Positive maternal mental health in pregnant women and its association with obstetric and psychosocial factors

dc.contributor.authorMonterrosa-Castro, Álvaro
dc.contributor.authorRomero-Martínez, Shairine
dc.contributor.authorMonterrosa-Blanco, Angélica
dc.contributor.researchgroupGrupo de Investigación Salud de la Mujer
dc.date.accessioned2025-05-30T15:19:08Z
dc.date.available2025-05-30T15:19:08Z
dc.date.issued2023
dc.description.abstractObjective To estimate the frequency of Positive Maternal Mental Health (PMMH) interpretation levels in pregnant women who attended prenatal consultation and to identify their association with obstetric and psychosocial factors. Methods A cross-sectional study that included pregnant women who attended prenatal care at 12 or more weeks of gestation. The following scales were applied: Positive Mental Health Questionnaire (PMHQ), Goldberg Anxiety and Depression Scale, and Jong Gierveld Loneliness Scale. Results 702 pregnant women were evaluated; 634 (90.3%) had flourishing PMMH, and 68 (9.7%) had non-flourishing PMMH. Among the latter, all were at an intermediate level, and none were languishing. Flourishing PMMH was more frequent in adults (91.2%) compared to adolescents (75.0%) and in women with higher education (93.0%) than in those with basic education (83.9%). The PMHQ factors and global score correlated positively with maternal age and negatively with anxiety, depression, emotional, social, and general loneliness. Associated with a higher frequency of non-flourishing PMMH were general loneliness OR:6.32[CI95%:3.38–11.82], social loneliness OR:5.98[CI95%:3.42–10.42], adolescence OR:3.47[CI95%:1.61–7.45], emotional loneliness OR:3.12[1.83–5.32], anxiety OR:2.14[CI95%:1.27–3.60], and depression OR:1.88[CI95%:1.09–3.25]. Less frequently: work occupation outside the home OR:0.41[CI95%:0.24–0.68], technical/technological studies OR:0.22[CI95%:0.08–0.60] and university OR:0.27[CI95%:0.10–0.71]. Preconception consultation, desired pregnancy, cesarean section, and fetal or neonatal death were not associated. In the adjusted model: general loneliness OR:3.02[CI95%:1.10–8.31], social loneliness OR:2.82[CI95%:1.38–5.79] and anxiety OR:1.93[CI95%:1.02–3.67], retained statistical significance. Conclusion Nine out of ten pregnant women had flourishing PMMH, and none had languishing PMMH. None of the obstetric factors were associated with non-flourishing PMMH but with general loneliness, social loneliness, and anxietyeng
dc.format.mimetypeapplication/pdf
dc.identifier.eissn1471 - 2458
dc.identifier.issn1471 - 2458
dc.identifier.urihttps://hdl.handle.net/11227/19580
dc.language.isoeng
dc.publisherBMC
dc.publisher.placeReino Unido
dc.relation.citationendpage13
dc.relation.citationissue1013
dc.relation.citationstartpage1
dc.relation.citationvolume23
dc.relation.ispartofjournalBMC Public Health
dc.relation.referencesChauhan A, Potdar J. Maternal mental health during pregnancy: A critical review. Cureus. 2022 Oct 25;14(10):e30656. https://doi.org/10.7759/ cureus.30656
dc.relation.referencesBedaso A, Adams J, Peng W, Sibbritt D. The relationship between social support and mental health problems during pregnancy: a systematic review and meta-analysis. Reprod Health 2021 Jul 28;18(1):162. https://doi.org/10.1186/ s12978-021-01209-5
dc.relation.referencesHernández-Martínez C, Val VA, Murphy M, Busquets PC, Sans JC. Relation between positive and negative maternal emotional states and obstetrical outcomes. Women Health. 2011 Mar;51(2):124–5. https://doi.org/10.1080/03 630242.2010.550991
dc.relation.referencesGriffen A, McIntyre L, Belsito JZ, Burkhard J, Davis W, Kimmel M, et al. Perinatal mental health care in the United States: an overview of policies and programs. Health Aff (Millwood). 2021 Oct;40(10):1543–50. https://doi. org/10.1377/hlthaff.2021.00796
dc.relation.referencesMonteiro F, Fonseca A, Pereira M, Canavarro MC. Is positive mental health and the absence of mental illness the same? Factors associated with flourishing and the absence of depressive symptoms in postpartum women. J Clin Psychol 2021 Mar;77(3):629–45. https://doi.org/10.1002/jclp.23081
dc.relation.referencesNobre J, Calha A, Luis H, Oliveira AP, Monteiro F, Ferré-Grau C et al. Mental health literacy and positive mental health in adolescents: a correlational study. Int J Environ Res Public Health. 2022 Jul 3;19(13):8165. https://doi. org/10.3390/ijerph19138165
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2
dc.rights.licenseAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.subject.ocde3. Ciencias Médicas y de la Salud
dc.subject.odsODS 3: Salud y bienestar. Garantizar una vida sana y promover el bienestar de todos a todas las edades
dc.subject.proposalReproductive Healtheng
dc.subject.proposalMental Healtheng
dc.subject.proposalPregnancyeng
dc.subject.proposalPrenatal careeng
dc.subject.proposalMaternal healtheng
dc.titlePositive maternal mental health in pregnant women and its association with obstetric and psychosocial factorseng
dc.typeArtículo de revista
dc.type.coarhttp://purl.org/coar/resource_type/c_6501
dc.type.coarversionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.contentText
dc.type.driverinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
oaire.arwardurihttps://grupodeinvestigacionsaluddelamujer.com/

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