ArticleBMC pregnancy and childbirth2016
Path model of antenatal stress and depressive symptoms among Chinese primipara in late pregnancy.
Article in BMC pregnancy and childbirth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 52 citations in OpenAlex.
- Postnatal Common Mental Disorders and Their Predictors in Northwest Ethiopia: A Community-Based Cohort Study.Depression and anxiety · 2026Article
- Association between history of pregnancy loss and preterm birth: the mediating role of maternal anxiety.BMC pregnancy and childbirth · 2025Article
- The causal effect of stressors on antenatal common mental disorders among pregnant mothers in Dabat district Northwest, Ethiopia: A generalized structural equation model approach.PLOS mental health · 2025Article
- Antenatal Depression and its Associated Factors: Findings from Kuwait Birth Cohort Study.Journal of epidemiology and global health · 2024Article
- Influencing factors of sleep quality in pregnant: a structural equation model approach.BMC psychology · 2024Article
- Factors associated with stress among pregnant women with a second child in Hunan province under China's two-child policy: a mixed-method study.BMC psychiatry · 2024Article
- Effectiveness of group-based psycho-education on preventing postpartum depression among pregnant women by primary healthcare provider in primary healthcare institution: a cluster-randomized controlled trial.Frontiers in psychiatry · 2024Article
- The construction and validation of the novel nomograms for the risk prediction of prenatal depression: a cross-sectional study.Frontiers in psychiatry · 2024Article
- Risk factors for the development of postpartum depression in individuals who screened positive for antenatal depression.BMC psychiatry · 2023Article
- Moderating Effect of Changes in Perceived Social Support during Pregnancy on the Emotional Health of Mothers and Fathers and on Baby's Anthropometric Parameters at Birth.Children (Basel, Switzerland) · 2022Article
- The mediating role of coping styles in the relationship between perceived social support and antenatal depression among pregnant women: a cross-sectional study.BMC pregnancy and childbirth · 2022Article
- The magnitude and determinants of depressive symptoms amongst women in early pregnancy in Southern Nigeria: A cross-sectional study.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2022Article
- The mediating role of prenatal depression in adult attachment and maternal-fetal attachment in primigravida in the third trimester.BMC pregnancy and childbirth · 2021Article
- Personality Characteristics and Emotional Distress Among Chinese Pregnant Women: A Moderated Mediation Model.Frontiers in psychiatry · 2021Article
- Coping Styles in Pregnancy, Their Demographic and Psychological Influences, and Their Association with Postpartum Depression: A Longitudinal Study of Women in China.International journal of environmental research and public health · 2020Article
- Causal mechanisms of postnatal depression among women in Gondar town, Ethiopia: application of a stress-process model with generalized structural equation modeling.Reproductive health · 2020Article
- Antenatal depression and its potential causal mechanisms among pregnant mothers in Gondar town: application of structural equation model.BMC pregnancy and childbirth · 2020Article
- Mediating role of social support between sleep quality, anxiety and depressive symptoms in Chinese women undergoing in vitro fertilization treatment.SAGE open medicine · 2020Article
- Prenatal Depression in Women in the Third Trimester: Prevalence, Predictive Factors, and Relationship With Maternal-Fetal Attachment.Frontiers in public health · 2020Article
- Relationship Between Marital Quality, Social Support and Mental Health During Pregnancy.Community mental health journal · 2019Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAntenatal maternal mental health problems have numerous consequences for the well-being of both mother and child. This study aimed to test and construct a pertinent model of antenatal depressive symptoms within the conceptual framework of a stress process model.
methodsThis study utilized a cross-sectional study design. INCLUSION CRITERIA: participants were adult women (18 years or older) having a healthy pregnancy, in their third trimester (the mean weeks gestation was 34.71). DATA COLLECTION: depressive and anxiety symptoms were measured by Zung's Self-rating Depressive and Anxiety Scale, stress was measured by Pregnancy-related Pressure Scale, social support and coping strategies were measured by Social Support Rating Scale and Simplified Coping Style Questionnaire, respectively. ANALYSIS: path analysis was applied to examine the hypothesized causal paths between study variables.
resultsA total of 292 subjects were enrolled. The final testing model showed good fit, with normed χ (2) = 32.317, p = 0.061, CFI = 0.961, TLI = 0.917, IFI = 0.964, NFI = 0.900, RMSEA = 0.042. This path model supported the proposed model within the theoretical framework of the stress process model. Pregnancy-related stress, financial strain and active coping have both direct and indirect effects on depressive symptoms. Psychological preparedness for delivery, social support and anxiety levels have direct effects on antenatal depressive symptoms. Good preparedness for delivery could reduce depressive symptoms, while higher levels of anxiety could significantly increase depressive symptoms. Additionally, there were indirect effects of miscarriage history, irregular menstruation, partner relationship and passive coping with depressive symptoms.
conclusionThe empirical support from this study has enriched theories on the determinants of depressive symptoms among Chinese primipara, and could facilitate the formulation of appropriate interventions for reducing antenatal depressive symptoms, and enhancing the mental health of pregnant women.
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