Resilience as a protective factor in pregnancy and puerperium: Its relationship with the psychological state, and with Hair Cortisol Concentrations

García-León, María Ángeles; Caparrós-González, Rafael A.; Romero-González, Borja; González-Pérez, Raquel; Peralta-Ramírez, María Isabel

doi:10.1016/j.midw.2019.05.006

Cited by 59 publications

(63 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The association between higher resilience and a lower level of psychological distress is also consistent with the findings of previous studies (García-León et al 2019;Ma et al 2019), and demonstrates the importance of maintaining flexibility and mental stability in the face of crisis. A woman's belief that she has the strength and ability to go through a crisis and recover from it may help her cope with the current pandemic and consequently experience less distress.…”

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

Jewish and Arab pregnant women’s psychological distress during the COVID-19 pandemic: the contribution of personal resources

2020

View full text Add to dashboard Cite

Objective: The study sought to examine the psychological distress of Israeli pregnant women during the worldwide spread of COVID-19. As Israel has a diverse cultural-religious population, the sample included both Jewish and Arab women, allowing us to explore the differences between them. Furthermore, we examined the contribution of personal resources, both internal (self-mastery and resilience) and external (perceived social support), as well as the level of infection-related anxiety to the women's psychological distress. Method: A convenience sample of 403 Israeli women (233 Jewish and 170 Arab) was recruited through social media. Results: Arab women reported significantly higher infection-related anxiety and psychological distress than Jewish women. In addition, Jewish women reported significantly higher self-mastery than Arab pregnant women. Finally, poorer health, being an Arab woman, and lower levels of self-mastery, resilience, and perceived social support, as well as a higher level of infection-related anxiety, contributed significantly to greater psychological distress. Conclusions: The findings show that pregnant women in general may be at risk of psychological distress in times of crisis, and that minority populations in particular may be at greater risk than others. Moreover, the results highlight the contribution of women's personal and environmental resources in the face of crisis, an understanding that may be used in targeted interventions to reduce distress in vulnerable populations.

show abstract

Section: Discussionsupporting

confidence: 89%

“…It therefore serves as a protective factor that contributes to a lower level of distress during and after a stressful event (Bonanno 2004;Masten 2001). Studies have also shown that resilience constitutes a protective factor for prenatal psychological distress (García-León et al 2019;Ma et al 2019).…”

mentioning

confidence: 99%

Jewish and Arab pregnant women’s psychological distress during the COVID-19 pandemic: the contribution of personal resources

2020

View full text Add to dashboard Cite

show abstract

“…32 Many earlier studies have earlier show that adverse life events are strong risk factors for PPD. 33,45 Results from this study nevertheless illustrate the importance of resilience in moderating the risk for PPD after an obstetric adverse outcome.…”

Section: Discussionmentioning

confidence: 71%

“…Individuals with low resilience may have a higher risk of developing depression and other psychological diseases, 29,30 whereas resilient behaviours may provide protection. [31][32][33] To our knowledge, no previous study has investigated the role of resilience as a moderator of PPD in women with perineal lacerations.…”

Section: Introductionmentioning

confidence: 99%

Severe obstetric lacerations associated with postpartum depression among women with low resilience – a Swedish birth cohort study

Asif

Mulic‐Lutvica

Axfors

et al. 2020

BJOG

View full text Add to dashboard Cite

Objective Women's levels of resilience and attitudes towards perineal lacerations vary greatly. Some women see them as part of the birthing process, while others react with anger, depressed mood or even thoughts of self‐harm. A previous study has reported increased risk of postpartum depressive (PPD) symptoms in women with severe perineal lacerations. The aim of this study was to assess the association between severe obstetric perineal lacerations and PPD. A secondary objective was to assess this association among women with low resilience. Design Nested cohort study. Setting Uppsala, Sweden. Sample Vaginally delivered women with singleton pregnancies (n = 2990). Methods The main exposure was obstetric perineal lacerations. Resilience was assessed in gestational week 32 using the Swedish version of the Sense of Coherence Scale. A digital acyclic graph was used to identify possible confounders and mediators. Logistic regression was used to estimate odds ratios (OR) and 95% confidence intervals (CI). A sub‐analysis was run after excluding women with normal or high resilience. Main outcome measures Postpartum depression, assessed with the Depression Self‐Reporting Scale, completed at 6 weeks postpartum. Results There was no significant association between severe obstetric perineal lacerations and PPD at 6 weeks postpartum. However, a significant association was found between severe lacerations and PPD in women with low resilience (OR = 4.8, 95% CI 1.2–20), persisting even after adjusting for confounding factors. Conclusion Healthcare professionals might need to identify women with low resilience, as they are at increased risk for PPD after a severe perineal laceration. Tweetable abstract Severe perineal lacerations associated with postpartum depression in women with low resilience in a Swedish cohort.

show abstract

“…Stress is an important risk factor for the physical and psychological health of pregnant women 11 . Stress and anxiety disorders during pregnancy do not only have undesirable effects on the progression of pregnancy, they can also impact the outcome for both mother and child 2 .…”

Section: Introductionmentioning

confidence: 99%

Stress and resilience among pregnant teenagers in Ile-Ife, Nigeria

Olajubu¹,

Omoloye²,

Olajubu³

et al. 2021

Eur J Midwifery

View full text Add to dashboard Cite

INTRODUCTION The period of pregnancy is associated with some level of physical, emotional and psychological stress which can be particularly heightened and have more deleterious impact when the expectant mother is a teenager who needs higher level of resilience to cope with the challenges linked with motherhood. This study aimed to assess the level of perceived pregnancy-related stress and its relationship with the level of resilience. METHODS An analytical cross-sectional study design was employed using a structured questionnaire and the study was conducted among 241 adolescents. Perceived stress and resilience were measured using Perceived Stress Scale, and Wagnild & Young Resilience Scale, respectively. Descriptive and inferential statistics were computed using percentages, means with standard deviations, Student's t-test, Pearson correlation, one-way analysis of variance (ANOVA) and multivariate logistic regression. RESULTS Majority of the respondents (194; 80.5%) were categorized as having moderate level of perceived pregnancy-related stress and 186 (77.2%) had low level of resilience. A significant inverse relationship was found between perceived pregnancy-related stress and resilience (r=-0.15, p=0.02). At multivariate level, three variables emerged as independent predictors of higher level of pregnancy-related stress: feeling of shame (OR=3.39; CI: 1.01-11.34), male partner's rejection of pregnancy (OR=3.43; CI: 1.45-8.12) and lack of parental involvement in care (OR= 3.56; CI: 1.65-7.71). CONCLUSIONS There is a significant inverse relationship between perceived pregnancyrelated stress and resilience among teenagers in Nigeria, with higher resilience among the older age groups and those who had support from significant others.

show abstract

Resilience as a protective factor in pregnancy and puerperium: Its relationship with the psychological state, and with Hair Cortisol Concentrations

Cited by 59 publications

References 36 publications

Jewish and Arab pregnant women’s psychological distress during the COVID-19 pandemic: the contribution of personal resources

Jewish and Arab pregnant women’s psychological distress during the COVID-19 pandemic: the contribution of personal resources

Severe obstetric lacerations associated with postpartum depression among women with low resilience – a Swedish birth cohort study

Stress and resilience among pregnant teenagers in Ile-Ife, Nigeria

Contact Info

Product

Resources

About