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Social support and self-esteem as mediators between stress and antepartum depressive symptoms in rural pregnant women.

Authors
  • Jesse, D Elizabeth
  • Kim, Heejung
  • Herndon, Cynthia
Type
Published Article
Journal
Research in nursing & health
Publication Date
Jun 01, 2014
Volume
37
Issue
3
Pages
241–252
Identifiers
DOI: 10.1002/nur.21600
PMID: 24797585
Source
Medline
License
Unknown

Abstract

The purpose of this secondary analysis was to determine whether satisfaction with social support and self-esteem mediated the relationship between antepartum stress and depressive symptoms in women attending prenatal clinics in a rural Southeastern community (N = 318). Path analysis with linear regression indicated that the relationship between antepartum stress and depressive symptoms was partially mediated by higher levels of the internal resources of satisfaction with social support and self-esteem. Self-esteem had a greater influence on the relationship between antepartum stress and depressive symptoms than did satisfaction with social support. These findings suggest further study to determine whether developing culturally tailored interventions that emphasize stress reduction activities in addition to enhancing self-esteem and increasing satisfaction with social support can decrease the burden of antepartum depressive symptoms in rural low-income women.

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