Perceived Stress Positively Relates to Insomnia Symptoms: The Moderation of Resilience in Chinese Pregnant Women During COVID-19

BackgroundThe government’s COVID-19 pandemic response lockdown strategy had a negative psychological and physical impact on individuals, which necessitated special care to pregnant women’s mental health. There has been no large-scale research on the underlying relationship between perceived stress a...

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Main Authors: Hongyu Zou, Zhen Tao, Yongjie Zhou, Zhiguo Zhang, Chunyan Zhang, Linling Li, Jiezhi Yang, Yanni Wang, Wei Huang, Jianhong Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.856627/full
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author Hongyu Zou
Hongyu Zou
Zhen Tao
Yongjie Zhou
Zhiguo Zhang
Chunyan Zhang
Linling Li
Jiezhi Yang
Yanni Wang
Wei Huang
Jianhong Wang
author_facet Hongyu Zou
Hongyu Zou
Zhen Tao
Yongjie Zhou
Zhiguo Zhang
Chunyan Zhang
Linling Li
Jiezhi Yang
Yanni Wang
Wei Huang
Jianhong Wang
author_sort Hongyu Zou
collection DOAJ
description BackgroundThe government’s COVID-19 pandemic response lockdown strategy had a negative psychological and physical impact on individuals, which necessitated special care to pregnant women’s mental health. There has been no large-scale research on the underlying relationship between perceived stress and insomnia symptoms in pregnant Chinese women up to this point. During the COVID-19 pandemic, we wanted to see if there was an association between perceived stress and insomnia symptoms, as well as the moderating impact of resilience for Chinese pregnant women.MethodsThis cross-sectional study examined 2115 pregnant women from central and western China using multi-stage sampling methodologies. A systematic questionnaire was used to collect information on sleep quality, perceived stress, and resilience using the Insomnia Severity Index, Perceptual Stress Scale, and Connor and Davidson Resilience Scale. To assess the moderating influence of resilience, hierarchical regressions were used.ResultsDuring the COVID-19 pandemic, 18.53% of respondents (N = 2115) reported experiencing sleeplessness. In pregnant women, perceived stress was positively linked with insomnia symptoms (p < 0.001). Furthermore, resilience significantly attenuated the influence of perceived stress on insomnia symptoms in Chinese expectant mother (βinteraction = −0.0126, p < 0.001).ConclusionPregnant women with strong resilience were less influenced by perceived stress than those with poor resilience. The findings of this study might give empirical proof that health care professionals should identify the relevance of reducing perceived stress in pregnant women with poor resilience and provide better treatment and support when necessary.
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spelling doaj.art-04b31fd108da45f5b7289b7d9eddc8262022-12-22T02:20:58ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-04-011310.3389/fpsyt.2022.856627856627Perceived Stress Positively Relates to Insomnia Symptoms: The Moderation of Resilience in Chinese Pregnant Women During COVID-19Hongyu Zou0Hongyu Zou1Zhen Tao2Yongjie Zhou3Zhiguo Zhang4Chunyan Zhang5Linling Li6Jiezhi Yang7Yanni Wang8Wei Huang9Jianhong Wang10Shenzhen Mental Health Center/Shenzhen Kangning Hospital, Shenzhen, ChinaSchool of Psychology, South China Normal University, Guangzhou, ChinaShenzhen Mental Health Center/Shenzhen Kangning Hospital, Shenzhen, ChinaShenzhen Mental Health Center/Shenzhen Kangning Hospital, Shenzhen, ChinaSchool of Biomedical Engineering, Health Science Center, Shenzhen University, Shenzhen, ChinaShenzhen Mental Health Center/Shenzhen Kangning Hospital, Shenzhen, ChinaSchool of Biomedical Engineering, Health Science Center, Shenzhen University, Shenzhen, ChinaShenzhen Health Development Research Center, Shenzhen, ChinaDepartment of Maternal, Child and Adolescent Health, School of Public Health, Lanzhou University, Lanzhou, ChinaShenzhen Mental Health Center/Shenzhen Kangning Hospital, Shenzhen, ChinaShenzhen Mental Health Center/Shenzhen Kangning Hospital, Shenzhen, ChinaBackgroundThe government’s COVID-19 pandemic response lockdown strategy had a negative psychological and physical impact on individuals, which necessitated special care to pregnant women’s mental health. There has been no large-scale research on the underlying relationship between perceived stress and insomnia symptoms in pregnant Chinese women up to this point. During the COVID-19 pandemic, we wanted to see if there was an association between perceived stress and insomnia symptoms, as well as the moderating impact of resilience for Chinese pregnant women.MethodsThis cross-sectional study examined 2115 pregnant women from central and western China using multi-stage sampling methodologies. A systematic questionnaire was used to collect information on sleep quality, perceived stress, and resilience using the Insomnia Severity Index, Perceptual Stress Scale, and Connor and Davidson Resilience Scale. To assess the moderating influence of resilience, hierarchical regressions were used.ResultsDuring the COVID-19 pandemic, 18.53% of respondents (N = 2115) reported experiencing sleeplessness. In pregnant women, perceived stress was positively linked with insomnia symptoms (p < 0.001). Furthermore, resilience significantly attenuated the influence of perceived stress on insomnia symptoms in Chinese expectant mother (βinteraction = −0.0126, p < 0.001).ConclusionPregnant women with strong resilience were less influenced by perceived stress than those with poor resilience. The findings of this study might give empirical proof that health care professionals should identify the relevance of reducing perceived stress in pregnant women with poor resilience and provide better treatment and support when necessary.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.856627/fullperceived stresssleep qualityresiliencepregnant womenmoderation effect
spellingShingle Hongyu Zou
Hongyu Zou
Zhen Tao
Yongjie Zhou
Zhiguo Zhang
Chunyan Zhang
Linling Li
Jiezhi Yang
Yanni Wang
Wei Huang
Jianhong Wang
Perceived Stress Positively Relates to Insomnia Symptoms: The Moderation of Resilience in Chinese Pregnant Women During COVID-19
Frontiers in Psychiatry
perceived stress
sleep quality
resilience
pregnant women
moderation effect
title Perceived Stress Positively Relates to Insomnia Symptoms: The Moderation of Resilience in Chinese Pregnant Women During COVID-19
title_full Perceived Stress Positively Relates to Insomnia Symptoms: The Moderation of Resilience in Chinese Pregnant Women During COVID-19
title_fullStr Perceived Stress Positively Relates to Insomnia Symptoms: The Moderation of Resilience in Chinese Pregnant Women During COVID-19
title_full_unstemmed Perceived Stress Positively Relates to Insomnia Symptoms: The Moderation of Resilience in Chinese Pregnant Women During COVID-19
title_short Perceived Stress Positively Relates to Insomnia Symptoms: The Moderation of Resilience in Chinese Pregnant Women During COVID-19
title_sort perceived stress positively relates to insomnia symptoms the moderation of resilience in chinese pregnant women during covid 19
topic perceived stress
sleep quality
resilience
pregnant women
moderation effect
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.856627/full
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