Abstract：
BACKGROUND: The changes during pregnancy can increase susceptibility to mental health problems such as depression, anxiety and stress, which is why coping strategies are so important. The aim of this study is to investigate the relationships between depression, anxiety, stress, pregnancy symptoms and coping styles in pregnant women across trimesters, using a multigroup structural equation model.
METHODS: This cross-sectional and correlational study was conducted with 301 pregnant women who applied to the prenatal clinic of a state university\'s medical faculty. A hypothetical model was created based on transactional stress and coping theory and literature reviews. Data were collected using a participant information form, the Depression Anxiety Stress Scale, the Pregnancy Symptom Inventory and the Stress Coping Styles Scale.
RESULTS: Among pregnant women, 40.9 % had symptoms of stress, 52.8 % of anxiety and 37.2 % of depression. Pregnancy symptoms and emotion-focused coping are positively associated with depression, anxiety, and stress (β = 0.468-0.590; β = 0.222-0.373 respectively). Problem-focused coping is negatively associated with depression, anxiety, and stress. (β = -0.255:-0.389). Problem-focused coping is negatively associated with pregnancy symptoms in the whole sample (β = -0.121) and in the third trimester (β = -0.124). The model explained 51 % of the variance in the 1st, 42 % in the 2nd, and 64 % in the 3rd trimesters.
CONCLUSIONS: This study showed that problem-focused coping strategies are negatively associated with depression, anxiety and stress and play an important protective role in this context. These findings contribute to understanding the factors affecting mental health during pregnancy and emphasize the importance of developing problem-focused coping skills for pregnant women.
METHODS: This cross-sectional and correlational study was conducted with 301 pregnant women who applied to the prenatal clinic of a state university\'s medical faculty. A hypothetical model was created based on transactional stress and coping theory and literature reviews. Data were collected using a participant information form, the Depression Anxiety Stress Scale, the Pregnancy Symptom Inventory and the Stress Coping Styles Scale.
RESULTS: Among pregnant women, 40.9 % had symptoms of stress, 52.8 % of anxiety and 37.2 % of depression. Pregnancy symptoms and emotion-focused coping are positively associated with depression, anxiety, and stress (β = 0.468-0.590; β = 0.222-0.373 respectively). Problem-focused coping is negatively associated with depression, anxiety, and stress. (β = -0.255:-0.389). Problem-focused coping is negatively associated with pregnancy symptoms in the whole sample (β = -0.121) and in the third trimester (β = -0.124). The model explained 51 % of the variance in the 1st, 42 % in the 2nd, and 64 % in the 3rd trimesters.
CONCLUSIONS: This study showed that problem-focused coping strategies are negatively associated with depression, anxiety and stress and play an important protective role in this context. These findings contribute to understanding the factors affecting mental health during pregnancy and emphasize the importance of developing problem-focused coping skills for pregnant women.
摘要：
背景：怀孕期间的变化会增加对抑郁症等心理健康问题的易感性，焦虑和压力，这就是为什么应对策略如此重要。这项研究的目的是调查抑郁症之间的关系，焦虑,压力，妊娠期间孕妇的妊娠症状和应对方式，使用多组结构方程模型。
方法：这项横断面和相关性研究是对301名孕妇进行的，这些孕妇申请了州立大学医学院的产前诊所。基于交易压力和应对理论以及文献综述，建立了一个假设模型。使用参与者信息表格收集数据，抑郁焦虑压力量表，妊娠症状量表和压力应对方式量表。
结果：在孕妇中，40.9%有压力症状,52.8%的焦虑和37.2%的抑郁。妊娠症状和以情绪为中心的应对与抑郁症呈正相关，焦虑,和胁迫(β=0.468-0.590；β=0.222-0.373)。以问题为中心的应对与抑郁呈负相关，焦虑,和压力。（β=-0.255：-0.389）。在整个样本（β=-0.121）和妊娠晚期（β=-0.124）中，以问题为中心的应对与妊娠症状呈负相关。该模型解释了1月份51%的方差，42%在第二位，和64%在第三个三个月。
结论：这项研究表明，以问题为中心的应对策略与抑郁症呈负相关，焦虑和压力，并在这种情况下发挥重要的保护作用。这些发现有助于了解影响怀孕期间心理健康的因素，并强调为孕妇发展以问题为中心的应对技能的重要性。
方法：这项横断面和相关性研究是对301名孕妇进行的，这些孕妇申请了州立大学医学院的产前诊所。基于交易压力和应对理论以及文献综述，建立了一个假设模型。使用参与者信息表格收集数据，抑郁焦虑压力量表，妊娠症状量表和压力应对方式量表。
结果：在孕妇中，40.9%有压力症状,52.8%的焦虑和37.2%的抑郁。妊娠症状和以情绪为中心的应对与抑郁症呈正相关，焦虑,和胁迫(β=0.468-0.590；β=0.222-0.373)。以问题为中心的应对与抑郁呈负相关，焦虑,和压力。（β=-0.255：-0.389）。在整个样本（β=-0.121）和妊娠晚期（β=-0.124）中，以问题为中心的应对与妊娠症状呈负相关。该模型解释了1月份51%的方差，42%在第二位，和64%在第三个三个月。
结论：这项研究表明，以问题为中心的应对策略与抑郁症呈负相关，焦虑和压力，并在这种情况下发挥重要的保护作用。这些发现有助于了解影响怀孕期间心理健康的因素，并强调为孕妇发展以问题为中心的应对技能的重要性。
