Characterization of Maternal Psychosocial Stress During Pregnancy: The Healthy Start Study
Objective: To capture multidimensional maternal psychosocial stress using responses from the Edinburgh Postnatal Depression Scale (EPDS) and Cohen's Perceived Stress Scale (PSS) administered during pregnancy, and to identify sociodemographic, biological, and health behavioral correlates of the...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Mary Ann Liebert
2022-08-01
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| Series: | Women's Health Reports |
| Subjects: | |
| Online Access: | https://www.liebertpub.com/doi/full/10.1089/WHR.2022.0011 |
| _version_ | 1797345812634664960 |
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| author | Satvinder K. Dhaliwal Dana Dabelea Angela E. Lee-Winn Deborah H. Glueck Greta Wilkening Wei Perng |
| author_facet | Satvinder K. Dhaliwal Dana Dabelea Angela E. Lee-Winn Deborah H. Glueck Greta Wilkening Wei Perng |
| author_sort | Satvinder K. Dhaliwal |
| collection | DOAJ |
| description | Objective: To capture multidimensional maternal psychosocial stress using responses from the Edinburgh Postnatal Depression Scale (EPDS) and Cohen's Perceived Stress Scale (PSS) administered during pregnancy, and to identify sociodemographic, biological, and health behavioral correlates of the stress domains.
Methods: Using data from 1,079 pregnant women, we implemented principal component analysis on EPDS and PSS responses and retained factors based on the Scree plot and Eigenvalues >1. We then used linear regression to identify perinatal correlates of each domain.
Results: We identified three stress domains: ?Feeling Overwhelmed,? ?Anhedonia,? and ?Lack of Control,? which accounted for 10.6% of variance in questionnaire responses. In multivariable analyses, household income ?$70,000 (??=?0.21 confidence interval [95% CI: 0.05?0.39]), primiparity (0.36 [0.02?0.71]), inadequate (0.21 [0.04?0.39]) or excessive gestational weight gain (0.27 [0.11?0.42]), and Healthy Eating Index (HEI) score ?57 (0.14 [0.00?0.28]) were associated with Feeling Overwhelmed. Older age (0.02 [0.00?0.03] per 1-year), Hispanic ethnicity (0.19 [0.00?0.38]), and HEI score ?57 (0.15 [0.02?0.28]) were associated with Anhedonia. Non-Hispanic Black race/ethnicity (0.37 [0.10?0.63]), not having graduated from college (0.16 [?0.02 to 0.35]), having a partner born outside the United States (0.17 [?0.02 to 0.37]), household size of ?5 persons (0.21 [?0.02 to 0.37]), receiving public assistance (0.18 [?0.02 to 0.37]), and prenatal smoking (0.32 [0.05?0.59]) were associated with Lack of Control.
Conclusions: Three domains of maternal psychosocial stress during pregnancy (Feeling Overwhelmed, Anhedonia, and Lack of Control) were differentially related to sociodemographic, biological, and health behavioral characteristics that may be targets for interventions to ameliorate stress in pregnant women.
Clinical Trial Registry: The Healthy Start study is registered as an observational study at clinicaltrials.gov (NCT #002273297). |
| first_indexed | 2024-03-08T11:22:55Z |
| format | Article |
| id | doaj.art-d6cb62082600416586d0bbf0facfb22c |
| institution | Directory Open Access Journal |
| issn | 2688-4844 |
| language | English |
| last_indexed | 2024-03-08T11:22:55Z |
| publishDate | 2022-08-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Women's Health Reports |
| spelling | doaj.art-d6cb62082600416586d0bbf0facfb22c2024-01-26T05:58:50ZengMary Ann LiebertWomen's Health Reports2688-48442022-08-013169870810.1089/WHR.2022.0011Characterization of Maternal Psychosocial Stress During Pregnancy: The Healthy Start StudySatvinder K. DhaliwalDana DabeleaAngela E. Lee-WinnDeborah H. GlueckGreta WilkeningWei PerngObjective: To capture multidimensional maternal psychosocial stress using responses from the Edinburgh Postnatal Depression Scale (EPDS) and Cohen's Perceived Stress Scale (PSS) administered during pregnancy, and to identify sociodemographic, biological, and health behavioral correlates of the stress domains. Methods: Using data from 1,079 pregnant women, we implemented principal component analysis on EPDS and PSS responses and retained factors based on the Scree plot and Eigenvalues >1. We then used linear regression to identify perinatal correlates of each domain. Results: We identified three stress domains: ?Feeling Overwhelmed,? ?Anhedonia,? and ?Lack of Control,? which accounted for 10.6% of variance in questionnaire responses. In multivariable analyses, household income ?$70,000 (??=?0.21 confidence interval [95% CI: 0.05?0.39]), primiparity (0.36 [0.02?0.71]), inadequate (0.21 [0.04?0.39]) or excessive gestational weight gain (0.27 [0.11?0.42]), and Healthy Eating Index (HEI) score ?57 (0.14 [0.00?0.28]) were associated with Feeling Overwhelmed. Older age (0.02 [0.00?0.03] per 1-year), Hispanic ethnicity (0.19 [0.00?0.38]), and HEI score ?57 (0.15 [0.02?0.28]) were associated with Anhedonia. Non-Hispanic Black race/ethnicity (0.37 [0.10?0.63]), not having graduated from college (0.16 [?0.02 to 0.35]), having a partner born outside the United States (0.17 [?0.02 to 0.37]), household size of ?5 persons (0.21 [?0.02 to 0.37]), receiving public assistance (0.18 [?0.02 to 0.37]), and prenatal smoking (0.32 [0.05?0.59]) were associated with Lack of Control. Conclusions: Three domains of maternal psychosocial stress during pregnancy (Feeling Overwhelmed, Anhedonia, and Lack of Control) were differentially related to sociodemographic, biological, and health behavioral characteristics that may be targets for interventions to ameliorate stress in pregnant women. Clinical Trial Registry: The Healthy Start study is registered as an observational study at clinicaltrials.gov (NCT #002273297).https://www.liebertpub.com/doi/full/10.1089/WHR.2022.0011psychosocial stressprincipal component analysismaternal stress |
| spellingShingle | Satvinder K. Dhaliwal Dana Dabelea Angela E. Lee-Winn Deborah H. Glueck Greta Wilkening Wei Perng Characterization of Maternal Psychosocial Stress During Pregnancy: The Healthy Start Study Women's Health Reports psychosocial stress principal component analysis maternal stress |
| title | Characterization of Maternal Psychosocial Stress During Pregnancy: The Healthy Start Study |
| title_full | Characterization of Maternal Psychosocial Stress During Pregnancy: The Healthy Start Study |
| title_fullStr | Characterization of Maternal Psychosocial Stress During Pregnancy: The Healthy Start Study |
| title_full_unstemmed | Characterization of Maternal Psychosocial Stress During Pregnancy: The Healthy Start Study |
| title_short | Characterization of Maternal Psychosocial Stress During Pregnancy: The Healthy Start Study |
| title_sort | characterization of maternal psychosocial stress during pregnancy the healthy start study |
| topic | psychosocial stress principal component analysis maternal stress |
| url | https://www.liebertpub.com/doi/full/10.1089/WHR.2022.0011 |
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