مجله علوم پزشکی پارس
مدل ساختاری افسردگی پس از زایمان بر اساس حمایت اجتماعی و رضایت زناشویی با میانجی گری استرس والدینی
نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی دکتری، گروه روان‌شناسی، واحد مرودشت، دانشگاه ازاد اسلامی، مرودشت، ایران
2 استادیار، گروه روان‌شناسی، واحد مرودشت، دانشگاه آزاد اسلامی، مرودشت، ایران
چکیده
مقدمه: شناسایی عوامل روانی اجتماعی مداخله گر در ایجـاد افسـردگی پــس از زایمــان می تواند به کاهش بروز این اختلال، تسهیل رفتارهای ارتقاء سلامتی و تطابق موثر مادر با کودک و خانواده پس از یک دوره استرس زا منجر شود. هدف پژوهش حاضر ارایه مدل ساختاری افسردگی پس از زایمان بر اساس حمایت اجتماعی و رضایت زناشویی با میانجی گری استرس والدینی بود.
روش کار: پژوهش حاضر یک مطالعه مقطعی بود. جامعه پژوهش را همه زنان تازه زایمان کرده تشکیل می دادند که تعداد 415 مادر مراجعه کننده برای زایمان طبیعی و یا سزارین به صورت نمونه گیری تصادفی از بیمارستان استادمطهری جهرم انتخاب شدند. ابزارگردآوری داده ها شامل مقیاس افسردگی پس از زایمان ادینبرگ، مقیاس حمایت اجتماعی شربورن و استوارت، مقیاس رضایت زناشویی انریچ و پرسش نامه استرس والدینی- فرم کوتاه آبیدین بود که 4 تا 8 هفته پس از زایمان تکمیل شد. داده ها با کمک نرم افزار تحلیل ساختارهای گشتاوری (AMOS) نسخه 24 تحلیل شدند. پایایی ابزارها نیز به روش آلفای کرونباخ با کمک نرم افزارSPSS نسخه 23 تعیین شد. ساختار عاملی هر ابزار با روش تحلیل عاملی تاییدی مورد بررسی قرار گرفت.
یافته ها: حمایت اجتماعی و رضایت زناشویی به صورت غیر مستقیم به ترتیب با (ß=-0.24، p=0.03) و (ß=-0.59، p=0.02) از طریق استرس والدینی بر افسردگی پس از زایمان تاثیر معنادار دارند.
نتیجه گیری: نتایج این مطالعه بیانگر نقش واسطه‌ای استرس والدینی در رابطه بین حمایت اجتماعی و رضایت زناشویی در پیش بینی نشانه‌های افسردگی پس از زایمان است. از این رو، با کاهش استرس والدینی می توان علایم افسردگی پس از زایمان را بهبود بخشید.
کلیدواژه‌ها
عنوان مقاله [English]
A structural model of postpartum depression based on social support and marital satisfaction with the mediation of parenting stress
نویسندگان [English]
- khadiejeh honarmandnejad 1
- Maryam Kouroshnia 2
- Nadereh Sohrabi 2
- Maryam Zarnaghash 2
1 Ph.D. student, Department of Psychology, Marvdasht Islamic Azad University,Marvdasht,Iran
2 Assistant Professor, Department of Psychology, Marvdasht Islamic Azad University, Marvdasht, Iran
چکیده [English]
Introduction: Identifying the psychosocial factors that intervene in the creation of postpartum depression can lead to
reducing the occurrence of this disorder, facilitating health promotion behaviors and effective adaptation of the mother with the child and the family after a stressful period. The purpose of this study was to present a structural model of postpartum depression based on social support and marital satisfaction with the mediation of parental stress.
Materials and Methods: The current research was a cross-sectional study. The samples of the research were all women who had just given birth, 415 mothers who referred for natural delivery and caesarean section were collected by random sampling from Motahari Hospital in Jahrom. Data collection tools included the Edinburgh Postpartum Depression Scale (EPDS), the MOS Social Support Survey (MOS-SSS) Sherbourne and Stewart, the Enrich Marital Satisfaction Scale (EMS) and the short form of Abidin Parenting stress Index (PSI-4-SF), which was completed 4 to 8 weeks after delivery. Data analysis was done using the Analysis of Moment Structures (AMOS) software version 24, and the reliability of the tools was checked by Cronbach's alpha method and with the help of SPSS software version 23. The factorial structure of each instrument was analyzed by confirmatory factor analysis method.
Results: Social support and marital satisfaction cannot have a direct effect on postpartum depression. Social support indirectly (β = -0.24, p = 0.03) has a significant effect on postpartum depression through parental stress, and marital satisfaction indirectly through parental stress (β = -0.59, p = 0.02) can be effective on postpartum depression.
Conclusion: The results of this study indicate the mediating role of parental stress in the relationship between social
support and marital satisfaction in predicting postpartum depression symptoms. Therefore, by reducing parental stress, postpartum depression symptoms can be improved.
Keywords: Depression, Postpartum, Social Support, Personal Satisfaction, Parents
کلیدواژه‌ها [English]
- Keywords: Depression
- Postpartum
- social support
- Personal Satisfaction
- Parents
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