Status of gestational mental health and its influencing factors among freelance women with second child pregnancy
SU Hua1, YIN Xiaoyan1, WU Menglin1, SHI Bo1, HU Die1, ZHANG Yue2
1. Changzhou Geriatric Hospital Affiliated to Soochow University/Changzhou Seventh People's Hospital, Changzhou, Jiangsu 213011, China; 2. Wuxi People's Hospital Affiliated to Nanjing Medical University/Wuxi Medical Center, Nanjing Medical University, Wuxi, Jiangsu 214000, China
Abstract：Objective To investigate the psychological health status of freelance women with second child pregnancy, to analyze its influencing factors, and to provide a theoretical basis for formulating psychological intervention strategies. Methods A convenient sampling method was used to select 282 freelance women with second child pregnancy from departments of obstetrics, the Seventh People's Hospital of Changzhou City and the People's Hospital of Wuxi City from January to November 2022, and then they served as the surveyed subjects. The general information questionnaire, Psychological Capital Scale, Pregnancy Stress Scale, Social Support Rating Scale, Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were used for the survey. Pearson correlation analysis was performed to analyze the correlations of psychological capital, gestational stress and social support with mental health status among the freelance women with second child pregnancy. Hierarchical multiple linear regression analysis was conducted to identify the factors affecting anxiety and depression in the freelance women with second child pregnancy. Results Among the 282 freelance women with second child pregnancy, the incidence rate of anxiety during pregnancy was 32.27%, with the average score of SAS being (54.28±7.62) points, and the incidence rate of depression was 24.11%, with the averagescore of SDS being (56.42±8.66) points. There were 54 pregnant women with anxiety and depression, with the incidence rate being 19.15%. Among the freelance women with second child pregnancy, there were negative correlations between the score of psychological capital and the scores of anxiety and depression (both P<0.01), positive correlations between the score of gestational stress and the scores of anxiety and depression (both P<0.01), and negative correlations between the score of social support and the scores of anxiety and depression (both P<0.01). There were statistically significant differences in the anxiety scores of freelance women with second child pregnancy who had different ages, education levels, gestational weeks, monthly incomes, mother-in-law and daughter-in-law relationships, marital relationships, pregnancy complications and abortion experiences (all P<0.05). There were statistically significant differences in the depression scores of freelance women with second child pregnancy who had different education levels, gestational weeks, monthly incomes, mother-in-law and daughter-in-law relationships, marital relationships and abortion experiences (all P<0.05). Psychological capital, gestational stress and social support jointly explained 34.8% variation of anxiety in the freelance women with second child pregnancy. Psychological capital, gestational stress and social support jointly explained 30.4% variation of depression in the freelance women with second child pregnancy. Conclusion The freelance women with second child pregnancy had different degrees of anxiety and depression, and were affected by various factors. Intervention measures should be formulated according to possible relevant factors so as to improve their mental health.
苏华, 殷晓燕, 吴孟琳, 史波, 胡蝶, 张跃. 自由职业二胎孕妇孕期心理健康状况及其影响因素分析[J]. 实用预防医学, 2024, 31(3): 305-309.
SU Hua, YIN Xiaoyan, WU Menglin, SHI Bo, HU Die, ZHANG Yue. Status of gestational mental health and its influencing factors among freelance women with second child pregnancy. , 2024, 31(3): 305-309.
2024, Vol. 31 
