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Psychiatry Investig. 2019 May;16(5):363-369. doi: 10.30773/pi.2019.02.14. Epub 2019 May 23.

Relations between Stress and Quality of Life among Women in Late Pregnancy: The Parallel Mediating Role of Depressive Symptoms and Sleep Quality.

Author information

1
Department of Social Medicine, School of Public Health, Jilin University, Changchun, China.
2
Department of Nursing Management, School of Nursing, Jilin University, Changchun, China.
3
Department of Maternal and Child Health, School of Public Health, Jilin University, Changchun, China.

Abstract

OBJECTIVE:

This study aims to examine the parallel multiple mediators of depressive symptoms and sleep quality in the relations between stress and physical health-related quality of life (PHQOL)/mental health-related quality of life (MHQOL) among the women in late pregnancy.

METHODS:

Of 1120 pregnant women participated in the cross-sectional study which consisted of Perceived Stress Scale, Edinburgh Postnatal Depression Scale, Pittsburgh Sleep Quality Index and MOS 12-item Short Form Health Survey. Parallel multiple mediator models were used to analyze the relations between stress, depressive symptoms, sleep quality and PHQOL/MHQOL.

RESULTS:

The effect of perceived stress on PHQOL was partially through the indirect path of sleep quality (β=-0.061). But in the model for MHQOL, depressive symptoms and sleep quality played parallel mediators, and the indirect path effect of depressive symptoms (β=-0.179) was higher than sleep quality (β=-0.029).

CONCLUSION:

The findings contributed to the understanding about the influential mechanism of stress on PHQOL/MHQOL. And it reminded the importance of sleep quality and depressive symptoms for improving QOL in late pregnancy.

KEYWORDS:

Depression; Mechanism; Parallel multiple mediation model; Pregnant woman; Quality of life; Sleep quality

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