Resiliency and Psychological Symptoms in Pregnancy: A Cross-Sectional Study
نویسندگان
1 Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
2 Student Research Committee, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
3 Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
4 Infertility and Health Reproductive Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
5 Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
6 Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
7 Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
doi
10.22034/ircmj.2024.205408چکیده
Background and Objectives: There is a lack of evidence on the role of psychological resilience as a stress-reducing factor in pregnant women. This study aimed to explore the role of resilience in predicting psychological symptoms in pregnant women. Methods: In this cross-sectional study that was performed from December 2020 to February 2021, 385 pregnant women over 18 years of age, gestational age over 28 weeks, and educational level at least primary school completed three questionnaires including; the Connor-Davidson Resilience scale, Symptom Checklist-25 (SCL-25), and Fear of Coronavirus disease COVID-19. Results: The findings revealed that the psychological resilience of pregnant women was moderate to high. There was a significant positive correlation between fear of COVID-19 and some psychological symptoms. Based on regression analysis resilience was a significant negative predictor of psychological symptoms (β = -0.262, P ≤ 0.001) and fear of COVID-19 (β = -0.039, P = 0.037). Also, predictors of psychological symptoms were the age of women (β = -2.413, P = 0.040), family income (β = -3.969, P = 0.004), and insurance (β = -4.399, P = 0.038). Finally, hierarchical regression models confirmed that resilience significantly mediated the relationship between fear of COVID-19 and psychological distress. Conclusion: The study highlights the significant role of resilience as a protective factor to reduce both psychological symptoms and fear of COVID-19. It is recommended that clinicians pay attention to fostering psychological resilience to reduce psychological symptoms during pregnancy.
