A moderated mediation model of perceived stress, negative emotions and mindfulness on fertility quality of life in women with recurrent pregnancy loss

Li, Guopeng; Jiang, Zhenhua; Han, Xue; Xue, Shang; Tian, Wenjun; Kang, Xiaofei; Fang, Mei Lan

doi:10.1007/s11136-020-02460-2

Cited by 23 publications

(20 citation statements)

References 60 publications

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“…Notably, we found that women with higher perceived stress were more likely to be anxious than those with lower perceived stress, which is in line with a recent study in women with recurrent pregnancy loss (Li et al, 2020). High perceived stress indicates people perceive their lives as excessively stressful relative to their capability to cope.…”

Section: Discussionsupporting

confidence: 91%

“…Furthermore, the lack of someone providing emotional support was associated with anxiety symptoms in pregnant women (González-Mesa et al, 2020). Besides, more anxiety in pregnant women was related to high perceived stress (Gul et al, 2017;Li et al, 2020). Perceived stress, the cognitive appraisal process when facing stressful situations, is closely related with prodromal stages of psychiatric disorders (Taylor, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Association of Stress-Related Factors With Anxiety Among Chinese Pregnant Participants in an Online Crisis Intervention During COVID-19 Epidemic

et al. 2021

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Background: Previous systematic review indicated the prevalence of prenatal anxiety as 14–54%. Pregnant women are a high-risk population for COVID-19. However, the prevalence of anxiety symptoms and related factors is unknown in Chinese pregnant women during COVID-19 outbreak.Objective: To investigate the prevalence of anxiety symptoms and the related factors in Chinese pregnant women who were attending crisis intervention during the COVID-19 pandemic.Methods: The data of this cross-sectional study were collected in about 2 months (February 28 to April 26, 2020). Data analysis was performed from April to May 2020. Participants completed a set of questionnaires via the Wechat Mini-program before starting the online self-help crisis intervention for COVID-19 epidemic. A total of 2,120 Chinese pregnant women who were attending a self-help crisis intervention participated in this study. A survey was developed to address possible stress-related factors in pregnant women during the COVID-19 outbreak, including demographic, socioeconomic, and pregnancy-related factors, as well as COVID-19 related factors. Generalized Anxiety Disorder-7 (GAD-7) scale and the 10-item perceived stress scale were, respectively, employed to measure anxiety and stress-related factors.Results: A total of 21.7% (459) of pregnant women reported at least mild anxiety (≥5 on the GAD-7 scale), and only 82 women reported moderate to severe anxiety (≥10 on the GAD-7 scale). Factors associated with at least mild anxiety included living in Hubei province (OR = 1.68, 95% CI = 1.32–2.13), nobody providing everyday life support (OR = 1.81, 95% CI = 1.18–2.77), pelvic pain or vaginal bleeding (OR = 1.67, 95% CI = 1.32–2.09), and higher perceived stress (OR = 6.87, 95% CI = 5.42–9.02). Having relatives or neighbors with a diagnosis of COVID-19 was not associated with anxiety (p > 0.05).Conclusions and Relevance: Our findings indicate that evaluation and intervention for maternal and infant health are necessary in pregnant women with anxiety during COVID-19 epidemic, especially those with higher perceived stress, less everyday life support, or vaginal bleeding. Interactions among these related medical, social and psychological factors need to be investigated in future studies.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Association of Stress-Related Factors With Anxiety Among Chinese Pregnant Participants in an Online Crisis Intervention During COVID-19 Epidemic

et al. 2021

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“…RPL may negatively affect couples and marriage relationships in this process. [25][26][27][28][29] While the couple adjustments of the women participated in the study were quite low, there was no relation between the marital adjustment and the levels of hopelessness and depression. Sugiura-Ogasawara et al, 28 the effect of the frequency of pregnancy loss on couples and marital relationships in RPL, found that women with RPL had a higher risk of ending their relationship compared to women without a history of pregnancy loss in their studies.…”

Section: Discussionmentioning

confidence: 91%

Recurrent pregnency loss: Depression, hopelessness, and martial adjustment

Aksoy

Çetişli

2020

Perspect Psychiatr Care

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The aim of the study was to determine depression, hopelessness level and marital adjustment of women diagnosed with recurrent pregnancy loss (RPL).Design and Method: This descriptive study included 66 RPL women.Findings: It was found that hopelessness level of 47% of women was mild, 18.2% of them were moderate, and 13.6% of them were severe. Depression level of women 30.3% were moderate, 24.3% of them were mild, and 1.5% of them were severe. It was found that women's marital adjustment was low, and their level of depression increased with increasing hopelessness.Practice Implications: It was found in the study that evaluating women, who are diagnosed with RPL, regarding their marriage problems, hopelessness, and depression level together with their partners is important.

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“…Theoretically, mindfulness was suggested as a useful skill that can offer a helpful way to adjust with such constant change and cope with anxiety and depression (Behan, 2020). Empirically, an immense number of studies demonstrated that increased levels of mindfulness is associated with decreased levels of anxiety and depression (Fong &Ho, 2020;Li et al, 2020;MacDonald & Olsen, 2020;Makadi & Koszycki, 2020;Montero-Marin et al, 2020;Soo, Kiernan&Anderson, 2020). Moreover, several studies highlighted the mitigative effect of mindfulness on interpersonal problems (Janovsky, Clark & Rock, 2019), psychological distress (Masuda & Wendell, 2010), and particularly anxiety and depression (An, Fu, Yuan, Zhang&Xu, 2019;Lima et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Fear of COVID-19 and Mental Health: The Role of Mindfulness in During Time of Crisis

Belen

2020

Preprint

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Abstract The novel Coronavirus disease (COVID-19) is impactful on all aspects of individuals’ lives, particularly mental health due to the fear associated with the pandemic. Thus, current study explored the relationship between fear of COVID-19 and mental health aspects, namely anxiety and depression and whether this relationship is mediated by mindfulness. Data were collected from a student sample of 355 participants (71.5 % female and 28.5% males) ranged between in age 18 and 41 (M= 22.41±3.27) and participants completed Fear of COVID-19 Scale, Mindfulness Attention and Awareness Scale and anxiety and depression subscale of SCL-90-R. In terms of the results, correlational analyses indicated that fear of COVID-19 is reversely associated with mindfulness while positive correlations were found with anxiety and depression. Structural equation modeling analyses demonstrated that mindfulness mediated in the relationship between fear of COVID-19 and depression and anxiety. Implications are further discussed.

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A moderated mediation model of perceived stress, negative emotions and mindfulness on fertility quality of life in women with recurrent pregnancy loss

Cited by 23 publications

References 60 publications

Association of Stress-Related Factors With Anxiety Among Chinese Pregnant Participants in an Online Crisis Intervention During COVID-19 Epidemic

Association of Stress-Related Factors With Anxiety Among Chinese Pregnant Participants in an Online Crisis Intervention During COVID-19 Epidemic

Recurrent pregnency loss: Depression, hopelessness, and martial adjustment

Fear of COVID-19 and Mental Health: The Role of Mindfulness in During Time of Crisis

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