ArticleBMC pregnancy and childbirth2021
Resilience mediates the effect of self-efficacy on symptoms of prenatal anxiety among pregnant women: a nationwide smartphone cross-sectional study in China.
Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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23 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.JAMA network open · 2023Pooled it
- The relationship between self-efficacy and prenatal depression in Chinese pregnant women: a parallel latent growth curve model.BMC psychiatry · 2025Article
- General Self-Efficacy Among Pregnant Women Attending Antenatal Care Units in Tunisia and Its Association with Family Quality of Life: A Multicenter Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Development of Powerly, unguided mobile app intervention preventing postpartum depression and anxiety & study protocol of randomized clinical trial.Internet interventions · 2025Article
- Self-efficacy as a moderator in the relationship between body image and health behaviors in pregnant women.Scientific reports · 2025Article
- Resilience of pregnant Polish women during the war between Ukraine and Russia.Scientific reports · 2025Article
- Anxiety, self-compassion, perceived social support and resilience in two groups of primiparous pregnant women fully and not attending childbirth preparation classes.BMC psychology · 2025Article
- The mediating role of self-efficacy in the relationship between eHealth literacy and childbirth readiness among pregnant women: a cross-sectional study.Frontiers in public health · 2025Article
- The impact of prenatal mental health on birth outcomes before and during the COVID-19 pandemic in Anhui, China.PloS one · 2024Article
- Anxiety, prenatal distress, and resilience during the first trimester of gestation.Revista da Escola de Enfermagem da U S P · 2024Article
- The mediating role of social support and resilience between self-efficacy and prenatal stress: a mediational analysis.BMC pregnancy and childbirth · 2023Article
- Self efficacy associated with regression from pregnancy-related pelvic girdle pain and low back pain following pregnancy.BMC pregnancy and childbirth · 2023Article
- The Fully Mediating Role of Psychological Resilience between Self-Efficacy and Mental Health: Evidence from the Study of College Students during the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2023Article
- Body Esteem and Self-Efficacy of Pregnant Women with Gestational Diabetes Mellitus.International journal of environmental research and public health · 2023Article
- Resilience and prenatal mental health in Pakistan: a qualitative inquiry.BMC pregnancy and childbirth · 2022Article
- The mediation role of psychological capital between family relationship and antenatal depressive symptoms among women with advanced maternal age: a cross sectional study.BMC pregnancy and childbirth · 2022Article
- Associations among fear of childbirth, resilience and psychological distress in pregnant women: A response surface analysis and moderated mediation model.Frontiers in psychiatry · 2022Article
- Self-Efficacy and Professional Identity Among Freshmen Nursing Students: A Latent Profile and Moderated Mediation Analysis.Frontiers in psychology · 2022Article
- The mediating effect of resilience on pregnancy stress and prenatal anxiety in pregnant women.Frontiers in psychiatry · 2022Article
- Resilience mediates the influence of hope, optimism, social support, and stress on anxiety severity among Chinese patients with cervical spondylosis.Frontiers in psychiatry · 2022Article
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11 authors at 2 institutions in 2 countries.
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Abstract
backgroundPrenatal anxiety is one of the most prevalent mental disorders during pregnancy. This study assessed the prevalence of prenatal anxiety and examined whether resilience could play the mediating role in the association between self-efficacy and symptoms of prenatal anxiety among pregnant women in China.
methodsA nationwide smartphone cross-sectional study was carried out in three cities (Shenyang of Liaoning Province, Zhengzhou of Henan Province and Chongqing Municipality) in China from July 2018 to July 2019. The questionnaire consisted of questions on demographic characteristics, the Generalized Anxiety Disorder Scale (GAD-7), the Chinese version of General Self-efficacy Scale (GSES), and the 14-item Wagnild and Young Resilience Scale (RS-14). A total of 665 pregnant women were recruited in this study. A hierarchical multiple regression model was employed to explore the associate factors and mediators of symptoms of prenatal anxiety. A structural equation model was employed to test the hypothesis that resilience mediates the association between self-efficacy and symptoms of prenatal anxiety.
resultsThe prevalence of symptoms of prenatal anxiety was 36.4% in this study. Self-efficacy was negatively correlated with symptoms of prenatal anxiety (r = -0.366, P < 0.01). Resilience had a significant positive correlation with self-efficacy (r = 0.612, P < 0.01) and had a negative correlation with symptoms of prenatal anxiety (r = -0.427, P < 0.01). The hierarchical multiple regression model indicated that self-efficacy and resilience were the main factors associated with symptoms of prenatal anxiety and contributed to 11.9% and 6.3% to the variance of symptoms of prenatal anxiety, respectively. Resilience served as a mediator between self-efficacy and symptoms of prenatal anxiety (a*b = -0.198, Bias-corrected and accelerated bootstrap 95% Confidence interval: -0.270, -0.126).
conclusionsSelf-efficacy was a negative predictor of symptoms of prenatal anxiety among pregnant women. Moreover, resilience mediated the relation between self-efficacy and symptoms of prenatal anxiety among pregnant women in China. It was observed in this study that psychological interventions might be beneficial for pregnant women to relieve symptoms of prenatal anxiety through improved self-efficacy and resilience.
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