Mediating effect of mindfulness level on the relationship between marital quality and postpartum depression among primiparas  

作　　者：Jian Yang Xin-Zhu Lin Qian-Wen Guo Cheng-Ling Wang Ren-Yan Yang Jun-Wen Zhang Yan Zeng 

机构地区：[1]Department of Gastroenterology,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China [2]Department of Psychology,The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China [3]Department of Obstetrics,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China [4]Department of Obstetrics,Chongqing Shizhu Tujia Autonomous County People’s Hospital,Chongqing 409100,China

出　　处：《World Journal of Clinical Cases》2023年第12期2729-2739,共11页世界临床病例杂志

基　　金：Supported by Chongqing Science and Health Joint Medical Research Project,No.2021MSXM034.

摘　　要：BACKGROUND Postpartum depression refers to a depressive episode or depressive symptoms up to 12 mo after delivery.Trait mindfulness has presented a protective factor for postpartum depressive symptoms and proved efficient in improving relationship satisfaction among couples.AIM To investigate the correlations among mindfulness,marital quality,anxiety,and depression in a large city in western China during the post-corona virus infectious disease-2019 era and determine whether trait mindfulness mediates the relationship between marital quality and postpartum anxiety and depression among primiparas.METHODS A cross-sectional study was conducted.The self-administered questionnaire was submitted online through smartphones.The levels of mindfulness,anxiety,depression,and marital quality were respectively investigated by the mindful attention awareness scale(MAAS),the self-rating anxiety scale(SAS),the selfrating depression scale(SDS),and the marriage perception scale(MPS)in these enrolled Han and Tujia primiparas.RESULTS No statistical significance was observed in the prevalence of postpartum anxiety and depression,nor scores of MAAS and MPS-Total in different regions or ethnicities(P>0.05).However,MPSMarital interaction(P<0.05),MPS-Family relationship(MPS-FR)(P<0.01),and MPS-Marital conflict(MPS-MC)(P<0.01)scores of urban primiparas were higher than those of rural primiparas.The MPS-MC score of Han primiparas was higher than that of Tujia primiparas(P<0.05).Negative correlations were observed between MAAS and SAS(r=-0.457,P<0.01),and MAAS and SDS(r=-0.439,P<0.01).SAS has revealed a highly positive correlation with SDS(r=0.720,P<0.01)and a weak negative correlation with MPS(r=-0.200,P<0.05).Besides,a weak negative correlation was observed between MAAS and MPS-MC(r=-0.184,P<0.05),and a weak positive correlation was noticed between SAS and MPS-MC(r=-0.225,P<0.01).Mediation analysis demonstrated a full mediation effect of mindfulness level on the relationship between MPS-FR and postpartum anxiety(P<0.05,95%CI:-0.384 to 0.0

关 键 词：Mediating effect MINDFULNESS Marital quality Postpartum depression Postpartum anxiety Primiparas 

分 类 号：R714.6[医药卫生—妇产科学]