ArticleBMC women's health2023
The effect of perceived social support on postpartum stress: the mediating roles of marital satisfaction and maternal postnatal attachment.
Article in BMC women's health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Article
- Prevalence and Factors Associated with Postpartum Depressive Symptoms Among Women Attending Postnatal Check-Ups at Two Hospitals in Yunnan Province, China: A Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2026Article
- Effectiveness of the Natural Breast Self-Circulation Program on Postpartum Breast Engorgement, Mental Health, and Quality of Life Among Early Postpartum Women: A Quasi-Experimental Study.Healthcare (Basel, Switzerland) · 2026Article
- Social Interactions and Cell Aging Dynamics in Postpartum Women.Biological research for nursing · 2026Article
- Article
- Association Between Postpartum Depression Symptoms of Primiparas and Uterine Recovery, Sleep Quality and Postpartum Stress.Actas espanolas de psiquiatria · 2026Article
- Perceived stress and its association with social support and social factors among lower-middle income mothers of young children in Tunisia.Scientific reports · 2026Article
- Development and psychometric evaluation of a postpartum stress scale in early postpartum mothers.Frontiers in public health · 2026Article
- Breastfeeding difficulties and maternal-infant bonding at three months postpartum in a Turkish cohort.Frontiers in pediatrics · 2026Article
- Attitudes toward partner notification ofFrontiers in public health · 2026Article
- Evolution of Life Satisfaction Throughout the Gestation Process and at Different Postpartum Stages.Behavioral sciences (Basel, Switzerland) · 2025Article
- The masking effects of self-efficacy and marital satisfaction on the association between childhood trauma and postpartum depressive symptoms: a cross-sectional study.Scientific reports · 2025Article
- Socioeconomic factors affecting postpartum mental health in mothers referred to a hospital in yasuj, Southwestern Iran.BMC pregnancy and childbirth · 2025Article
- Comparison of symptoms of depression, anxiety, and stress in postpartum women with and without pain: a network analysis.BMC pregnancy and childbirth · 2025Article
- Article
- The Interpersonal Antecedents of Attachment Security in Early Adulthood.Children (Basel, Switzerland) · 2025Article
- The role of maternal age, education, birth experience and self-esteem in shaping anxiety before first postpartum intercourse.Frontiers in public health · 2025Observational
- Association of maternal postpartum depression, anxiety, and stress symptoms: a network analysis.BMC psychiatry · 2024Article
- Social Support and Postpartum Depressive Symptoms in Portuguese Women: The Mediating Role of Emotion Regulation Difficulties.Journal of clinical medicine · 2024Article
- The multiple mediation model of social support and postpartum anxiety symptomatology: the role of resilience, postpartum stress, and sleep problems.BMC psychiatry · 2024Article
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4 authors.
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Abstract
backgroundMultiple factors may be responsible for the development of postpartum stress, including perceived social support, marital satisfaction, and maternal postnatal attachment. However, the underlying mediation mechanisms remain unclear. This study examined the complex relationships between perceived social support and postpartum stress among Chinese women.
methodsA convenience sample comprising 406 postpartum women was recruited from six hospitals in Nantong, Jiangsu Province, China. The participants completed general survey questionnaires and were evaluated using the Maternal Postpartum Stress Scale, the Perceived Social Support Scale, the Maternal Postnatal Attachment Scale, and the Marital Satisfaction Scale. Furthermore, we evaluated the relationship between postpartum stress and the various influencing factors by performing a multiple linear regression analysis. The potential mediating roles of marital satisfaction and maternal and infant attachment in the association between perceived social support and postpartum stress were explored by performing a mediation analysis.
resultsAccording to the multivariate regression analysis, perceived social support, marital satisfaction, and maternal postnatal attachment contributed to postpartum stress levels (P < 0.05). The mediation analysis revealed that marital satisfaction and maternal postnatal attachment played parallel mediating roles in the association between perceived social support and postpartum stress, and the mediating effect of marital satisfaction was - 0.1125 (95% confidence interval [CI]: -0.1784 to -0.0520), accounting for 33.20% of the total effect, and the mediating effect of maternal postnatal attachment was - 0.0847 (95% CI: -0.1304 to -0.0438), accounting for 25.00% of the total effect.
conclusionOur study revealed that perceived social support could influence postpartum stress not only through direct effect (41.80% of the total effect), but also through the indirect effect (mediation effect) of marital satisfaction and maternal postnatal attachment (58.20% of the total effect), suggesting that improving postpartum women's social support, enhancing maternal and infant attachment, and improving their marital satisfaction could help lower postpartum stress.
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