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已发表论文
分娩恐惧与产前抑郁的关系：一项有调节的中介模型研究
Authors Han J, Xie H, Ni S, Zhang A
Received 6 August 2025
Accepted for publication 13 November 2025
Published 21 November 2025 Volume 2025:17 Pages 4681—4689
DOI https://doi.org/10.2147/IJWH.S552706
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Vinay Kumar
Jingjing Han,1– 3 Hongyan Xie,4 Shiqian Ni,4 Aixia Zhang1
1Nursing Department, Women’s Hospital of Nanjing Medical University, Nanjing Women and Children’s Healthcare Hospital, Nanjing, Jiangsu, People’s Republic of China; 2Funing People’s Hospital, Yancheng, Jiangsu, People’s Republic of China; 3School of Nursing, Soochow University, Suzhou, Jiangsu, People’s Republic of China; 4School of Nursing, Nanjing Medical University, Nanjing, Jiangsu, People’s Republic of China
Correspondence: Aixia Zhang, Women’s Hospital of Nanjing Medical University, Nanjing Women and Children’s Healthcare Hospital, #123 Tianfei AlleyQinhuai District, Nanjing, 210004, People’s Republic of China, Tel +13401920998, Email zhangaixia@njmu.edu.cn
Background: Fear of childbirth is a common psychological problem among women during the perinatal period. It not only affects the physical and mental health of the mother, but also has an impact on the health of the fetus. Studies have shown that fear of childbirth has a significant positive predictive effect on prenatal depression. However, there are few studies exploring the underlying mechanism between fear of childbirth and depression.
Methods: Childbirth Attitude Questionnaire, Social Support Rating Scale, Rumination Scale and Edinburgh Postpartum Depression Scale were used to measure 2765 Chinese pregnant women.
Results: Fear of childbirth had a positive predictive effect on prenatal depression (β = 0.11, t = 15.63, P < 0.001); rumination played a partial mediating role in the influence of fear of childbirth on prenatal depression, with an indirect effect value of 0.05; social support not only moderated the impact pathway of childbirth fear on rumination (β = − 0.01, t = − 2.26, P < 0.01), but also moderated the impact pathway of rumination on prenatal depression (β = − 0.01, t = − 2.12, P < 0.01).
Conclusion: Rumination mediated the relationship between fear of childbirth and prenatal depression, and social support had a moderating effect on the first and second half of the mediation model.
Keywords: prenatal depression, fear of childbirth, social support, rumination, moderated mediation model
1Nursing Department, Women’s Hospital of Nanjing Medical University, Nanjing Women and Children’s Healthcare Hospital, Nanjing, Jiangsu, People’s Republic of China; 2Funing People’s Hospital, Yancheng, Jiangsu, People’s Republic of China; 3School of Nursing, Soochow University, Suzhou, Jiangsu, People’s Republic of China; 4School of Nursing, Nanjing Medical University, Nanjing, Jiangsu, People’s Republic of China
Correspondence: Aixia Zhang, Women’s Hospital of Nanjing Medical University, Nanjing Women and Children’s Healthcare Hospital, #123 Tianfei AlleyQinhuai District, Nanjing, 210004, People’s Republic of China, Tel +13401920998, Email zhangaixia@njmu.edu.cn
Background: Fear of childbirth is a common psychological problem among women during the perinatal period. It not only affects the physical and mental health of the mother, but also has an impact on the health of the fetus. Studies have shown that fear of childbirth has a significant positive predictive effect on prenatal depression. However, there are few studies exploring the underlying mechanism between fear of childbirth and depression.
Methods: Childbirth Attitude Questionnaire, Social Support Rating Scale, Rumination Scale and Edinburgh Postpartum Depression Scale were used to measure 2765 Chinese pregnant women.
Results: Fear of childbirth had a positive predictive effect on prenatal depression (β = 0.11, t = 15.63, P < 0.001); rumination played a partial mediating role in the influence of fear of childbirth on prenatal depression, with an indirect effect value of 0.05; social support not only moderated the impact pathway of childbirth fear on rumination (β = − 0.01, t = − 2.26, P < 0.01), but also moderated the impact pathway of rumination on prenatal depression (β = − 0.01, t = − 2.12, P < 0.01).
Conclusion: Rumination mediated the relationship between fear of childbirth and prenatal depression, and social support had a moderating effect on the first and second half of the mediation model.
Keywords: prenatal depression, fear of childbirth, social support, rumination, moderated mediation model