brody LR. Gender and emotion: beyond stereotypes. J Soc Issues. 1997;53(2):369–93.CrossRef
Metadata
Title
The impact of resilience on psychological outcomes in women with threatened premature labor and spouses: a cross-sectional study in Southwest China
Authors
Chunhua Nie
Qin Dai
Ren Zhao
Yushu Dong
Yushan Chen
Hui Ren
Publication date
01-01-2017
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2017
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-017-0603-2

Other articles of this Issue 1/2017

Health and Quality of Life Outcomes 1/2017 Go to the issue

Research

Emotional distress and dysfunctional illness perception are associated with low mental and physical quality of life in Chinese breast cancer patients

Research

Effects of home-based long-term care services on caregiver health according to age

Research

Quality of life in patients with hereditary haemorrhagic telangiectasia (HHT)

Research

Quality of life improvement after a three-year course of sublingual immunotherapy in patients with house dust mite and grass pollen induced allergic rhinitis: results from real-life

Research

Validation of the Vascular quality of life questionnaire – 6 for clinical use in patients with lower limb peripheral arterial disease

Review

A systematic review of the application of Wilson and Cleary health-related quality of life model in chronic diseases