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Social Support and Self‐Esteem as Mediators Between Stress and Antepartum Depressive Symptoms in Rural Pregnant Women
Author(s) -
Jesse D. Elizabeth,
Kim Heejung,
Herndon Cynthia
Publication year - 2014
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.21600
Subject(s) - social support , psychological intervention , self esteem , depressive symptoms , path analysis (statistics) , clinical psychology , psychology , medicine , psychiatry , anxiety , social psychology , statistics , mathematics
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. © 2014 Wiley Periodicals, Inc.