The role of parenting stress in mediating the relationship between neighborhood social cohesion and depression and anxiety among mothers of young children in fragile families

被引:37
作者
McCloskey, Rebecca J. [1 ]
Pei, Fei [1 ]
机构
[1] Ohio State Univ, Coll Social Work, Columbus, OH 43210 USA
基金
美国国家卫生研究院;
关键词
MATERNAL DEPRESSION; POSTPARTUM DEPRESSION; INFANT HEALTH; MENTAL-HEALTH; SUPPORT; SYMPTOMS; WOMEN; PREGNANCY; PREVALENCE; MULTILEVEL;
D O I
10.1002/jcop.22160
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This study was designed to examine the roles of neighborhood social cohesion and parenting stress in influencing maternal mental health outcomes among primarily low-income, unmarried, urban mothers. Structural equation modeling was conducted using cross-sectional Fragile Families and Child Wellbeing Study data (N = 3,876), to test the hypotheses that neighborhood social cohesion would be associated with depression and anxiety among mothers with children aged 3 years and that this relationship would be mediated by parenting stress. The mediation model demonstrated good fit, chi(2)(796) = 3169.07, p < .001; comparative fit index = 0.96; root mean square error of approximation = 0.028 [90% confidence interval [0.027, 0.029]. Parenting stress partially mediated the effect of social cohesion on maternal depression (indirect effect: -0.04, p < 0.001) and anxiety (indirect effect: -0.05, p < 0.001); higher reported neighborhood social cohesion was associated with lower parenting stress, which was associated with a decreased likelihood of maternal anxiety and depression. Efforts to bolster neighborhood social cohesion may improve maternal mental health outcomes by reducing parenting stress.
引用
收藏
页码:869 / 881
页数:13
相关论文
共 60 条
[1]  
American Psychiatric Association, 2013, DIAGNOSTIC STAT MANU, DOI DOI 10.1176/APPI.BOOKS.9780890425596
[2]  
[Anonymous], 1998, Mplus technical appendices
[3]  
[Anonymous], NSDUH SER H
[4]  
[Anonymous], 1998, Int. J. Methods Psychiatr. Res., DOI [DOI 10.1002/MPR.47, 10.1002/mpr.47]
[5]   Impact of Maternal Depression Across the First 6 Years of Life on the Child's Mental Health, Social Engagement, and Empathy: The Moderating Role of Oxytocin [J].
Apter-Levy, Yael ;
Feldman, Michal ;
Vakart, Adam ;
Ebstein, Richard P. ;
Feldman, Ruth .
AMERICAN JOURNAL OF PSYCHIATRY, 2013, 170 (10) :1161-1168
[6]   Is it Generalized Anxiety Disorder or Poverty? An Examination of Poor Mothers and Their Children [J].
Judith C. Baer ;
MiSung Kim ;
Bonnie Wilkenfeld .
Child and Adolescent Social Work Journal, 2012, 29 (4) :345-355
[7]   Single mothers in their communities: The mediating role of parenting stress and depression between social cohesion, social control and child maltreatment [J].
Barnhart, Sheila ;
Maguire-Jack, Kathryn .
CHILDREN AND YOUTH SERVICES REVIEW, 2016, 70 :37-45
[8]   THE MODERATOR MEDIATOR VARIABLE DISTINCTION IN SOCIAL PSYCHOLOGICAL-RESEARCH - CONCEPTUAL, STRATEGIC, AND STATISTICAL CONSIDERATIONS [J].
BARON, RM ;
KENNY, DA .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1986, 51 (06) :1173-1182
[9]   The effects of postpartum depression on child development: A meta-analysis [J].
Beck, CT .
ARCHIVES OF PSYCHIATRIC NURSING, 1998, 12 (01) :12-20
[10]  
Brisson D., 2014, SOC WORK, DOI [10.1093/obo/9780195389678-0183, DOI 10.1093/OBO/9780195389678-0183]