Mediating effect of self-esteem on the relationship between prenatal depression and fatigue in pregnant women
Objective To explore the mediating role of self-esteem on the relationship between prenatal depression and fatigue in preg-nant women,so as to provide a reference for developing targeted intervention.Methods A total of 401 pregnant women from an out-patient department for antenatal examination were surveyed by using a general information questionnaire,the Edinburgh Postpar-tum Depression Scale(EPDS),the Self-Esteem Scale(SES),and the Fatigue Self-Assessment Scale(FSAS).Results The partici-pants'scores of the EPDS,SES and FSAS were 10.00(7.00,13.00),(32.28±4.00)and 8.93(3.57,25.00)respectively.Fatigue during pregnancy was positively correlated with prenatal depression and negatively correlated with self-esteem,while prenatal de-pression was negatively correlated with self-esteem(all P＜0.05).The mediating effect value of self-esteem on the relationship be-tween prenatal depression and fatigue was 0.076,which accounted for 18.67％of the total effect.Conclusion The incidence of mild and moderate fatigue in pregnant women is high,and self-esteem plays a mediating role between prenatal depression and fatigue.It is suggested to improve pregnant women's self-esteem and alleviate prenatal depression,thereby relieve their fatigue.
pregnant womenantenatal examinationfatigue during pregnancyprenatal depressionself-esteemmental disordermental healthmediating effect
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