Relationship of health practices with depression and maternal-fetal attachment in adolescent pregnant women : A prospective study

Journal article

Hadian, Tahereh, Moosavi, Sanaz, Meedya, Shahla, Mohammad-Alizadeh-Charandabi, Sakineh, Mohammadi, Eesa and Mirghafourvand, Mojgan. (2021). Relationship of health practices with depression and maternal-fetal attachment in adolescent pregnant women : A prospective study. Archives of Psychiatric Nursing. 35(5), pp. 465-471. https://doi.org/10.1016/j.apnu.2021.06.011
AuthorsHadian, Tahereh, Moosavi, Sanaz, Meedya, Shahla, Mohammad-Alizadeh-Charandabi, Sakineh, Mohammadi, Eesa and Mirghafourvand, Mojgan
Abstract

Aim
To determine the relationship of health practices with depression and maternal-fetal attachment in adolescent pregnant women.

Methods
This prospective study was conducted on 316 adolescent pregnant women with medical records at the health centers in Tehran, Iran. The participants were selected through the complete enumeration. Data were collected using the socio-demographic and obstetrics questionnaire, the Health Practices Questionnaire-II (HPQ-II), the Edinburgh Postnatal Depression Scale (EPDS), and the Cranley's Maternal-Fetal Attachment Scale (MFAS). The data were analyzed with the Pearson correlation test, the independent t-test, one-way ANOVA, and the general linear model.

Results
The mean scores of health practices, depression, and maternal-fetal attachment were 135.3 (SD 9.1, range 34–170), 10.1 (SD 5.4, range 0–30), and 91.6 (SD 8.6, range 24–120), respectively. The results of Pearson correlation test showed that health practices had a significant relationship with depression (r = −0.29) and maternal-fetal attachment (r = 0.37). Results of general linear model showed that an increase in the health practices score led to a significant decrease in depression score during pregnancy [β = −0.10; 95% CI: −0.17 to −0.04] and a significant increase in maternal-fetal attachment score [β = 0.30; 95% CI: 0.19 to 0.40].

Conclusion
There is significant relationship between health practices and depression, as well as maternal-fetal attachment in adolescent pregnant women. Therefore, intervention to improve one of them may improve the other one(s).

Keywordspregnancy; health practices; depression; maternal-fetal attachment; adolescent pregnant women
Year2021
JournalArchives of Psychiatric Nursing
Journal citation35 (5), pp. 465-471
PublisherElsevier Inc.
ISSN0883-9417
Digital Object Identifier (DOI)https://doi.org/10.1016/j.apnu.2021.06.011
PubMed ID34561060
Scopus EID2-s2.0-85112121492
Page range465-471
FunderTabriz University of Medical Sciences
Publisher's version
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All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online01 Jul 2021
Publication process dates
Accepted20 Jun 2021
Deposited14 Apr 2025
Additional information

© 2021 Elsevier Inc. All rights reserved.

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Sufficient exercise for Australians living with dementia in residential aged care facilities is lacking : An exploration of policy incoherence [Commentary]
Brett, Lindsey, Stapley, Paul, Meedya, Shahla and Traynor, Victoria. (2018). Sufficient exercise for Australians living with dementia in residential aged care facilities is lacking : An exploration of policy incoherence [Commentary] John Wiley & Sons, Inc.. https://doi.org/10.1111/1753-6405.12800
Association between maternal sense of competence and self-efficacy in primiparouswomen during postpartum period
Bagherinia, Marzieh, Meedya, Shahla and Mirghafourvand, Mojgan. (2018). Association between maternal sense of competence and self-efficacy in primiparouswomen during postpartum period. Shiraz E-Medical Journal. 19(3), p. Article e59286. https://doi.org/10.5812/semj.59286
Effect of educational and support interventions on long-term breastfeeding rates in primiparous women : A systematic review and meta-analysis
Meedya, Shahla, Fernandez, Ritin and Fahy, Kathleen. (2017). Effect of educational and support interventions on long-term breastfeeding rates in primiparous women : A systematic review and meta-analysis. JBI Evidence Synthesis. 15(9), pp. 2307-2332. https://doi.org/10.11124/JBISRIR-2016-002955
Effect of educational and support interventions to increase long-term breastfeeding rates in primiparous women : A systematic review protocol
Meedya, Shahla, Fernandez, Ritin and Fahy, Kathleen. (2017). Effect of educational and support interventions to increase long-term breastfeeding rates in primiparous women : A systematic review protocol. JBI Evidence Synthesis. 15(3), pp. 594-602. https://doi.org/10.11124/JBISRIR-2016-003132
Effects and feasibility of an exercise intervention for individuals living with dementia in nursing homes : Study protocol
Brett, Lindsey, Traynor, Victoria, Stapley, Paul and Meedya, Shahla. (2017). Effects and feasibility of an exercise intervention for individuals living with dementia in nursing homes : Study protocol. International Psychogeriatrics. 29(9), pp. 1565-1577. https://doi.org/10.1017/S1041610217000138
The health and health preparation of long-term Australian travellers
Halcomb, Elizabeth, Stephens, Moira, Smyth, Elizabeth, Meedya, Shahla and Tillott, Sarah. (2017). The health and health preparation of long-term Australian travellers. Australian Journal of Primary Health. 23(4), pp. 386-390. https://doi.org/10.1071/PY16138
The Milky Way educational and support programme : Structure, content and strategies
Meedya, Shahla, Fahy, Kathleen and Parratt, Jenny A.. (2016). The Milky Way educational and support programme : Structure, content and strategies. Women and Birth. 29(4), pp. 388-393. https://doi.org/10.1016/j.wombi.2016.01.006