Hiromi Tobe1, Sachiko Kita2, Mayu Hayashi2, Kaori Umeshita2, Kiyoko Kamibeppu2. 1. Department of Family Nursing, Division of Health Sciences & Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113-0033, Japan; Department of Health Quality and Outcome Research, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. Electronic address: hiromitobe-tky@umin.ac.jp. 2. Department of Family Nursing, Division of Health Sciences & Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113-0033, Japan; Department of Health Quality and Outcome Research, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Abstract
OBJECTIVE: The association between anger and postnatal depression has been reported in previous studies. However, whether this association is mediated by resilience is unknown. Resilience is a dynamic process of individuals' positive adaptation to stress and adversity. This study investigated the mediating effect of resilience during pregnancy on the association between trait anger during pregnancy and postnatal depression at one-month. METHODS: A longitudinal study from the third trimester to one-month postnatal using online self-report questionnaires was conducted in two maternity clinics in Tokyo. Trait anger and resilience during pregnancy and postnatal depression at one-month were measured by the State-Trait Anger Expression Inventory, resilience test, and the Edinburgh Postnatal Depression Scale. To test the hypothesis, Structural Equation Modeling was used. RESULTS: Data of 531 participants were analyzed. The final Structural Equation Modeling model demonstrated that resilience during pregnancy had a partial mediating effect on the association between trait anger during pregnancy and postnatal depression at one-month. Trait anger was significantly associated with resilience during pregnancy (β = -0.28) and postnatal depression (β = 0.24). Resilience during pregnancy was significantly associated with postnatal depression (β = -0.20). CONCLUSIONS: This study demonstrated that resilience during pregnancy had a partial mediating effect on the association between trait anger during pregnancy and postnatal depression at one-month. The findings highlight the importance of identifying pregnant women with high trait anger and providing interventions to enhance their resilience to decrease the risk of postnatal depression.
OBJECTIVE: The association between anger and postnatal depression has been reported in previous studies. However, whether this association is mediated by resilience is unknown. Resilience is a dynamic process of individuals' positive adaptation to stress and adversity. This study investigated the mediating effect of resilience during pregnancy on the association between trait anger during pregnancy and postnatal depression at one-month. METHODS: A longitudinal study from the third trimester to one-month postnatal using online self-report questionnaires was conducted in two maternity clinics in Tokyo. Trait anger and resilience during pregnancy and postnatal depression at one-month were measured by the State-Trait Anger Expression Inventory, resilience test, and the Edinburgh Postnatal Depression Scale. To test the hypothesis, Structural Equation Modeling was used. RESULTS: Data of 531 participants were analyzed. The final Structural Equation Modeling model demonstrated that resilience during pregnancy had a partial mediating effect on the association between trait anger during pregnancy and postnatal depression at one-month. Trait anger was significantly associated with resilience during pregnancy (β = -0.28) and postnatal depression (β = 0.24). Resilience during pregnancy was significantly associated with postnatal depression (β = -0.20). CONCLUSIONS: This study demonstrated that resilience during pregnancy had a partial mediating effect on the association between trait anger during pregnancy and postnatal depression at one-month. The findings highlight the importance of identifying pregnant women with high trait anger and providing interventions to enhance their resilience to decrease the risk of postnatal depression.
Authors: Dahlia Tharwat; Marion Trousselard; Dominique Fromage; Célia Belrose; Mélanie Balès; Anne-Laure Sutter-Dallay; Marie-Laure Ezto; Françoise Hurstel; Thierry Harvey; Solenne Martin; Cécile Vigier; Elisabeth Spitz; Anaïs M Duffaud Journal: Int J Environ Res Public Health Date: 2022-01-29 Impact factor: 3.390
Authors: Antonello Bellomo; Melania Severo; Annamaria Petito; Luigi Nappi; Salvatore Iuso; Mario Altamura; Alessia Marconcini; Elisa Giannaccari; Giuseppe Maruotti; Giuseppe Luigi Palma; Mario Vicino; Antonio Perrone; Anna Maria Tufariello; Valeria Sannicandro; Eleonora Milano; Giulia Arcidiacono; Melanie Di Salvatore; Antonella Caroli; Isabella Di Pinto; Antonio Ventriglio Journal: Front Psychiatry Date: 2022-08-05 Impact factor: 5.435