scholarly journals The Mediation Effect of Health Behavior on the Relationship Between Maternal Depression and Maternal-Fetal Attachment

2020 ◽  
Author(s):  
Rufidah Maulina ◽  
◽  
Su-Chen Kuo ◽  
Chieh Yu Liu ◽  
Yu-Ying Lu ◽  
...  
Keyword(s):  
Health Behavior ◽  
Maternal Depression ◽  
Depression Scale ◽  
Mediating Effect ◽  
Mediation Effect ◽  
Maternal Fetal Attachment ◽  
Health Promoting ◽  
Health Promoting Lifestyle ◽  
Fetal Attachment ◽  
The Relationship

Background: Numerous studies have shown the adverse effects of maternal depression, which impacts both mother and child as well as can lower the maternal-fetal attachment. However, during pregnancy, a pregnant woman tends to practice healthier behavior to improve her health and the baby. A gap remains in our understanding of the effect of health behavior as the variable which influences the relationship between depression and maternal-fetal attachment. This study aimed to investigate the mediating effect of healthy behavior on the relationship between maternal depression and maternal-fetal attachment. Subjects and Method: A cross sectional study was conducted at Community Health Centers in Surakarta, from July to September 2019. A sample of 224 pregnant women was selected for this study. The dependent variable was a healthy lifestyle. The independent variable was depression and maternal-fetal attachment. Depression was measured by Edinburgh Postpartum Depression Scale (EPDS). The data were analyzed by Hayes’ process mediation analysis. Results: Health-promoting lifestyle totally mediated the relationship between maternal depression and maternal-fetal attachment (b= -0.25; SE= 0.10; 95% CI= -0.47 to 0.05). Conclusion: Health-promoting lifestyle and behavior mediates the relationship between maternal depression and maternal-fetal attachment. Keywords: Nursing, midwife, maternal-fetal attachment, prenatal depression, health-promoting lifestyle Correspondence: Rufidah Maulina. National Taipei University of Nursing and Health Sciences. Taipei, Taiwan. Email: [email protected]. Mobile: +6282221525673. DOI: https://doi.org/10.26911/the7thicph.02.40

scholarly journals The mediating role of prenatal depression in adult attachment and maternal-fetal attachment in primigravida in the third trimester

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ling Zhang ◽  
Lei Wang ◽  
Qiuyu Yuan ◽  
Cui Huang ◽  
Shu Cui ◽  
...  
Keyword(s):  
Maternal Depression ◽  
Adult Attachment ◽  
Depression Scale ◽  
Depression Score ◽  
Prenatal Depression ◽  
Mediating Role ◽  
Maternal Fetal Attachment ◽  
Close Relationship ◽  
General Data ◽  
Fetal Attachment

Abstract Background Prenatal depression and adult attachment are factors that affect the establishment of an intimate relationship between a mother and fetus. The study explored differences in prenatal depression and maternal-fetal attachment (MFA) scores between different types of adult attachment and the effects of maternal depression scores and attachment dimensions on maternal intimacy with the fetus. Methods The Edinburgh Postnatal Depression Scale (EPDS), Experience of Close Relationship (ECR) scale, Maternal Antenatal Attachment Scale (MAAS) and a general data scale were used to investigate 260 primigravida. An exploratory analysis was performed to analyze the effects of the depression score and adult attachment on MFA. Results The results showed that pregnant women with insecure attachment exhibited an increased prevalence of prenatal depression, lower total MFA scores, and lower MFA quality compared with those women with secure adult attachment. The explorative analysis showed that the depression scores mediated the relationship between adult attachment avoidance and MFA quality. Conclusions Primigravida who had insecure adult attachment exhibited an increased prevalence of prenatal depression and lower MFA. Maternal depression and adult attachment may affect the emotional bond between a mother and fetus. This finding should be seriously considered, and timely intervention needs to take personality traits into consideration.

scholarly journals Relation between Mother’s Taekyo, Prenatal and Postpartum Depression, and Infant’s Temperament and Colic: A Longitudinal Prospective Approach

2020 ◽  
Vol 17 (20) ◽  
pp. 7691
Author(s):  
Kyung-Sook Bang ◽  
Insook Lee ◽  
Sungjae Kim ◽  
Yunjeong Yi ◽  
Iksoo Huh ◽  
...  
Keyword(s):  
Postpartum Depression ◽  
Maternal Depression ◽  
Depression Scale ◽  
Final Analysis ◽  
Significant Negative Correlation ◽  
Infant Temperament ◽  
Maternal Fetal Attachment ◽  
Before And After ◽  
Depression Level ◽  
Fetal Attachment

This longitudinal cohort correlational study aimed to confirm the relation among taekyo or traditional prenatal practice, prenatal depression, postpartum depression, maternal–fetal interaction, and infant temperament and colic using a prospective design. We recruited 212 women 16–20 weeks pregnant from July 2017 to September 2018; they were followed up until six months postpartum. Data from 97 participants were used in the final analysis. We used the Edinburgh Postnatal Depression Scale, Cranley’s Maternal–Fetal Attachment Scale, and What My Baby Is Like as measurement tools. We observed a significant correlation between prenatal maternal depression in the first to third trimesters and 6–8 weeks and six months postpartum. In addition, infant temperament at six months old showed a significant negative correlation with prenatal and postpartum depression: the higher the prenatal and postpartum depression level, the more difficult the infant’s temperament. Taekyo practice was significantly related to maternal–fetal attachment (r = 0.45−0.68, p < 0.001). Difficult infants showed more colic episodes than any other type of infant (χ2 = 18.18, p < 0.001). Prenatal and postnatal maternal depression affected infants’ temperament and colic episodes. The management of mothers’ mental health before and after pregnancy is important for infants’ and mothers’ health.

Mediating role of prenatal depression in attachment and maternal-fetal attachment in primigravida in late pregnancy

2020 ◽  
Author(s):  
Ling Zhang ◽  
Lei Wang ◽  
Qiuyu Yuan ◽  
Cui Huang ◽  
Shu Cui ◽  
...  
Keyword(s):  
Maternal Depression ◽  
Depression Scale ◽  
Late Pregnancy ◽  
Depression Score ◽  
Prenatal Depression ◽  
Insecure Attachment ◽  
Mediating Role ◽  
Maternal Fetal Attachment ◽  
Close Relationship ◽  
Fetal Attachment

Abstract Background: Prenatal depression and attachment are factors that affect the establishment of an intimate relationship between a mother and fetus. The study explored differences in prenatal depression and maternal-fetal attachment (MFA) scores between different type of attachment as well as the effects of maternal depression scores and attachment dimensions on maternal intimacy with fetus.Methods: The Edinburgh Postnatal Depression Scale (EPDS), Experience of Close Relationship (ECR) scale, Maternal Antenatal Attachment Scale (MAAS) and a general data scale were used to investigate 260 primigravida. Exploratory analysis was performed to analyze the effects of depression score and attachment on MFA.Results: The results showed that pregnant women with insecure attachment exhibited an increased prevalence of prenatal depression, lower total score of MFA and lower MFA quality compared with those women with secure attachment. Explorative analysis showed that depression score mediated the relationship between attachment avoidance and MFA quality.Conclusions: Primigravida who had insecure attachment exhibited an increased prevalence of prenatal depression and lower MFA. Maternal depression and attachment may affect the emotional bond between a mother and fetus. This finding should be taken seriously, and early intervention needs to take personality traits into consideration.

scholarly journals The impact of social capital on physical activity and nutrition in China: the mediating effect of health literacy

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Wan-Li Chen ◽  
Cheng-Gang Zhang ◽  
Zi-Yi Cui ◽  
Jing-Ya Wang ◽  
Jie Zhao ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Capital ◽  
Factor Analysis ◽  
Health Literacy ◽  
Mediation Analysis ◽  
Mediating Effect ◽  
The Social ◽  
Health Promoting ◽  
Health Promoting Lifestyle ◽  
The Relationship

Abstract Background Physical activity and good nutrition are important behavioral factors in promoting health and preventing disease. It is important to understand the factors affecting physical activity and nutrition. The purpose of this study was to explore whether social capital has an effect on physical activity and nutrition, and whether health literacy plays a mediating role between social capital and physical activity as well as nutrition. Methods This cross-sectional study was performed in a certain district of Shanghai in March and April 2017. Data was collected using a self-reported questionnaire, which included questions on sociodemographic characteristics, social capital, health literacy and health-promoting lifestyle profile-II. Health-promoting lifestyle profile-II measures the behaviours or habits of physical activity and healthy nutrition. An explore factor analysis of the principal components with varimax rotation was carried out on the social capital scale. Descriptive statistics was used to summarize the sociodemographic of participants. Mediation analysis was performed using the bootstrapping tests to examine whether health literacy mediate the relationship between social capital and physical activity as well as nutrition. Results The explore factor analysis results showed that social capital has five dimensions, namely social participation, social support, social network, control over life and feelings about the community. There is a positive correlation between social capital, health literacy, physical activity and nutrition. The correlation coefficient varied from 0.135 to 0.594. Mediation analysis demonstrated health literacy played a partial mediating effect between social capital and physical activity as well as nutrition. In the relationship between physical activity and social capital, the indirect effect of health literacy accounted for 8.20 to 12.65% of the total effect. In the relationship between nutrition and social capital, the mediation effect of health literacy accounted for 4.93 to 12.71% of the total effect. Conclusion Social capital can promote physical activity and nutrition by disseminating health information. Enhancing the social capital of residents will help increase physical activity and develop healthy eating habits. Attention should also be paid to the improvement of residents’ health literacy.

Mediating role of prenatal depression in attachment and maternal-fetal attachment in women who receive prenatal education

2020 ◽  
Author(s):  
Ling Zhang ◽  
Lei Wang ◽  
Qiuyu Yuan ◽  
Shu Cui ◽  
Cui Huang ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Maternal Depression ◽  
Depression Scale ◽  
Depression Score ◽  
Prenatal Depression ◽  
Prenatal Education ◽  
Attachment Avoidance ◽  
Education Group ◽  
Maternal Fetal Attachment ◽  
Fetal Attachment

Abstract Background Prenatal depression and attachment are factors that affect the establishment of an intimate relationship between a mother and fetus, and prenatal education plays an important role in helping pregnant women adapt to a maternal role and changes during pregnancy. The study explored differences in prenatal depression and maternal-fetal attachment (MFA) scores between a prenatal education group and no prenatal education group, as well as the effects of maternal depression scores and attachment dimensions on maternal intimacy with the fetus. Methods The Edinburgh Postnatal Depression Scale (EPDS), Experience of Close Relationship (ECR) scale, Maternal Antenatal Attachment Scale (MAAS) and a general data scale were used to investigate 222 pregnant women who received prenatal education and 118 pregnant women who did not receive prenatal education in the third trimester of pregnancy. An exploratory analysis was performed to analyze the effects of depression score and attachment on MFA in pregnant women who received prenatal education. Results The results showed that pregnant women who received prenatal education had higher MFA and lower depression scores than those who did not receive prenatal education, and prenatal depression partially mediated the relationship between attachment avoidance and MFA quality. Conclusions Women who received prenatal education had low prenatal depression scores and high MFA. Maternal depression and attachment avoidance may affect the emotional bond between mother and fetus and should be taken seriously; they can be prevented by prenatal education and early intervention.

scholarly journals Relationship between Competency to Consent to Treatment and Psychological Well-Being: Mediating Effect of Empowerment and Emotion

2021 ◽  
Vol 18 (15) ◽  
pp. 8170
Author(s):  
Yeun-Joo Hur ◽  
Joon-Ho Park ◽  
MinKyu Rhee
Keyword(s):  
Well Being ◽  
Treatment Evaluation ◽  
Mediating Effect ◽  
Mediation Effect ◽  
Psychiatric Outpatients ◽  
Psychological Well Being ◽  
Consent To Treatment ◽  
Study Participants ◽  
The Relationship

This study was conducted to evaluate the competency to consent to the treatment of psychiatric outpatients and to confirm the role of empowerment and emotional variables in the relationship between competency to consent to treatment and psychological well-being. The study participants consisted of 191 psychiatric outpatients who voluntarily consented to the study among psychiatric outpatients. As a result of competency to consent to treatment evaluation, the score of the psychiatric outpatient’s consent to treatment was higher than the cut-off point for both the overall and sub-factors, confirming that they were overall good. In addition, the effect of the ability of application on psychological well-being among competency to consent to treatment was verified using PROCESS Macro, and the double mediation effect using empowerment and emotional variables was verified to provide an expanded understanding of this. As a result of the analysis, empowerment completely mediated the relation between the ability of application and psychological well-being, and the relation between the ability of application and psychological well-being was sequentially mediated by empowerment and emotion-related variables. Based on these findings, the implications and limitations of this study were discussed.

De relatie tussen herstel, werkdruk en slaap: een dagboekstudie

2010 ◽  
Vol 23 (4) ◽  
Author(s):  
Alicia L.T. Walkowiak ◽  
Ute R. Hülsheger ◽  
Fred R.H. Zijlstra
Keyword(s):  
Sleep Quality ◽  
Positive Influence ◽  
Mediating Effect ◽  
Mediation Effect ◽  
Diary Study ◽  
Work Pressure ◽  
Negative Effect ◽  
The Relationship ◽  
High Work

The relationship between recovery, work pressure and sleep quality: A diary study The relationship between recovery, work pressure and sleep quality: A diary study Alicia L.T. Walkowiak, Ute R.Hülsheger & Fred R.H. Zijlstra, Gedrag & Organisatie, volume 23, December 2010, nr. 4, pp. 316-332. Previous research showed that the experience of high work pressure can lead to fatigue and even to health complaints on the long term. This makes it very important, especially for people who experience high work pressure, to take sufficient time to recover after work. Sleep quality has a positive influence on recovery. The aim of this diary study was to investigate whether sleep quality has a mediating effect on the relationship between work pressure and recovery. Seventy-six people took part in the study and answered questions about work, recovery and sleep for 14 days. Results showed that work pressure indeed had a negative effect on recovery and sleep quality. Furthermore, we found a partial mediation effect: sleep quality mediated the relationship between work pressure and recovery. These results stress the importance of recovery and sleep quality, especially for people who experience high work pressure.

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