Model of Predicting Quality of Life According to Mindfulness with the Mediation of Pregnancy Anxiety in Pregnant Women

Document Type : Research Paper

Authors

1 PhD Student in Psychology, Arak Branch, Islamic Azad University, Arak, Iran.

2 Assistant Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.

3 Assistant Professor, Department of Psychology, Arak Branch, Islamic Azad University, Arak, Iran.

Abstract

Introduction and purpose: pregnancy  can cause various psychological damage to women, such as anxiety. according to this the present study was conducted to offer a model of predicting quality of life according to mindfulness with the mediation of pregnancy anxiety in pregnant women.
Methodology: The research method was descriptive-correlational and pathway analysis. The statistical population included pregnant women who referred to the hygiene centers and gynecologists offices in the city of Ahvaz in the autumn and winter of 2019. The statistical population included 400 pregnant women who were selected through available sampling method. The applied questionnaires included Quality of Life Questionnaire (Ware and Sherbourne, 1992) (QLQ), Pregnancy Anxiety Questionnaire (Vandenbergh, 1990) (PAQ) and Five Factor Mindfulness Questionnaire (Baer et al, 2008) (FFMQ). The data analysis was conducted through pathway analysis and Bootstrap test.
Findings: The results showed that mindfulness and pregnancy anxiety have significant relationship with quality of life (p<0.01). Moreover, mindfulness and pregnancy anxiety have significant direct effect on the quality of life (p<0.01). Furthermore, the results of Bootstap test showed that pregnancy anxiety has significant mediation role in the relationship of mindfulness with pregnant women’s quality of life (p<0.01). Finally, the model enjoyed an appropriate goodness of fit.
Conclusion: Considering the significant mediation role of pregnancy anxiety it is necessary for the clinical therapists to decrease pregnant women’s anxiety through applying efficient psychological therapy methods.

Keywords


  1. Chen, L., Yue, P., Lamb, K.V., Zhang, Y., Zhu, R. (2020). Stigma in HBV-infected pregnant women in disclosed
    situations: Current status, influencing factors, and impacts on the quality of life. Applied Nursing Research, 56,
    151-155.
    2. Mei, H., Li, N., Li, J., Zhang, D., Cao, Z., Zhou, Y., Cao, J., Zhou, A. (2021). Depression, anxiety, and stress
    symptoms in pregnant women before and during the COVID-19 pandemic. Journal of Psychosomatic Research,
    149, 1105-1110.
    3. Callanan, F., Tuohy, T., Bright, A., Grealish, A. (2022). The effectiveness of psychological interventions for
    pregnant women with anxiety in the antenatal period: A systematic review. Midwifery, 104, 1031-1035.
    4. Lamichhane, D.K., Jung , D., Shin, Y., Lee, K., Lee, S., Ahn, K., Kim, K.W., Shin, Y.H., Suh, D.I., Hong, S., Kim,
    H. (2021). Association of ambient air pollution with depressive and anxiety symptoms in pregnant women: A
    prospective cohort study. International Journal of Hygiene and Environmental Health, 237, 1138-1141.
  2. 5. Welch, B.M., Keil, A.P., Bommarito , PA., Erve, T.J., Deterding, L.J., Williams, J.G., Lih, F.B., Cantonwine, D.E.,
    McElrath, T.F., Ferguson, K.K. (2021). Longitudinal exposure to consumer product chemicals and changes in
    plasma oxylipins in pregnant women. Environment International, 157, 1067-1070.
    6. Lau, Y., Htun, T.P., Lim, P.I., Ho-Lim, S.T., Chi, C., Tsai, C., Ong, K.W., Klainin-Yobas, P. (2017). Breastfeeding
    attitude, health-related quality of life and maternal obesity among multi-ethnic pregnant women: A multi-group
    structural equation approach. International Journal of Nursing Studies, 67, 71-82.
    7. Liu, N., Gou, W., Wang, J., Chen, D., Sun, W., Guo, P., Zhang, X., Zhang, W. (2019). Effects of exercise on
    pregnant women’s quality of life: A systematic review. European Journal of Obstetrics & Gynecology and
    Reproductive Biology, 242, 170-177.
    8. Caracho, R.A., Foratori-Junior, G.A., Fusco, N.S., Jesuino1
    , B.G., Missio, A.L.T., Sales-Peres, S.H.C. (2020).
    Systemic conditions and oral health-related quality of life of pregnant women of normal weight and who are
    overweight. International Dental Journal, 70 (4), 287-295.
    9. Morin, M., Claris, O., Dussart, C., Frelat, A., deplace, A., Molinier, L., Matillon, Y., Elhinger, V., Vayssiere, C.
    (2019). Health-related quality of life during pregnancy: A repeated measures study of changes from the first
    trimester to birth. Acta Obstet Gynecol Scand, 98 (10), 1282-1291.
    10. Estebsari, F., Rahimi Khalife Kandi , Z., Jalili Bahabadi , F., Raiesi Filabadi, Z., Estebsari, K., Mostafaei, D.
    (2020). Health-related quality of life and related factors among pregnant women. Edu Health Promot, 9, 299-
    305.
    11. Fischer, O.J., Marguerie, M., Brotto, L.A. (2019). Sexual Function, Quality of Life, and Experiences of Women
    with Ovarian Cancer: A Mixed-Methods Study. Sexual Medicine, 7 (4), 530-539.
    12. Lagadec, N., Steinecker, M., Kapassi, A., Magnier, A., Chastang, J., Robert, S., Gaouaou, N., Ibanez, G. (2018).
    Factors influencing the quality of life of pregnant women: a systematic review, BMC Pregnancy and Childbirth,
    18, 235-239.
    13. Karow, A., Reimer, J., Schafer, I., Krausz, M., Haasen, C., & Verthein, U. (2010). Quality of life under
    maintenance treatment with heroin versus methadone in patients with opioid dependence. Drug and Alcohol
    Dependence, 112, 209–215.
    14. Donegan, T. (2015). Mindfulness: An Intervention for Improving the Health of Mothers and Babies. Midwifery
    today with international midwife, (113), 62-63.
    15. Kabat-Zinn, J. (2006). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology
    Science and Practice, 10(2), 144–156.
    16. Mennitto, S., Ditto, B., & Da Costa, D. (2020). The relationship of trait mindfulness to physical and psychological
    health during pregnancy. Journal of Psychosomatic Obstetrics & Gynecology, 87, 1-7.
    17. Hulsbosch, L. P., Nyklíček, I., Potharst, E. S., Meems, M., Boekhorst, M. G., & Pop, V. J. (2020). Online
    mindfulness-based intervention for women with pregnancy distress: design of a randomized controlled trial. BMC
    pregnancy and childbirth, 20(1), 1-10.
    18. Goetz, M., Schiele, C., Müller, M., Matthies, L. M., Deutsch, T. M., Spano, C., & Wallwiener, S. (2020). Effects of
    a brief electronic mindfulness-based intervention on relieving prenatal depression and anxiety in hospitalized
    high-risk pregnant women: exploratory pilot study. Journal of Medical Internet Research, 22(8), 17593.
    19. Li, G., Jiang, Z., Han, X., Shang, X., Tian, W., Kang, X., & Fang, M. (2020). A moderated mediation model of
    perceived stress, negative emotions and mindfulness on fertility quality of life in women with recurrent pregnancy
    loss. Quality of Life Research, 29(7), 1775-1787.
    20. Boekhorst, M. G., Potharst, E. S., Beerthuizen, A., Hulsbosch, L. P., Bergink, V., Pop, V. J., & Nyklíček, I. (2020).
    Mindfulness during pregnancy and parental stress in mothers raising toddlers. Mindfulness, 11(7), 1747-1761.
    21. Walidi Pak, A., Moini Manesh, K., and Khalidi, Sh. (2014). Investigating the effectiveness of mindfulness training
    on increasing optimism in diabetic pregnant women. Journal of Health Psychology, 2(serial 14), 125-136.
    22. Shahoui, R., Karimi, A., Sharifi, Sh., Sufizadeh, N., and Khanpour, F. (2018). Investigating the effectiveness of
    mindfulness based on stress reduction on pregnant women's anxiety. Quarterly Journal of Nursing, Midwifery and
    Paramedicine, 5(3), 83-94.
    23. Rahmanifard, T., Kalanter Koshe, S., and Faramarzi, M. (2016). The effect of mindfulness-based cognitive
    psychotherapy on the quality of life of infertile women. Hayat Journal, 23(3), 289-277.
    24. Bargeste, S., and Moghadam Tabrizi, F. (2015). Examining the relationship between the level of worry and anxiety
    during pregnancy with spouse support and social support. Urmia Nursing and Midwifery Faculty Journal, 14(6),
    504-515.