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

作者全名："Yang, Jian; Lin, Xin-Zhu; Guo, Qian-Wen; Wang, Cheng-Ling; Yang, Ren-Yan; Zhang, Jun-Wen; Zeng, Yan"

作者地址："[Yang, Jian; Zhang, Jun-Wen] Chongqing Med Univ, Dept Gastroenterol, Affiliated Hosp 1, Chongqing 400016, Peoples R China; [Lin, Xin-Zhu; Zeng, Yan] Chongqing Med Univ, Dept Psychol, Affiliated Hosp 2, Chongqing 400010, Peoples R China; [Guo, Qian-Wen; Wang, Cheng-Ling] Chongqing Med Univ, Dept Obstet, Affiliated Hosp 2, Chongqing 400010, Peoples R China; [Yang, Ren-Yan] Chongqing Shizhu Tujia Autonomous Cty Peoples Hosp, Dept Obstet, Chongqing 409100, Peoples R China; [Zeng, Yan] Chongqing Med Univ, Dept Psychol, Affiliated Hosp 2, 76 Linjiang Rd, Chongqing 400010, Peoples R China"

通信作者："Zeng, Y (通讯作者)，Chongqing Med Univ, Dept Psychol, Affiliated Hosp 2, 76 Linjiang Rd, Chongqing 400010, Peoples R China."

来源：WORLD JOURNAL OF CLINICAL CASES

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000994584600013

JCR分区：Q3

影响因子：1

年份：2023

卷号：11

期号：12

开始页：　

结束页：　

文献类型：Article

关键词：　

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, MPS-Marital 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 0.033), MPS-MC and postpartum anxiety (P < 0.01, 95%CI: 0.027-0.193), MPS-FR and postpartum depression (P < 0.05, 95%CI: -0.365 to 0.031), and MPS-MC and postpartum depression (P < 0.01, 95%CI: 0.022-0.206). CONCLUSION Mindfulness demonstrates negative correlations with marital conflict, postpartum anxiety and depression, and it may have cross-ethnic and trans-regional characteristics. Although the mindfulness levels have revealed no significant mediating effect between the total score of marital quality and postpartum depression in this study, it demonstrates a full mediation effect on the relationships between family relationships, marital conflict, and postpartum anxiety and depression."

基金机构：Chongqing Science and Health Joint Medical Research Project [2021MSXM034]

基金资助正文："Supported by Chongqing Science and Health Joint Medical Research Project, No. 2021MSXM034."