Relations between Stress and Quality of Life among Women in Late Pregnancy: The Parallel Mediating Role of Depressive Symptoms and Sleep Quality
- Author:
Han ZHANG
1
;
Qi ZHANG
;
Tingting GAO
;
Yixi KONG
;
Zeying QIN
;
Yueyang HU
;
Ruilin CAO
;
Songli MEI
Author Information
- Publication Type:Original Article
- Keywords: Depression; Pregnant woman; Quality of life; Sleep quality; Parallel multiple mediation model; Mechanism
- MeSH: Cross-Sectional Studies; Depression; Depression, Postpartum; Female; Health Surveys; Humans; Negotiating; Pregnancy; Pregnant Women; Quality of Life
- From:Psychiatry Investigation 2019;16(5):363-369
- CountryRepublic of Korea
- Language:English
- 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.
