Abstract
Purpose
The purpose of this study was to examine the relationships between family sense of coherence, social support, stress, quality of life and depressive symptoms among Chinese pregnant women.
Methods
A cross-sectional design was used. A convenience sample of 267 Chinese pregnant women was recruited at the antenatal clinic and completed the Family Sense of Coherence Scale, Medical Outcomes Study Social Support Survey, Social Readjustment Rating Scale, Medical Outcome Study Short Form 12-Item Health Survey and General Health Questionnaire. Path analysis was employed.
Results
Family sense of coherence and social support had a direct impact on the mental health component of quality of life and depressive symptoms during pregnancy. Family sense of coherence also mediated the effect of stress on quality of life and depressive symptoms.
Conclusions
The study provides evidence that family sense of coherence and social support play a significant role in promoting quality of life and reducing depressive symptoms during the transition to motherhood. Culturally competent healthcare should be developed to strengthen women’s family sense of coherence and foster social support to combat the stress of new motherhood, thereby promoting quality of life during that period of their lives.
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References
Ngai, F. W., Chan, S. W. C., & Ip, W. Y. (2009). The effects of a childbirth psychoeducation program on learned resourcefulness, maternal role competence and perinatal depression: A quasi-experiment. International Journal of Nursing Studies, 46, 1298–1306.
Paulson, J. F., & Bazemore, S. D. (2010). Prenatal and postpartum depression in fathers and its association with maternal depression: A meta-analysis. Journal of American Medical Association, 303, 1961–1969.
Roomruangwong, C., & Epperson, C. (2011). Perinatal depression in Asian women: Prevalence, associated factors, and cultural aspects. Asian Biomedicine, 5, 179–193.
Testa, M. A., & Simonson, D. C. (1996). Assessment of quality-of-life outcomes. New England Journal of Medicine, 334, 835–840.
Hass, J. S., Jackson, R. A., Fuentes-Afflick, E., Stewart, A. L., Dean, M. L., & Brawarsky, P. (2005). Changes in the health status of women during and after pregnancy. Journal of General Internal Medicine, 20, 45–51.
Costa, D. D., Dritsa, M., Verreault, N., Balaa, C., Kudzman, J., & Khalife, S. (2010). Sleep problems and depressed mood negatively impact health-related quality of life during pregnancy. Archives of Women’s Mental Health, 13, 249–257.
Nicholson, W. K., Setse, R., Hill-Briggs, F., Cooper, L. A., Strobino, D., & Powe, N. R. (2006). Depressive symptoms and health-related quality of life in early pregnancy. Obstetrics and Gynecology, 107, 798–806.
Setse, R., Grogan, R., Pham, L., Cooper, L. A., Strobino, D., Powe, N. R., et al. (2009). Longitudinal study of depressive symptoms and health-related quality of life during pregnancy and after delivery: The health status in pregnancy (HIP) study. Maternal and Child Health Journal, 13, 577–587.
Lau, Y., & Keung, D. W. F. (2007). Correlates of depressive symptomatology during the second trimester of pregnancy among Hong Kong Chinese. Social Science and Medicine, 64, 1802–1811.
Lee, D. T. S., Chan, S. S. M., Sahota, D. S., Yip, A. S. K., Tsui, M., & Chung, T. K. H. (2004). A prevalence study of antenatal depression among Chinese women. Journal of Affective Disorders, 82, 93–99.
Lee, A. M., Lam, S. K., Lau, S. M. S. M., Chong, C. S. Y., Chui, H. W., & Fong, D. Y. T. (2007). Prevalence, course, and risk factors for antenatal anxiety and depression. Obstetrics and Gynecology, 110(5), 1102–1112.
Goldenberg, R. L., & Culhane, J. F. (2005). Prepregnancy health status and the risk of preterm delivery. Archives of Pediatrics and Adolescent Medicine, 159, 89–90.
Pawlby, S., Sharp, D., Hay, D., & O’Keane, V. (2008). Postnatal depression and child outcome at 11 years: The importance of accurate diagnosis. Journal of Affective Disorders, 107, 241–245.
Grote, N. K., Bridge, J. A., Gavin, A. R., Melville, J. L., Lyengar, S., & Katon, W. J. (2010). A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Archives of General Psychiatry, 67, 1012–1024.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Basic Books.
Antonovsky, A. (1979). Health, stress and coping. San Francisco, CA: Jossey-Bass.
Antonovsky, A., & Sourani, T. (1988). Family sense of coherence and family adaptation. Journal of Marriage and the Family, 50, 79–92.
Lustig, D. C., & Akey, T. (1999). Adaptation in families with adult children with mental retardation: Impact of family strengths and appraisal. Education and Training in Mental Retardation and Development Disabilities, 34, 260–270.
Anderson, K. H. (1998). The relationship between family sense of coherence and family quality of life after illness diagnosis. Collective and consensus views. In H. I. McCubbin, E. A. Thompson, A. I. Thompson, & J. E. Fromer (Eds.), Stress, coping, and health in families. Sense of coherence and resiliency (pp. 169–189). Thousand Oaks: SAGE.
Ngai, F. W., & Ngu, S. F. (2011). Translation and validation of a Chinese version of the family sense of coherence scale in Chinese childbearing families. Nursing Research, 60, 295–301.
Lau, U. (2011). A longitudinal study of family conflicts, social support, and antenatal depressive symptoms among Chinese women. Archives of Psychiatric Nursing, 25, 206–219.
Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social Science Medicine, 32, 705–714.
Eriksson, M., & Lindstrom, B. (2007). Antonovsky’s sense of coherence scale and the relation with quality of life: A system review. Journal of Epidemiology and Community Health, 61, 938–944.
Ylven, R., Bjork-Akesson, E., & Granlund, M. (2006). Literature review of positive functioning in families with children with a disability. Journal of Policy and Practice in Intellectual Disabilities, 3, 253–270.
Sagy, S. (1998). Effects of personal, family, and community characteristics on emotional reactions in a stress situation: The golan heights negotiations. Youth and Society, 29(3), 311–329.
Yu, D. S. F., Lee, D. T. F., & Woo, J. (2004). Psychometric testing of the Chinese version of the medical outcomes study social support survey (MOS-SSS-C). Research in Nursing & Health, 27, 135–143.
Holmes, T. H., & Rahe, R. H. (1967). The social readjustment rating scale. Journal of Psychosomatic Research, 11, 213–218.
Shek, D. T. L., & Mak, J. W. K. (1987). Psychological well-being of working parents in Hong Kong: Mental health, stress and coping responses. Hong Kong: Hong Kong Christian Service.
Ware, J. E., Snow, K. K., & Kosinski, M. (1993). SF-36 Health survey manual and interpretation guide. Boston: The Health Institute, New England Medical Centre.
Lam, C. L., Tse, E. Y. Y., & Gandek, B. (2005). Is the standard SF-12 Health Survey valid and equivalent for a Chinese population. Quality of Life Research, 14, 239–547.
Goldberg, D. P., & Williams, P. (1988). A user’s guide to the general health questionnaire. Basingstoke: NFER-Nelson.
Ip, W. Y., & Martin, C. R. (2006). Psychometric properties of the 12-item General Health Questionnaire (GHQ-12) in Chinese women during pregnancy and in the postnatal period. Psychology Health & Medicine, 11, 60–69.
Lee, D. T. S., Yip, A. S. K., Chiu, H. F. K., Leung, T. Y. S., & Chung, T. K. H. (2001). A psychiatric epidemiological study of postpartum Chinese women. The American Journal of Psychiatry, 158, 220–226.
Pan, P. C., & Goldberg, D. P. (1990). A comparison of the validity of GHQ-12 in Chinese primary care patients in Manchester. Psychological Medicine, 20, 931–940.
Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). New York: Guilford Press.
Pallant, J. (2010). SPSS survival manual: A step by step guide to data analysis using SPSS for windows (4th ed.). England: Open University Press.
Antonovsky, A. (1987). Unraveling the mystery of health. San Francisco, CA: Jossey-Bass.
Antonovsky, A. (1993). The structure and properties of the sense of coherence scale. Social Science and Medicine, 36, 725–733.
Wickens, L., & Greeff, A. P. (2005). Sense of family coherence and the utilization of resources by first-year students. The American Journal of Family Therapy, 33, 427–441.
Mota, N., Cox, B. J., Enns, M. W., Calhoun, L., & Sareen, J. (2008). The relationship between mental disorders, quality of life, and pregnancy: Findings from a nationally representative sample. Journal of Affective Disorders, 109, 300–304.
Lee, D. T. S., Ngai, S. L., Ng, M. M. T., Lok, I. H., Yip, A. S. K., & Chung, T. K. H. (2009). Antenatal taboos among Chinese women in Hong Kong. Midwifery, 25, 104–113.
Miller, G. E., Cohen, S., & Herbert, T. B. (1999). Pathways linking major depression and immunity in ambulatory female patients. Psychosomatic Medicine, 61, 850–860.
Eriksson, M., & Lindström, B. (2007). Antonovsky’s sense of coherence scale and its relation with quality of life: A systematic review. Journal of Epidemiology and Community Health, 61, 938–944.
Park, M., & Chesla, C. (2007). Revisiting Confucianism as a conceptual framework for Asian family study. Journal of Family Nursing, 13, 293–311.
Ing, J. D., & Reutter, L. (2003). Socioeconomic status, sense of coherence and health in Canadian women. Canadian Journal of Public Health, 94(3), 224–228.
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We would like express our sincere thanks to all mothers participated in the study.
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Ngai, FW., Ngu, SF. Family sense of coherence and quality of life. Qual Life Res 22, 2031–2039 (2013). https://doi.org/10.1007/s11136-012-0336-y
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DOI: https://doi.org/10.1007/s11136-012-0336-y