Primipar Annelerde Eş Desteğinin Doğum Sonu Ebeveynlik Özgüveni ve Depresyon Düzeyleri Üzerindeki Etkisi: Kesitsel Bir Çalışma
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 193
- 试验地点
- 1
- 主要终点
- Introduction Information Forum
研究概览
简要总结
The transition to motherhood, particularly for first-time (primiparous) women, is a critical life period requiring substantial psychological and social adjustment. Hormonal changes, increased caregiving responsibilities, sleep disturbances, and potential social isolation during pregnancy and the postpartum period may increase vulnerability to stress, anxiety, and depressive symptoms. Postpartum depression (PPD) is a common mental health concern that adversely affects maternal well-being, mother-infant interaction, and infant development, with insufficient social support identified as one of its most significant risk factors.
Maternal self-efficacy, defined as a mother's perceived competence in caring for and responding to her infant's needs, is a key indicator of successful adaptation to the parenting role. Evidence suggests that maternal self-efficacy develops primarily within the first months after childbirth and tends to be lower in primiparous women. Low parenting self-efficacy has been associated with increased depressive symptoms, higher parenting stress, impaired mother-infant bonding, and negative developmental outcomes for the infant.
Among social support sources, partner support plays a particularly protective role during the transition to parenthood. Emotional, informational, and practical support provided by the partner has been shown to enhance maternal self-efficacy, reduce psychological distress, improve marital adjustment, and lower the risk of postpartum depression. Conversely, low perceived partner support and relationship difficulties are associated with an increased risk of PPD in primiparous mothers.
The aim of this study is to examine the relationship between perceived partner support and postpartum parenting self-efficacy and depressive symptoms in primiparous women. Additionally, the study seeks to evaluate the explanatory and protective role of partner support on maternal self-efficacy and postpartum depression during the early postpartum period.
详细描述
This study is designed as an observational, cross-sectional research investigating the association between perceived spousal support, parenting self-confidence, and depressive symptoms in primipar mothers during the postpartum period.
The study population will consist of primipar mothers aged 18 years and older who are between 0 and 12 months postpartum and living with their spouse or partner. Participants will be recruited using purposive sampling through online platforms and social media. Individuals who have a diagnosed neurological or psychiatric disorder or who are unable to complete the questionnaires will be excluded.
Data will be collected using an online survey administered via Google Forms after obtaining informed consent. The data collection tools include a Sociodemographic Information Form, the Karitane Parenting Confidence Scale, the Perceived Spousal Support Scale in Early Postpartum Period, and the Edinburgh Postnatal Depression Scale. Statistical analyses will be conducted using IBM SPSS software. Descriptive statistics will be calculated, and correlation analyses will be performed to examine relationships between variables. Multiple regression analysis will be used to evaluate the effect of perceived spousal support on parenting self-confidence and depressive symptoms. This study does not involve any intervention, drug, or medical device. Ethical approval has been obtained prior to data collection.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Inclusionsd Criteria:
- •Aged 18 years or older
- •Primiparous mothers (first childbirth)
- •Between 0 and 12 months postpartum
- •Living with spouse or partner
- •Able to read and write Turkish
- •Having access to the internet
- •Voluntarily agreeing to participate in the study
排除标准
- •Diagnosed neurological disorder
- •Diagnosed psychiatric disorder
- •Visual impairment preventing completion of questionnaires
- •Cognitive impairment preventing completion of questionnaires
研究组 & 干预措施
Primipar mothers
Primipar mothers aged 18 years and older, who are in the postpartum period (0-12 months), living with their spouse/partner, and participating voluntarily in this observational study.
结局指标
主要结局
Introduction Information Forum
时间窗: At enrollment
This form was developed by the researchers based on the relevant literature and consists of 29 items designed to assess the sociodemographic, obstetric, and early postpartum experiences of primiparous women. The form includes variables related to partner support, sources of social support, childbirth experience, initiation of breastfeeding, and maternal emotional status. The items were constructed using core variables commonly employed in the assessment of psychosocial status during the postpartum period.
Parenting Self-Confidence (Karitane Parenting Confidence Scale)
时间窗: At enrollment
Parenting self-confidence assessed using the Karitane Parenting Confidence Scale (KPCS). The scale consists of 15 items scored on a 4-point Likert scale, with total scores ranging from 0 to 42. Higher scores indicate greater parenting self-confidence.
Perceived Spousal Support measured by the Early Postpartum Perceived Spousal Support Scale
时间窗: At enrollment
The Early Postpartum Perceived Spousal Support Scale (ELSKAEDÖ) is a structured self-report questionnaire developed to assess women's perceived spousal support during the early postpartum period. The scale consists of 16 items and includes three subdomains: emotional support (7 items), social support (6 items), and physical support (3 items). Items are rated on a 5-point Likert scale. Positively worded items are scored from 1 (strongly disagree) to 5 (strongly agree), while negatively worded items are reverse-coded before calculating the total score. The total score ranges from 16 to 80, with higher scores indicating greater perceived spousal support and better psychosocial outcomes, and lower scores indicating insufficient perceived support.
Postpartum Depression (Edinburgh Postnatal Depression Scale)
时间窗: At enrollment
Depressive symptoms assessed using the Edinburgh Postnatal Depression Scale (EPDS). The scale includes 10 items scored on a 4-point Likert scale, with total scores ranging from 0 to 30. Higher scores indicate greater risk of postpartum depression.
次要结局
未报告次要终点
研究者
Eslem Altıntaş
MSc
Acibadem University