社会支持是乐观情绪、出生满意度和父亲和母亲产后急性压力症状之间关系的差异调节因子。

IF 2.7 2区 心理学 Q2 PSYCHIATRY Psychological trauma : theory, research, practice and policy Pub Date : 2024-10-01 Epub Date: 2023-10-05 DOI:10.1037/tra0001592
Maor Kalfon-Hakhmigari, Jonathan E Handelzalts, Yulia Wilk Goldsher, Haim Krissi, Yoav Peled
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引用次数: 0

摘要

目的:分娩可能是一种压力事件,会导致急性压力的发展。然而,人们对母亲产后急性压力知之甚少,对父亲更是知之甚少。目前的研究旨在通过在适度中介模型中检验性格乐观、主观出生满意度和社会支持的关系,扩大对产后急性应激症状的理解。方法:参与者包括567名母亲和109名在分娩时在场的父亲,在一家三级医疗中心的产科病房进行抽样。产后几天分发了自我报告问卷:人口统计和产科信息、性格乐观(修订生活取向测试)、出生满意度(修订出生满意度量表)、社会支持(感知社会支持多维量表),和急性应激症状(全国应激事件调查急性应激障碍短量表),发生了类似的适度调解;然而,在高水平的社会支持下,出生满意度和急性压力之间的相关性变得不显著(B=.17,SE=0.08,CI[0.2~.32];适度中介指数=0.8,[-.07~.22]),同时发现了社会支持对父亲和母亲的不同影响。对于父亲来说,高水平的社会支持可以消除出生满意度与急性压力之间的联系,从而缓解产后急性压力症状的发展。这项研究在一个医疗中心进行,参与者大多是犹太人;因此,需要进一步的研究来更好地概括。(PsycInfo数据库记录(c)2023 APA,保留所有权利)。
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Social support as a differential moderator of the association between optimism, birth satisfaction, and postpartum acute stress symptoms of fathers and mothers.

Objective: Childbirth can be a stressful event that leads to the development of acute stress. However, little is known about postpartum acute stress among mothers and even less among fathers. The current study aims to expand the understanding of postpartum acute stress symptoms by examining associations with dispositional optimism, subjective birth satisfaction, and social support in a moderated-mediation model.

Method: Participants comprised 567 mothers and 109 fathers who gave/were present at birth, sampled at the maternity ward of a tertiary healthcare center. Self-report questionnaires were distributed a few days postpartum: demographic and obstetric information, dispositional optimism (Life Orientation Test-Revised), birth satisfaction (Birth Satisfaction Scale-Revised), social support (the Multidimensional Scale of Perceived Social Support), and acute stress symptoms (National Stressful Events Survey Acute Stress Disorder Short Scale).

Results: For mothers, birth satisfaction mediated the association between dispositional optimism and acute stress, and social support moderated the association between birth satisfaction and acute stress for all levels of social support (B = .14, SE = .05, CI [.05 to .23]). For fathers, a similar moderated-mediation occurred; however, at high levels of social support, the association between birth satisfaction and acute stress became insignificant (B = .17, SE = .08, CI [.02 to .32]; index of moderated-mediation = .08, [-.07 to .22]).

Conclusions: Optimism through birth satisfaction may reduce acute stress levels following childbirth among parents, while different effects of social support for fathers and mothers were discovered. For fathers, high levels of social support were found to eliminate the association between birth satisfaction and acute stress and therefore buffer the development of postpartum acute stress symptoms. This study took place in one healthcare center with mostly Jewish participants; further studies are thus needed for better generalization. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
期刊最新文献
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