ArticleBMC pregnancy and childbirth2022
The mediation role of psychological capital between family relationship and antenatal depressive symptoms among women with advanced maternal age: a cross sectional study.
Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 12 citations in OpenAlex.
- Anxiety, stress, and psychological capital among multiparous women: a cross-sectional study of second pregnancies.BMC pregnancy and childbirth · 2026Article
- Relationship Between Prenatal Depression and Psychological Capital in Pregnant Women in Guangdong, China: The Mediating Role of Coping Styles.Nursing research and practice · 2026Article
- Fertility-related psychological health and social pressures among women of average and delayed childbearing age: a multicenter survey.BMC women's health · 2025Article
- [Latent profile analysis of psychological capital and antenatal depression among pregnant women].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025Article
- Postponed childbearing: a cross-sectional study of differences between subjective and objective factors.Annals of medicine · 2025Article
- Positive psychological capital and antenatal depression: the chain-mediating roles of social support and maternal health literacy in rural China.BMC psychology · 2025Article
- The differential effect of sources of social support on postpartum depression: the mediating role of resilience.Philosophy, ethics, and humanities in medicine : PEHM · 2025Article
- The Association Between Psychological Capital and Self-Management Behaviors in Men with Gout: A Cross-Sectional Study in Southwest China.Patient preference and adherence · 2025Article
- Article
- Depression, sleep quality, and body image disturbances among pregnant women in India: a cross-sectional study.Journal of Yeungnam medical science · 2023Article
- Exosomes may be the carrier of acupuncture treatment for major depressive disorder.Frontiers in behavioral neuroscience · 2023Review
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3 authors at 3 institutions in 2 countries.
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Abstract
backgroundDue to changes in family policy in China, pregnancy at advanced age (30 years old or above) is prevalent. Advanced maternal age is known to be related to a variety of negative health outcomes, including antenatal depression. Family relationship quality might be an important factor for antenatal depressive symptoms among Chinese women with advanced maternal age. However, the underlying mechanisms in which family relationship quality can affect antenatal depressive symptoms among this population and how positive psychological capital (PsyCap) intervenes in this impact are not clear.
objectivesTo describe the prevalence and demographic characteristics of antenatal depressive symptoms among Chinese pregnant women with advanced maternal age, and to explore the mediation effect of PsyCap in the associations between family relationship quality and antenatal depressive symptoms.
methodsWe conducted a cross-sectional survey at a tertiary hospital in China. A total of 192 women with maternal age of 30 years or older completed the questionnaires. Data on antenatal depressive symptoms, PsyCap, family relationship quality and demographic characteristics were collected. The multiple mediation models in SPSS's PROCESS macro were used to test whether PsyCap mediated the relationship between family relationship quality and antenatal depressive symptoms.
resultsApproximately 28.6% of participants had antenatal depressive symptoms and 6.8% reported poor family relationship quality. Participants with higher education (p = .02) and better family relationship quality (p = .00) were less likely to have antenatal depressive symptoms. PsyCap collectively (β = 1.14, p < .05), or more specifically resilience (β = 0.61, p < .05) significantly mediated the relationship between poor family relationship quality and antenatal depressive symptoms. DISCUSSION: The relationship between family relationship quality and antenatal depressive symptoms can be mediated by PsyCap collectively or via resilience specifically. It is important to screen antenatal depressive symptoms among pregnant women with advanced age, especially those who have poor family relationship quality. Counseling and psychotherapy initiatives for resilience-enhancing training for pregnant women at advanced age may provide a promising target to break the link between poor family relationship quality and antenatal depressive symptoms.
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