期刊：
FRONTIERS IN PSYCHOLOGY,2024年15:1341215 ISSN：1664-1078
通讯作者：
Qi, L
作者机构：
[Zhang, Hongling; Qi, Ling; Nie, Rong] Wuhan Polytech Univ, Coll Med & Hlth Sci, Wuhan, Peoples R China.;[Du, Yukai] Huazhong Univ Sci & Technol, Sch Publ Hlth, Dept Maternal & Child Hlth, Tongji Med Coll, Wuhan, Hubei, Peoples R China.
通讯机构：
[Qi, L ] W;Wuhan Polytech Univ, Coll Med & Hlth Sci, Wuhan, Peoples R China.
关键词：
children and adolescents;hearing impairment;positive coping;resilience;self-esteem
摘要：
Background: The level of self-esteem in adolescents appears to be contingent upon their satisfaction across various domains of life, exerting a notable influence on their mental wellbeing. The purposes of this study were to further validate the influence of resilience and positive coping strategy on their self-esteem and to explore the mediating effect of positive coping strategy in the relationship between resilience and self-esteem. Methods: A total of 657 children and adolescents with a hearing impairment from 14 deaf/special schools in Hubei province completed measures of self-esteem, resilience, and positive coping. Results: (1) Self-esteem is positively correlated with resilience and positive coping, (2) resilience is a significant predictor of self-esteem, and (3) the association between resilience and self-esteem was partly mediated by a positive coping strategy. Conclusion: This study indicated the partly mediating effects of positive coping strategy on the association between resilience and self-esteem among Chinese children and adolescents with hearing impairment. These results also highlighted that intervention to promote resilience and coping strategies might be helpful to improve their self-esteem.
摘要：
<jats:title>Abstract</jats:title><jats:sec>
<jats:title>Aims</jats:title>
<jats:p>This study aimed to evaluate the correlation between parental attachment, resilience, postpartum traumatic stress disorder (PTSD), and maternal-infant bonding at 1 to 3 months postpartum. The mediation effect of resilience and PTSD on the postpartum parental attachment and maternal-infant bond was also evaluated.</jats:p>
</jats:sec><jats:sec>
<jats:title>Design</jats:title>
<jats:p>A cross-sectional research design was used.</jats:p>
</jats:sec><jats:sec>
<jats:title>Methods</jats:title>
<jats:p>A total of 400 postpartum women examined at a tertiary hospital in Wuhan from January 2021 to June 2021 were enrolled in the study. At about 1 to 3 months after giving birth, the women were asked to complete the Postpartum Bonding Questionnaire (PBQ), Connor-Davidson Resilience scale(CD-RISC), PTSD CheckList-Civilian version (PCL-C), and the Parental Bonding Instrument (PBI). The data were summarized using descriptive statistics. Mediation analyse and the Spearman correlation (r) were used to correlate the resilience and PTSD questionnaire scores.</jats:p>
</jats:sec><jats:sec>
<jats:title>Results</jats:title>
<jats:p>The care attachment dimension was significantly associated with resilience (<jats:italic>r</jats:italic> = 0.24, <jats:italic>p</jats:italic> < 0.01), PTSD (<jats:italic>r</jats:italic> = − 0.27, <jats:italic>p</jats:italic> < 0.01), and maternal-infant bonding (<jats:italic>r</jats:italic> = 0.10, <jats:italic>p</jats:italic> < 0.01), and the overprotection attachment dimension was significantly associated with resilience (<jats:italic>r</jats:italic> = − 0.11, <jats:italic>p</jats:italic> < 0.01), PTSD (<jats:italic>r</jats:italic> = 0.33, <jats:italic>p</jats:italic> < 0.01), and maternal-infant bonding (<jats:italic>r</jats:italic> = 0.16, <jats:italic>p</jats:italic> < 0.01). Resilience and PTSD can mediate the relationship between attachment and maternal-infant bonding.</jats:p>
</jats:sec><jats:sec>
<jats:title>Conclusion</jats:title>
<jats:p>Parental attachment, resilience, and PTSD significantly affect maternal-infant bonding at 1 to 3 months postpartum.</jats:p>
</jats:sec><jats:sec>
<jats:title>Impact</jats:title>
<jats:p>This study demonstrated that new interventions aimed at addressing PTSD symptoms and improving resilience might increase parental attachment and maternal-infant bonding after birth. However, further research is required to evaluate the success of these interventions.</jats:p>
</jats:sec>
摘要：
目的:分析与整合剖宫产术后再次妊娠阴道分娩（VBAC）产妇的分娩体验。方法:计算机检索PubMed、Embase，Web of Science、CINAHL、EBSCO、OVID及CNKI、维普、万方、中国生物医学文献数据库从建库至2020年7月关于VBAC产妇分娩体验的质性研究文献，采用澳大利亚JBI循证卫生保健中心质性研究评价标准评价文献质量，并使用汇集性整合方法进行结果整合。结果:共纳入16项研究，提炼出26个结果9个类别，并进一步整合为3个结果：决策影响因素；决策发展历程；阴道分娩后的反思。结论:VBAC产妇心理体验较为复杂，医务人员应针对产妇心理需求给予支持和指导，帮助产妇更好地应对分娩。
