Journal article
Associations of social support and stress with postpartum maternal mental health symptoms: Main effects, moderation, and mediation
Women & health, Vol.57(6), pp.723-740
07/03/2017
DOI: 10.1080/03630242.2016.1181140
PMCID: PMC6097234
PMID: 27104912
Abstract
Poor maternal mental health during the postpartum period can have significant effects on the health of mothers, infants, and families. The findings from cross-sectional studies suggest that stress and social support are related to maternal mental health. This study contributes to the literature through the use of longitudinal data, and examines moderation and mediation among these factors. In 2012-2013, mothers completed surveys assessing stress, social support, and depressive and anxiety symptoms following birth (n = 125), and 3 months (n = 110) and 6 months (n = 99) after birth. The authors examined temporal associations, moderation, and mediation of social support on the relationship between stress and postpartum depressive and anxiety symptoms using modified Poisson regression models and the counterfactual approach to mediation. Current levels of stress and social support were associated with depressive and anxiety symptoms, both independently and when considered together at multiple time points. Social support did not strongly moderate or mediate the relationships between stress and maternal mental health. Interventions to reduce current perceptions of stress and increase social support for mothers during the postpartum period may help improve maternal mental health symptoms. Efforts are needed to assess the current needs of mothers continuously.
Details
- Title: Subtitle
- Associations of social support and stress with postpartum maternal mental health symptoms: Main effects, moderation, and mediation
- Creators
- Laura M Schwab-Reese - Department of Pediatrics, University of ColoradoEllen J Schafer - Department of Community & Behavioral Health, University of Iowa College of Public HealthSato Ashida - Department of Community & Behavioral Health, University of Iowa College of Public Health
- Resource Type
- Journal article
- Publication Details
- Women & health, Vol.57(6), pp.723-740
- DOI
- 10.1080/03630242.2016.1181140
- PMID
- 27104912
- PMCID
- PMC6097234
- NLM abbreviation
- Women Health
- ISSN
- 0363-0242
- eISSN
- 1541-0331
- Publisher
- Taylor & Francis
- Grant note
- N/A / Heartland Center for Occupational Safety and Health U54TR001356 / National Institutes of Health (10.13039/100000002)
- Language
- English
- Date published
- 07/03/2017
- Academic Unit
- Occupational and Environmental Health; Injury Prevention Research Center; Public Policy Center (Archive); Community and Behavioral Health
- Record Identifier
- 9984063204702771
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