Are Different Coping Styles Mitigating Perceived Stress Associated With Depressive Symptoms Among Pregnant Women?

Lau, Ying; Wang, Yuqiong; Kwong, Dennis Ho Keung; Wang, Ying

doi:10.1111/ppc.12105

Cited by 14 publications

(11 citation statements)

References 56 publications

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“…In line with prior research in pre-COVID pregnancy samples (e.g., Guardino and Dunkel Schetter 2014 ; Lau et al 2016 ), we found that dysfunctional coping was related to elevated mental health problems, emotion-focused coping was associated with less mental health problems, whereas problem-focused coping was not related to mental health. These findings add to the larger literature showing that specific coping strategies are associated with better/worse mental health outcomes during the COVID-19 pandemic (Jiang et al 2020 ; Jungmann and Witthöft 2020 ).…”

Section: Discussionsupporting

confidence: 91%

“…Research has distinguished between three major types of coping: (1) problem-focused coping, which involves actions aimed at addressing the problem (e.g., planning, seeking instrumental support), (2) emotion-focused coping, which aims to manage negative emotions (e.g., seeking emotional support, cognitive restructuring), and (3) dysfunctional coping, which involves maladaptive strategies that are not helpful in dealing with the stressor (e.g., denial, behavioral disengagement) (Carver 1997 ; Folkman and Moskowitz 2004 ). Indeed, dysfunctional coping has been associated with adverse mental health outcomes in pregnant women across different circumstances (Chen et al 2020 ; Guardino and Dunkel Schetter 2014 ; Gutiérrez-Zotes et al 2015 ; Lau et al 2016 ). In contrast, the effects of problem-focused and emotion-focused coping are mixed, though these strategies tend to be associated with more positive outcomes in pregnant women (Guardino and Dunkel Schetter 2014 for review).…”

Section: Introductionmentioning

confidence: 99%

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Coping strategies mediate the associations between COVID-19 experiences and mental health outcomes in pregnancy

Khoury

Atkinson

Bennett

et al. 2021

Arch Womens Ment Health

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The COVID-19 pandemic has resulted in elevated mental health problems for pregnant women. Effective coping strategies likely reduce the impact of COVID-19 on mental health. This study aimed to (1) understand how COVID-19 stressors are related to different coping strategies and (2) identify whether coping strategies act as mechanisms accounting for the associations between COVID-19 stressful experiences and mental health problems in pregnancy. Participants were 304 pregnant women from Ontario, Canada. Depression, anxiety, insomnia, and perceived stress were assessed using validated measures. COVID-related stressors (i.e., financial difficulties, social isolation), subjective negative impact of COVID-19, and coping strategies used in response to COVID-19 were assessed by questionnaires. Results indicated that the subjective negative impact of COVID-19 was associated with more dysfunctional coping and less emotion-focused coping, whereas specific COVID-19 stressors, namely financial difficulties and social isolation, were associated with more dysfunctional coping and problem-focused coping. Dysfunctional coping was linked to elevated mental health problems and emotion-focused coping was linked to less mental health problems. Dysfunctional coping and emotion-focused coping partially mediated the effects of specific COVID-19 stressors on mental health outcomes. Findings indicate that coping is one pathway through which the COVID-19 pandemic impacts mental health in pregnancy. Supports and interventions for pregnant women during the pandemic should focus on bolstering coping skills, in order to minimize the mental health consequences of COVID-19.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Coping strategies mediate the associations between COVID-19 experiences and mental health outcomes in pregnancy

Khoury

Atkinson

Bennett

et al. 2021

Arch Womens Ment Health

View full text Add to dashboard Cite

show abstract

“…Coping refers to the individual cognitive and behavioral strategies to master, reduce or tolerate the internal and external demands of stressful situations [25]. These coping strategies may be positive or negative [26]. Positive coping is an active coping style that focuses on taking constructive actions and changing the stressful situation, and it is typically associated with problem-solving behavior and effective emotion regulation [27].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of depression and anxiety and correlations between depression, anxiety, family functioning, social support and coping styles among Chinese medical students

Shao¹,

He²,

Ling³

et al. 2020

BMC Psychol

295

150

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Background: Medical students experience depression and anxiety at a higher rate than the general population or students from other specialties. While there is a growing literature on the high prevalence of depression and anxiety symptoms and about potential risk factors to the prevalence of depression and anxiety symptoms among medical students, there is a paucity of evidence focused on the prevalence of depression and anxiety symptoms and associations with family function, social support and coping styles in Chinese vocational medicine students. This study aims to investigate the prevalence of depression and anxiety symptoms among Chinese medical students and assess the correlation between depression/anxiety symptoms and family function, social support and coping styles. Methods: A sample of 2057 medical students from Chongqing Medical and Pharmaceutical College in China was investigated with a self-report questionnaire, which included demographic information, Zung self-rating depression scale, Zung Self-Rating Anxiety Scale, Family APGAR Index, Social Support Rating Scale and Trait Coping Style Questionnaire. Results: The prevalence of depression and anxiety symptoms among the medical students was 57.5 and 30.8%, respectively. Older students(≥20 years) experienced higher levels of depression and anxiety. More depression and anxiety symptoms were exhibited among students with big financial burden, big study-induced stress and poor sleep quality. Students with large employment pressure showed more anxiety symptoms. Students who live alone or had bad relationship with their lovers or classmates or friends showed higher depression and anxiety scores. Depression and anxiety symptoms had highly significant correlations with family functioning, social support and coping style. Conclusions: Academic staffs should take measures to reduce depression and anxiety among medical students and to provide educational counseling and psychological support for students to cope with these problems.

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“…5 In addition, teaching positive confrontation can minimize the manifestation of these events. 14 Conclusions the prevalence of depressive symptoms among pregnant women is of 15.47%, and emotional violence is the main factor associated with gestational depression.…”

Section: Introductionmentioning

confidence: 99%

Depressive Symptoms in Pregnancy: The Influence of Social, Psychological and Obstetric Aspects

Moraes

Campos

Avelino

2016

Rev Bras Ginecol Obstet

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Purpose To assess the prevalence of depressive symptoms and their association with social, psychological, behavioral and obstetric characteristics in pregnant women. Methods This is a cross-sectional study. The sample consisted of 375 pregnant women who attended prenatal clinics in two public maternity hospitals located in the city of Goiania, Brazil. To testify the depressive symptoms, we used the Hospital Anxiety and Depression Scale (HADS). A descriptive statistical analysis was performed using programs such as CDC EPI-INFO™, version 7.1.5, and Statistical Package for Social Sciences (IBM SPSS), version 21.0. Results the patients had probable depressive symptoms (15.47%) and possible depressive symptoms (25.33%). The bivariate analysis showed a significant association among "depressive symptoms" and the following variables: "single or divorced" (prevalence ratio, PR = 2.08; 95% confidence interval, CI = 1.26 to 3.44); "physical activity during pregnancy" (PR = 3.96; 95%CI = 1.28 to 12.31); exposure to "psychological/emotional" violence (PR = 4.74; 95%CI = 2.94 to 7.64); "prior mental problem" (PR = 2.66; 95%CI =1.49 to 4.73) and "obstetric complications during pregnancy" (PR = 2.53; 95%CI = 1.55 to 4.13). The multivariate analysis confirmed the association of these depressive symptoms with the variables "suffered psychological/emotional violence" (odds ratio, OR = 5.821; 95%CI = 2.939 to 11.528); "physical activity during pregnancy" (OR = 3.885; 95%CI = 1.060 to 14.231); "obstetric complications during pregnancy" (OR = 2.442; 95%CI = 1.233 to 4.834) and "single or divorced" (OR = 2.943; 95%CI = 1.326 to 6.533). Conclusions the prevalence of depressive symptoms among pregnant women is of 15.47%, and emotional violence is the main factor associated with gestational depression.

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Are Different Coping Styles Mitigating Perceived Stress Associated With Depressive Symptoms Among Pregnant Women?

Abstract: Health services should dedicate resources to teach women positive coping styles to decrease their vulnerability to developing antenatal depressive symptoms.

Cited by 14 publications

References 56 publications

Coping strategies mediate the associations between COVID-19 experiences and mental health outcomes in pregnancy

Coping strategies mediate the associations between COVID-19 experiences and mental health outcomes in pregnancy

Prevalence of depression and anxiety and correlations between depression, anxiety, family functioning, social support and coping styles among Chinese medical students

Depressive Symptoms in Pregnancy: The Influence of Social, Psychological and Obstetric Aspects

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