以质量求发展，以服务铸品牌

护理学报 ›› 2023, Vol. 30 ›› Issue (6): 68-71.doi: 10.16460/j.issn1008-9969.2023.06.068

• 心理卫生 • 上一篇    下一篇

抑郁在妊娠晚期孕妇身体不满与母胎依恋间的中介效应

李梦帆, 张侠, 李晓媛   

  1. 郑州大学第二附属医院 护理部,河南 郑州 450000
  • 收稿日期:2022-11-02 出版日期:2023-03-25 发布日期:2023-04-12
  • 通讯作者: 张侠（1978-）,女,河南郑州人,硕士,副主任护师。E-mail：897162511@qq.com
  • 作者简介:李梦帆（1998-）,女,河南新乡人,本科学历,硕士研究生在读,护士。
  • 基金资助:
    2021年河南省医学科技攻关项目（LHGJ20210429）

Mediating effect of depression between body dissatisfaction and maternal-fetal attachment in late pregnancy

LI Meng-fan, ZHANG Xia, LI Xiao-yuan   

  1. Dept. of Nursing Administration, the Second Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China
  • Received:2022-11-02 Online:2023-03-25 Published:2023-04-12

PDF (PC)

520

赞

摘要： 目的 探讨妊娠晚期孕妇抑郁在身体不满及母胎依恋间的中介效应。方法 便利选取2022年7—8月在郑州市某三级甲等医院产科门诊做产前常规检查的246例妊娠晚期的孕妇为研究对象。使用母胎依恋关系量表、孕期身体感受测评量表及爱丁堡产后抑郁量表对其进行调查。结果 妊娠晚期孕妇母胎依恋得分为（73.89±7.31）分、身体不满得分为（47.91±7.47）分、抑郁得分为（8.09±3.25）分。身体不满与抑郁呈正相关（P<0.001）,与母胎依恋呈负相关（P<0.001）;母胎依恋与抑郁呈负相关（P<0.001）。抑郁在身体不满与母胎依恋起部分中介作用,中介效应占总效应的60.25%。结论 妊娠晚期孕妇抑郁、身体不满和母胎依恋关系密切,身体不满可通过抑郁间接影响母胎依恋。医护人员可通过降低孕妇的身体不满程度,改善抑郁状况,增强母胎依恋水平。

关键词: 孕妇, 抑郁, 身体不满, 母胎依恋, 中介效应

Abstract: Objective To investigate the mediating effect of depression between body dissatisfaction and maternal-fetal attachment in late trimester pregnancy. Methods Convenient sampling was used to select 246 pregnant women in late trimester pregnancy who had routine prenatal checkups in the obstetric outpatient clinic in one tertiary grade-A hospital in Zhengzhou City from July 2022 to August 2022, and the investigation was conducted by using the Maternal Antenatal Attachment Scale, Body Understanding Measure Pregnancy Scale,and Edinburgh Postnatal Depression Scale. Results The score of maternal-fetal attachment, body dissatisfaction and depression was 73.89±7.31, 47.91±7.47, and 8.09±3.25 respectively. Body dissatisfaction was positively associated with depression (P<0.001), negatively with maternal-fetal attachment (P<0.001), and maternal fetal attachment was negatively associated with depression (P<0.001). Depression played a partially mediating role between body dissatisfaction and maternal-fetal attachment, and the mediating effect accounted for 60.25% of the total effect. Conclusion Maternal depression, body dissatisfaction, and maternal-fetal attachment are closely related, and body dissatisfaction can indirectly affect maternal-fetal attachment through depression. The improved body dissatisfaction is conducive to the enhancement of maternal-fetal attachment and mental health.

Key words: pregnant women, depression, body dissatisfaction, maternal-fetal attachment, mediating effect

中图分类号: 

  • R395.6
[1] 齐娜,王丽宁,李杨,等. 母胎依恋与孕期抑郁的关系:社会支持和压力感知的多重中介作用[J].解放军护理杂志,2022,39(7):5-8. DOI:10.3969/j.issn.2097-1826.2022.07.002.
[2] Brandon AR, Pitts S, Denton WH, et al.A history of the theory of prenatal attachment[J]. J Prenat Perinat Psychol Health, 2009,23(4):201-222.
[3] Sacchi C, Miscioscia M, Visentin S, et al.Maternal-fetal attachment in pregnant Italian women: multidimensional influences and the association with maternal caregiving in the infant’s first year of life[J]. BMC pregnancy childbirth, 2021,21(1):488.DOI:10.1186/s12884-021-03964-6.
[4] 吴裕玲, 聂蓉. 妇女孕晚期与产褥期母婴连结的关系研究[J].护理学杂志,2022,37(7):41-44.DOI:10.3870/j.issn.1001-4152.2022.07.041.
[5] 刘秋越, 王芝, 肖亭英, 等. 孕产妇身体不满研究进展[J]. 护理研究, 2022,36(4):679-682.DOI:10.12102/j.issn.1009-6493.2022.04.021.
[6] Lai BP, Tang CS, Tse WK.Prevalence and psychosocial correlates of disordered eatingamong Chinese pregnant women in Hong Kong[J]. Eat Disord, 2005,13(2):171-186. DOI: 10.1080/10640260590918991.
[7] Disner SG, Beevers CG, Haigh EAP, et al.Neural Mechanisms of the Cognitive Model of Depression[J]. Nat Rev Neurosci, 2011,12(8):467-477.DOI:10.1038/nrn3027.
[8] Walsh J, Hepper EG, Marshall BJ.Investigating attachment, caregiving, and mental health: a model of maternal-fetal relationships[J]. BMC Pregnancy Childbirth, 2014,14:383.DOI:10.1186/s12884-014-0383-1.
[9] 聂戈, 范红霞. 母胎依恋关系量表的修订及信效度检验[J]. 中国临床心理学杂志,2017,25(4):4.DOI:10.16128/j.cnki.1005-3611.2017.04.019.
[10] Kirk E, Preston C.Development and validation of the Body Understanding Measure for Pregnancy Scale (BUMPS) and its role in antenatal attachment[J]. Psychol Assess, 2019,31(9):1092-1106.DOI:10.1037/pas0000736.
[11] Wu Y, Dai J, Chen X, et al.Psychometric evaluation of the body understanding measure pregnancy scale Chinese version for pregnant Chinese women[J]. Midwifery, 2022,112:103394.DOI:10.1016/j.midw.2022.103394.
[12] 郭秀静,王玉琼,陈静. 爱丁堡产后抑郁量表在成都地区产妇中应用的效能研究[J]. 中国实用护理杂志,2009,25(1):4-6. DOI:10.3760/cma.j.issn.1672-7088.2009.01.002.
[13] 刘文婷,陈瑜,陶艳玲,等. 初产妇和经产妇产前抑郁情绪的影响因素研究[J]. 解放军护理杂志,2022, 39(7):1-4. DOI:10.3969/j.issn.2097-1826.2022.07.001.
[14] 聂戈. 婚姻质量对母胎依恋的影响:孕期抑郁的中介作用和早期依恋经历的调节作用[J]. 中国临床心理学杂志,2018,26(1):143-146.DOI:10.16128/j.cnki.1005-3611.2018.01.031.
[15] 丁雪辰,桑标,李丹.母亲-胎儿关系:概念、测量和影响因素[J].心理科学,2013,36(5):1146-1152.DOI:10.16719/j.cnki.1671-6981.2013.05.001.
[16] 苏比努尔·艾力,郑婕,向佳明,等. 妊娠晚期孕妇症状群及其影响因素研究[J]. 护理学杂志,2021,36(7):26-30. DOI:10.3870/j.issn.1001-4152.2021.07.026.
[17] Chan CY, Lee AM, Koh YW, et al.Associations of body dissatisfaction with anxiety and depression in the pregnancy and postpartum periods: a longitudinal study[J]. J Affect Disord, 2020,263:582-592.DOI:10.1016/j.jad.2019.11.032.
[18] Meireles A, Costa ME.Body experience and the mother-child relationship in pregnancy: a cross-sectional study of pregnant Portuguese women[J].J Reprod Infant Psychol, 2019,37(5):527-538.DOI:10.1080/02646838.2019.1626009.
[19] Zhang L, Wang L, Cui S, et al.Prenatal depression in women in the third trimester: prevalence, predictive factors, and relationship with maternal-fetal attachment[J]. Front Public Health, 2020, 8:602005. DOI:10.3389/fpubh.2020.602005.
[20] Rogers A, Obst S, Teague SJ, et al.Association between maternal perinatal depression and anxiety and child and adolescent development: a Meta-analysis[J]. JAMA pediatrics, 2020, 174(11):1082-1092.DOI:10.1001/jamapediatrics.2020.2910.
[21] Przybyła-Basista H, Kwiecińska E, Ilska M.Body acceptance by pregnant women and their attitudes toward pregnancy and maternity as predictors of prenatal depression[J]. Int J Environ Res Public Health, 2020,17(24):9436.DOI:10.3390/ijerph17249436.
[22] Brown RH, Eisner M, Walker S, et al.The impact of maternal adverse childhood experiences and prenatal depressive symptoms on foetal attachment: preliminary evidence from expectant mothers across eight middle-income countries[J]. J Affect Disord, 2021,295:612-619.DOI:10.1016/j.jad.2021.08.066.
[1] 李疆伟, 王树君, 李长仔, 胡宝山, 焦桂梅, 张卫红. 基于压力应对理论的护理干预对结直肠癌术后永久性肠造口患者心理压力、负性情绪及自我管理的影响[J]. 护理学报, 2025, 32(4): 64-69.
[2] 王利敏, 方继红, 武凤芹, 朱晶, 陈婉宣. 运动恐惧在学龄期四肢骨折患儿自我效能与早期功能锻炼依从性间的中介效应[J]. 护理学报, 2025, 32(3): 1-5.
[3] 王子萱, 原振青, 赵一鋆, 王惠平, 洪菲菲, 邹敏. 体面劳动感在三级甲等医院手术室护士反思能力与创新行为的中介效应[J]. 护理学报, 2025, 32(1): 62-67.
[4] 李爱群, 李利花, 王芳, 蒋源元, 蔡益民. 慢性病资源利用在冠心病PCI术后患者自我超越与自我管理行为间的中介效应[J]. 护理学报, 2024, 31(6): 13-17.
[5] 李伟, 王香, 裴丽, 高擎擎, 黄海超. 妊娠晚期孕妇症状群的范围综述[J]. 护理学报, 2024, 31(3): 51-56.
[6] 米娇, 谭煜炜, 唐小燕, 刘蕾, 袁榕. 负性情绪在ICU护士心理负荷与报警疲劳的中介效应[J]. 护理学报, 2024, 31(3): 68-72.
[7] 肖霄, 张煊丽, 张云漪, 谢梓洋. 代际共同养育关系对0~3岁婴幼儿母亲抑郁的影响机制研究[J]. 护理学报, 2024, 31(24): 57-63.
[8] 牟晓玲, 陈宇琦, 刘海燕, 李敏, 董敏, 黄佳佳, 李璇, 陈瑜. 肺移植受者术后抑郁调查及影响因素分析[J]. 护理学报, 2024, 31(21): 7-11.
[9] 祁丽萍, 王文煊, 侯敏, 郑粤豪, 冯惠霞, 李济宾. 首诊鼻咽癌患者焦虑抑郁现状及其与恐惧疾病进展的关系[J]. 护理学报, 2024, 31(20): 67-72.
[10] 袁佳琳, 杨玲玲, 刘晓慧, 甘茹, 杜瑄, 高海花, 杨小萍, 王慧娟. 308名脑卒中患者主要照顾者抑郁现状及影响因素分析[J]. 护理学报, 2024, 31(2): 27-31.
[11] 罗苏娴, 曾超男, 张静华, 白阳娟, 周洁. 护士长真实型领导与护士角色模糊和离职倾向的关系研究[J]. 护理学报, 2024, 31(2): 44-47.
[12] 吴双赢, 谢子恒, 庄严. 2 888名老年人抑郁症状发展轨迹及影响因素研究[J]. 护理学报, 2024, 31(14): 6-12.
[13] 梁琪, 王冰洁, 刘洋, 张春梅. 智谋在老年结直肠癌造口患者病耻感与社会隔离的中介效应[J]. 护理学报, 2024, 31(14): 19-23.
[14] 齐柯雯, 吴慧颖. 新入职护士的患者安全文化感知在道德敏感性与安全行为间的中介作用[J]. 护理学报, 2024, 31(10): 8-12.
[15] 闵瑰, 汪爱琴, 唐婷. 职业召唤在养老护理员体面劳动感知与工作投入间的中介效应[J]. 护理学报, 2024, 31(1): 69-73.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!