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Cited by 33Maternal Mental Health During Pregnancy and PostpartumResilience and Mental HealthMaternal and Perinatal Health Interventions

The impact of resilience on psychological outcomes in women with threatened premature labor and spouses: a cross-sectional study in Southwest China

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Nie, Chunhua, Dai, Qin, Zhao, Ren, Dong, Yushu, Chen, Yushan, Ren, Hui·2017·Health and Quality of Life Outcomes
DOI 10.1186/s12955-017-0603-2PMC PMC5282797
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Abstract

BACKGROUND: Threatened premature labor (TPL) is a severe obstetric complication which affects the mental and physical health of both the mother and fetus. Family resilience may have protective role against psychological distress in women experiencing these pregnancy complications. There may be resilience related risk factors in TPL women, and interplays may exist among psychological variables and within couples. This study aims to examine psychological outcomes influenced by different levels of resilience, and explore psychological interactions in TPL women, spouses, and between women and spouses. METHODS: Six validated questionnaires were used to measure the psychological outcomes (Connor-Davidson resilience scale CD-RISC, Edinburgh postnatal depression scale EPDS, positive and negative affect scale PANAS, pregnancy pressure scale PPS, simplified coping style questionnaire SCSQ, social support rating scale SSRS) in 126 TPL women hospitalized in three tertiary hospitals and 104 spouses in Southwest China. RESULTS: Low resilient women had significantly more complicated placenta praevia, longer pediatric observation, more pressure than high resilient women. They also had significantly less active coping and positive affect, more negative affect and depression compared to high resilient women and their spouses. Although the socio-demographic characteristics of both TPL women and spouses and psychometric parameters of spouses had no significant differences, the prevalence rates of depression in spouses were notable. Compared with spouses, TPL women had a more complex interaction among these psychometric factors, with women's resilience negatively associated with their partners' negative affect, and their pressure positively correlated with pressure and negative affect of spouses. CONCLUSIONS: Pregnancy complicated with placenta praevia and pediatric observation may be risk factors for resilience of women with TPL. Maternal resilience has an important impact on the psychological outcomes in TPL women. A screening for resilience, depression and other psychological outcomes in couples with TPL and early psychological intervention of low resilient couples may be appropriate to promote resilience and well-being of these families.

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  • Loss to follow-up greater than 20% was reported in 5 studies that measured exposure over time, introducing possible systematic differences.

    “Finally, of those investigators who did measure exposure over time, loss to follow-up was reported as > 20% in 5 studies44,47,50–52, introducing the possibility of systematic differences in drop-outs impacting interpretation of longitudinal results.”

    From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [51]

    The Methods (Participants and study design; page unavailable) say that all women with threatened premature labor were followed up at 6–8 weeks postpartum. The Discussion (page unavailable) calls this a cross-sectional study. Rather than reporting more than 20% loss to follow-up in a study measuring exposure over time, this paper says the women were followed up and does not describe longitudinal exposure measurement. (LLM, conf=0.83)

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  • Sample size calculations with power justifications were not reported by 13 included studies.

    “Although sample size calculations with power justifications were not reported by 13 investigators42–47,50,51,53–56,58 for their various primary outcomes, this does not diminish the validity of the reported prevalence of included studies.”

    From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [51]

  • The depression outcome meta-analysis included 17 studies of 1,998 women.

    “Seventeen studies of 1,998 women were included in the meta-analysis of depression outcome42–58 (Table 1) and 7 studies of 851 women included in the anxiety outcome42,43,45–47,58,59 (Table 2).”

    From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [51]

  • Selection bias was possible in 7 studies that did not report participation rate and in 1 study with less than 50% participation.

    “Selection bias was possible in 7 studies43,49,51,52,55–57 which did not report the participation rate of eligible subjects and one study44 which reported < 50% participation rate.”

    From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [51]

  • Timing of survey administration relative to exposure was not reported in the majority of studies.

    “Timing of survey administration relative to exposure was not reported in the majority of studies44–46,50–52,56–58.”

    From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [51]

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Authors
Nie, C., Dai, Q., Zhao, R., Dong, Y., Chen, Y., & Ren, H.
Affiliations
  • Army Medical University (CN)
  • General Hospital of Shenyang Military Region (CN)
Corresponding author
Ren, Hui
ORCID
Venue
Health and Quality of Life Outcomes
Publisher
Springer Science and Business Media LLC
Published
2017-01
Volume
15
Issue
1
Pages
26-26
ISSN
1477-7525 (ISSN-L)
DOI
10.1186/s12955-017-0603-2
PMC
PMC5282797
OpenAlex
W2581990325
Cited by
33
References
54
Citations by year
2026: 5 · 2025: 4 · 2024: 1 · 2023: 1 · 2022: 6 · 2021: 8 · 2020: 2 · 2019: 5 · 2018: 1
FWCI
2.05
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Health and Quality of Life Outcomes (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
threatened preterm labor, resilience, maternal depression, postpartum depression, spouses, placenta previa, coping styles, negative affect, positive affect, social support, pregnancy complications
MeSH terms
Adaptation, Psychological, Adult, China, Cross-Sectional Studies, Female, Humans, Obstetric Labor, Premature, Male, Pregnancy, Pregnancy Outcome, Prenatal Care, Quality of Life, Surveys and Questionnaires, Spouses, Resilience, Psychological

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