Serial mediation effects of social support and antepartum depression on the relationship between fetal attachment and anxiety in high-risk pregnant couples of South Korea.

Purpose: This study examined the direct effects of fetal attachment, social support, and antepartum depression on anxiety in pregnant women with high-risk pregnancy-related conditions and their husbands. Furthermore, it aimed to explore the serial mediation effects of social support and antepartum d...

Descripción completa

Detalles Bibliográficos
Publicado en:Journal of Korean Academy of Nursing Vol. 55; no. 1; pp. 19 - 34
Autores principales: Mihyeon Park, Sukhee Ahn
Formato: research tables/charts Journal Article
Publicado: Korean Society of Nursing Science Feb2025
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183307796&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 183307796
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        20053673
        ATS7
      jtl: Journal of Korean Academy of Nursing
      issn: 20053673
      maglogo: N
    pubinfo:
      dt: Feb2025
      vid: 55
      iid: 1
      pid: 42744
      pub: Korean Society of Nursing Science
      place: , <Blank>
    artinfo:
      ui:
        183307796
        183307796
        183307796
        10.4040/jkan.24070
        183307796
      ppf: 19
      ppct: 15
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Serial mediation effects of social support and antepartum depression on the relationship between fetal attachment and anxiety in high-risk pregnant couples of South Korea.
      aug:
        au:
          Mihyeon Park
          Sukhee Ahn
        affil: Department of Nursing, Baekseok Culture University, Cheonan, Korea
      sug:
        subj:
          Support, Social
          Prenatal Care
          Depression Complications
          Attachment Behavior In Utero
          Anxiety Risk Factors
          Pregnancy, High Risk
          Expectant Mothers
          Spouses
          Risk Assessment
          Human
          Fetus
          Pregnancy
          Female
          South Korea
          Surveys
          Questionnaires
          Self Report
          Cross Sectional Studies
          Mediation Analysis
          Adult
          Male
          Scales
          Mother-Infant Relations
          Funding Source
          Fetus, conception to birth
          Adult: 19-44 years
          Female
          Male
      ab: Purpose: This study examined the direct effects of fetal attachment, social support, and antepartum depression on anxiety in pregnant women with high-risk pregnancy-related conditions and their husbands. Furthermore, it aimed to explore the serial mediation effects of social support and antepartum depression in the relationship between fetal attachment and anxiety. Methods: A survey-based study was conducted among pregnant women diagnosed with high-risk pregnancy conditions at 24--32 weeks and their husbands, recruited from a pregnant women's online community between January 20, 2021 and July 20, 2022. Data were collected from 294 individuals (147 couples) using self-report questionnaires. Correlations between variables were analyzed using the IBM SPSS software ver. 26.0 (IBM Corp.), and the mediation effects were assessed using the PROCESS macro, model 6. Results: In the maternal model, maternal-fetal attachment directly affected anxiety (p=.005), with antepartum depression partially mediating this relationship (95% confidence interval [CI], --0.26 to --0.01). In the paternal model, paternal-fetal attachment had no direct effect on anxiety (p=.458). However, social support and antepartum depression fully mediated the relationship between paternal-fetal attachment and anxiety (95% CI, --0.14 to --0.03). Conclusion: The findings indicate that social support in the relationship between fetal attachment and depression in high-risk pregnant women and their partners can have direct or indirect effects on the negative emotions of high-risk pregnant couples. It is necessary to assess the level of anxiety in couples experiencing high-risk pregnancies and provide comprehensive nursing interventions that address fetal attachment, social support, and antepartum depression in order to reduce anxiety.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Korean
    refInfo:
    holdings:
      @attributes:
        islocal: N