Does the Presence of Anxiety and Depression Symptoms Mediate the Association Between Family Functions and Self-Efficacy in Pregnant Women in the Third Trimester?: A Community-Based Cross-Sectional Survey
Objectives: Pregnant women in the third trimester can be more vulnerable to adverse mental health outcomes, but there is limited research on the association between family function and self-efficacy and potential mediation by symptoms of anxiety and depression.Methods: The cross-sectional study enro...
Guardado en:
| Autores principales: | , , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Frontiers Media S.A.
2021
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/4708991b697e46d99e56a1c6818ef88d |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:4708991b697e46d99e56a1c6818ef88d |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:4708991b697e46d99e56a1c6818ef88d2021-11-04T06:04:41ZDoes the Presence of Anxiety and Depression Symptoms Mediate the Association Between Family Functions and Self-Efficacy in Pregnant Women in the Third Trimester?: A Community-Based Cross-Sectional Survey1664-064010.3389/fpsyt.2021.726093https://doaj.org/article/4708991b697e46d99e56a1c6818ef88d2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.726093/fullhttps://doaj.org/toc/1664-0640Objectives: Pregnant women in the third trimester can be more vulnerable to adverse mental health outcomes, but there is limited research on the association between family function and self-efficacy and potential mediation by symptoms of anxiety and depression.Methods: The cross-sectional study enrolled 813 pregnant women in the third trimester from 14 communities of Hengyang city, Hunan province of China. All of the participants completed a battery of self-report measures of family function (Family Adaptation Partnership Growth and Resolve Index, APGAR-family), self-efficacy (General Self-Efficacy Scale, GSES), anxiety (measured by Generalized Anxiety Disorder scale with seven items, GAD-7), and depression symptoms (Patient Health Questionnaire with nine items, PHQ-9). The correlation analysis was performed using Spearman's correlation coefficient. Baron and Kenny's method and multiple mediation models with bootstrapping were used to determine whether the symptoms of anxiety and depression mediated the association between family functions and self-efficacy.Results: There were 22.6% pregnant women in the low level of self-efficacy, with 60.9% in the moderate level and 16.5% of respondents in the high level. Self-efficacy had significant correlations with both anxiety symptoms (r = −0.19, p < 0.05), depression symptoms (r = −0.22, p < 0.05), and family function (r = 0.31, p < 0.05). Anxiety symptoms were significantly associated with self-efficacy (β = −0.016, p < 0.05). Depression symptoms were significantly associated with self-efficacy (β = −0.024, p < 0.05). Anxiety and depression symptoms partly mediated the association between family function and self-efficacy, accounting for 11.4 and 16.4% of total effect, respectively. It was indicated that pregnant women with a high degree of family function are less likely to have emotional symptoms and predicted to have higher levels of self-efficacy.Conclusions: Anxiety and depression show mediating effects in the association between family function and self-efficacy. Improved family function can have a positive impact on pregnant women in the third trimester.Zhou WensuZhu XidiLi ShaojieZheng BaohuaYu YunhanXu HuilanHu ZhaoXiong XiyueXiong XiyueFrontiers Media S.A.articledepression symptomsanxiety symptomsself-efficacyfamily functionpregnancymediation modelingPsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
depression symptoms anxiety symptoms self-efficacy family function pregnancy mediation modeling Psychiatry RC435-571 |
| spellingShingle |
depression symptoms anxiety symptoms self-efficacy family function pregnancy mediation modeling Psychiatry RC435-571 Zhou Wensu Zhu Xidi Li Shaojie Zheng Baohua Yu Yunhan Xu Huilan Hu Zhao Xiong Xiyue Xiong Xiyue Does the Presence of Anxiety and Depression Symptoms Mediate the Association Between Family Functions and Self-Efficacy in Pregnant Women in the Third Trimester?: A Community-Based Cross-Sectional Survey |
| description |
Objectives: Pregnant women in the third trimester can be more vulnerable to adverse mental health outcomes, but there is limited research on the association between family function and self-efficacy and potential mediation by symptoms of anxiety and depression.Methods: The cross-sectional study enrolled 813 pregnant women in the third trimester from 14 communities of Hengyang city, Hunan province of China. All of the participants completed a battery of self-report measures of family function (Family Adaptation Partnership Growth and Resolve Index, APGAR-family), self-efficacy (General Self-Efficacy Scale, GSES), anxiety (measured by Generalized Anxiety Disorder scale with seven items, GAD-7), and depression symptoms (Patient Health Questionnaire with nine items, PHQ-9). The correlation analysis was performed using Spearman's correlation coefficient. Baron and Kenny's method and multiple mediation models with bootstrapping were used to determine whether the symptoms of anxiety and depression mediated the association between family functions and self-efficacy.Results: There were 22.6% pregnant women in the low level of self-efficacy, with 60.9% in the moderate level and 16.5% of respondents in the high level. Self-efficacy had significant correlations with both anxiety symptoms (r = −0.19, p < 0.05), depression symptoms (r = −0.22, p < 0.05), and family function (r = 0.31, p < 0.05). Anxiety symptoms were significantly associated with self-efficacy (β = −0.016, p < 0.05). Depression symptoms were significantly associated with self-efficacy (β = −0.024, p < 0.05). Anxiety and depression symptoms partly mediated the association between family function and self-efficacy, accounting for 11.4 and 16.4% of total effect, respectively. It was indicated that pregnant women with a high degree of family function are less likely to have emotional symptoms and predicted to have higher levels of self-efficacy.Conclusions: Anxiety and depression show mediating effects in the association between family function and self-efficacy. Improved family function can have a positive impact on pregnant women in the third trimester. |
| format |
article |
| author |
Zhou Wensu Zhu Xidi Li Shaojie Zheng Baohua Yu Yunhan Xu Huilan Hu Zhao Xiong Xiyue Xiong Xiyue |
| author_facet |
Zhou Wensu Zhu Xidi Li Shaojie Zheng Baohua Yu Yunhan Xu Huilan Hu Zhao Xiong Xiyue Xiong Xiyue |
| author_sort |
Zhou Wensu |
| title |
Does the Presence of Anxiety and Depression Symptoms Mediate the Association Between Family Functions and Self-Efficacy in Pregnant Women in the Third Trimester?: A Community-Based Cross-Sectional Survey |
| title_short |
Does the Presence of Anxiety and Depression Symptoms Mediate the Association Between Family Functions and Self-Efficacy in Pregnant Women in the Third Trimester?: A Community-Based Cross-Sectional Survey |
| title_full |
Does the Presence of Anxiety and Depression Symptoms Mediate the Association Between Family Functions and Self-Efficacy in Pregnant Women in the Third Trimester?: A Community-Based Cross-Sectional Survey |
| title_fullStr |
Does the Presence of Anxiety and Depression Symptoms Mediate the Association Between Family Functions and Self-Efficacy in Pregnant Women in the Third Trimester?: A Community-Based Cross-Sectional Survey |
| title_full_unstemmed |
Does the Presence of Anxiety and Depression Symptoms Mediate the Association Between Family Functions and Self-Efficacy in Pregnant Women in the Third Trimester?: A Community-Based Cross-Sectional Survey |
| title_sort |
does the presence of anxiety and depression symptoms mediate the association between family functions and self-efficacy in pregnant women in the third trimester?: a community-based cross-sectional survey |
| publisher |
Frontiers Media S.A. |
| publishDate |
2021 |
| url |
https://doaj.org/article/4708991b697e46d99e56a1c6818ef88d |
| work_keys_str_mv |
AT zhouwensu doesthepresenceofanxietyanddepressionsymptomsmediatetheassociationbetweenfamilyfunctionsandselfefficacyinpregnantwomeninthethirdtrimesteracommunitybasedcrosssectionalsurvey AT zhuxidi doesthepresenceofanxietyanddepressionsymptomsmediatetheassociationbetweenfamilyfunctionsandselfefficacyinpregnantwomeninthethirdtrimesteracommunitybasedcrosssectionalsurvey AT lishaojie doesthepresenceofanxietyanddepressionsymptomsmediatetheassociationbetweenfamilyfunctionsandselfefficacyinpregnantwomeninthethirdtrimesteracommunitybasedcrosssectionalsurvey AT zhengbaohua doesthepresenceofanxietyanddepressionsymptomsmediatetheassociationbetweenfamilyfunctionsandselfefficacyinpregnantwomeninthethirdtrimesteracommunitybasedcrosssectionalsurvey AT yuyunhan doesthepresenceofanxietyanddepressionsymptomsmediatetheassociationbetweenfamilyfunctionsandselfefficacyinpregnantwomeninthethirdtrimesteracommunitybasedcrosssectionalsurvey AT xuhuilan doesthepresenceofanxietyanddepressionsymptomsmediatetheassociationbetweenfamilyfunctionsandselfefficacyinpregnantwomeninthethirdtrimesteracommunitybasedcrosssectionalsurvey AT huzhao doesthepresenceofanxietyanddepressionsymptomsmediatetheassociationbetweenfamilyfunctionsandselfefficacyinpregnantwomeninthethirdtrimesteracommunitybasedcrosssectionalsurvey AT xiongxiyue doesthepresenceofanxietyanddepressionsymptomsmediatetheassociationbetweenfamilyfunctionsandselfefficacyinpregnantwomeninthethirdtrimesteracommunitybasedcrosssectionalsurvey AT xiongxiyue doesthepresenceofanxietyanddepressionsymptomsmediatetheassociationbetweenfamilyfunctionsandselfefficacyinpregnantwomeninthethirdtrimesteracommunitybasedcrosssectionalsurvey |
| _version_ |
1718445146706542592 |