ArticleBMC psychiatry2025
The effects of maternal health literacy, family functioning and self-efficacy on antepartum depression in pregnant women in China: a moderated mediation model.
Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Culturally Adapted Interpersonal Psychotherapy for Perinatal Depression in Rural China: A Pilot Randomized Controlled Trial.Psychology research and behavior management · 2026Trial
- Maternal health literacy and its associated factors among pregnant women in Western Cape antenatal clinics.African journal of primary health care & family medicine · 2026Article
- Mobile App Use and Pregnancy Health Literacy: Cross-Sectional Study Using Bayesian Network Analysis.Journal of medical Internet research · 2026Article
- How family functioning shapes prenatal bonding: a mediation analysis of depressive symptoms and maternal-fetal attachment.Frontiers in psychiatry · 2026Article
- Traditional Chinese medicine health literacy and depressive symptoms in postpartum women: the sequential mediating effects of social support and self-efficacy.Frontiers in public health · 2026Article
- 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
- Positive psychological capital and antenatal depression: the chain-mediating roles of social support and maternal health literacy in rural China.BMC psychology · 2025Article
- Association Between Sleep Quality and Self-Efficacy Trajectories Among Pregnant Women: A Parallel Process Latent Growth Curve Model.Nature and science of sleep · 2025Article
- Knowledge of puerperal sepsis, self-care practices of puerperal sepsis prevention and associated factors among postpartum women in the Gurage zone, Central Ethiopia: Multicenter study.SAGE open medicine · 2025Article
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14 authors.
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Abstract
backgroundAntepartum depression (AD) is associated with a greater risk of adverse outcomes for both mothers and fetuses. Maternal health literacy (MHL), family functioning (FF), and self-efficacy (SE) are important factors affecting antepartum depression (AD) in pregnant women. Therefore, this study aimed to explore the associations between these factors and whether MHL and SE mediate the relationship between FF and AD.
methodsThis cross-sectional study included 1392 pregnant women from 6 hospitals in Chongqing, China. Data were collected via structured scales, including the Edinburgh Postpartum Depression Scale, the APGAR Family Care Index Scale, the Maternal Health Literacy Scale and the General Self-Efficacy Scale (GSES). Structural equation modeling(SEM) was used to test the hypothesized relationships among the variables.
resultsIn our survey, 31.90% participants had depression symptoms. Correlation analysis revealed that all the variables were significantly correlated with AD (p < 0.01). The model indicated that FF had the strongest correlation with AD (β = -0.276, p < 0.01), followed by MHL (β = -0.248, p < 0.01) and self-efficacy (SE) (β = -0.222, p < 0.01). SE fully mediated the relationship between FF and AD and mediated the relationship between MHL and AD. There was no evidence of a mediating effect of MHL on the relationship between FF and AD.
conclusionsAD is correlated with MHL, SE and FF. MHL and FF can directly affect AD and mediate AD through SE. Future programs should consider MHL promotion, FF improvement and SE strengthening as breakthrough points when planning educational programs.
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