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Article: The relationships of social support, uncertainty, self-efficacy, and commitment to prenatal psychosocial adaptation

TitleThe relationships of social support, uncertainty, self-efficacy, and commitment to prenatal psychosocial adaptation
Authors
KeywordsExplanatory
Midwifery
Pregnancy
Psychosocial adaptation
Uncertainty
Issue Date2012
PublisherWiley-Blackwell Publishing Ltd.. The Journal's web site is located at http://www.journalofadvancednursing.com/
Citation
Journal Of Advanced Nursing, 2012, v. 68 n. 12, p. 2633-2645 How to Cite?
AbstractAims. To report a study of the relations of prenatal psychosocial adaptation, social support, demographic and obstetric characteristics, uncertainty, information-seeking behaviour, motherhood normalization, self-efficacy, and commitment to pregnancy. Background. Prenatal psychosocial assessment is recommended to identify psychosocial risk factors early to prevent psychiatric morbidities of mothers and children. However, knowledge on psychosocial adaptation and its explanatory variables is inconclusive. Design. This study was non-experimental, with a cross-sectional, correlational, prospective design. Methods. The study investigated Hong Kong Chinese women during late pregnancy. Convenience sampling methods were used, with 550 women recruited from the low-risk clinics of three public hospitals. Data was collected between January-April 2007. A self-reported questionnaire was used, consisting of a number of measurements derived from an integrated framework of the Life Transition Theory and Theory of Uncertainty in Illness. Explanatory variables of psychosocial adaptation were identified using a structural equation modelling programme. Results. The four explanatory variables of the psychosocial adaptation were social support, uncertainty, self-efficacy, and commitment to pregnancy. In the established model, which had good fit indices, greater psychosocial adaptation was associated with higher social support, higher self-efficacy, higher commitment to pregnancy, and lower uncertainty. Conclusion. The findings give clinicians and midwives guidance in the aspects to focus on when providing psychosocial assessment in routine prenatal screening. Since there are insufficient reliable screening tools to assist that assessment, midwives should receive adequate training, and effective screening instruments have to be identified. The explanatory role of uncertainty found in this study should encourage inquiries into the relationship between uncertainty and psychosocial adaptation in pregnancy. © 2012 Blackwell Publishing Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/172286
ISSN
2015 Impact Factor: 1.917
2015 SCImago Journal Rankings: 1.010
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorHui Choi, WHen_HK
dc.contributor.authorLee, Gen_HK
dc.contributor.authorChan, CHen_HK
dc.contributor.authorCheung, RYen_HK
dc.contributor.authorLee, ILen_HK
dc.contributor.authorChan, CLen_HK
dc.date.accessioned2012-10-30T06:21:10Z-
dc.date.available2012-10-30T06:21:10Z-
dc.date.issued2012en_HK
dc.identifier.citationJournal Of Advanced Nursing, 2012, v. 68 n. 12, p. 2633-2645en_HK
dc.identifier.issn0309-2402en_HK
dc.identifier.urihttp://hdl.handle.net/10722/172286-
dc.description.abstractAims. To report a study of the relations of prenatal psychosocial adaptation, social support, demographic and obstetric characteristics, uncertainty, information-seeking behaviour, motherhood normalization, self-efficacy, and commitment to pregnancy. Background. Prenatal psychosocial assessment is recommended to identify psychosocial risk factors early to prevent psychiatric morbidities of mothers and children. However, knowledge on psychosocial adaptation and its explanatory variables is inconclusive. Design. This study was non-experimental, with a cross-sectional, correlational, prospective design. Methods. The study investigated Hong Kong Chinese women during late pregnancy. Convenience sampling methods were used, with 550 women recruited from the low-risk clinics of three public hospitals. Data was collected between January-April 2007. A self-reported questionnaire was used, consisting of a number of measurements derived from an integrated framework of the Life Transition Theory and Theory of Uncertainty in Illness. Explanatory variables of psychosocial adaptation were identified using a structural equation modelling programme. Results. The four explanatory variables of the psychosocial adaptation were social support, uncertainty, self-efficacy, and commitment to pregnancy. In the established model, which had good fit indices, greater psychosocial adaptation was associated with higher social support, higher self-efficacy, higher commitment to pregnancy, and lower uncertainty. Conclusion. The findings give clinicians and midwives guidance in the aspects to focus on when providing psychosocial assessment in routine prenatal screening. Since there are insufficient reliable screening tools to assist that assessment, midwives should receive adequate training, and effective screening instruments have to be identified. The explanatory role of uncertainty found in this study should encourage inquiries into the relationship between uncertainty and psychosocial adaptation in pregnancy. © 2012 Blackwell Publishing Ltd.en_HK
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing Ltd.. The Journal's web site is located at http://www.journalofadvancednursing.com/en_HK
dc.relation.ispartofJournal of Advanced Nursingen_HK
dc.subjectExplanatoryen_HK
dc.subjectMidwiferyen_HK
dc.subjectPregnancyen_HK
dc.subjectPsychosocial adaptationen_HK
dc.subjectUncertaintyen_HK
dc.titleThe relationships of social support, uncertainty, self-efficacy, and commitment to prenatal psychosocial adaptationen_HK
dc.typeArticleen_HK
dc.identifier.emailHui Choi, WH: whchoi@hkucc.hku.hken_HK
dc.identifier.emailChan, CH: chancelia@hku.hken_HK
dc.identifier.emailChan, CL: cecichan@hku.hken_HK
dc.identifier.authorityHui Choi, WH=rp00440en_HK
dc.identifier.authorityChan, CH=rp00498en_HK
dc.identifier.authorityChan, CL=rp00579en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1365-2648.2012.05962.xen_HK
dc.identifier.scopuseid_2-s2.0-84869082794en_HK
dc.identifier.hkuros213223-
dc.identifier.isiWOS:000310875100005-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridHui Choi, WH=36900811700en_HK
dc.identifier.scopusauthoridLee, G=34067673400en_HK
dc.identifier.scopusauthoridChan, CH=27171015400en_HK
dc.identifier.scopusauthoridCheung, RY=55010336900en_HK
dc.identifier.scopusauthoridLee, IL=55014934200en_HK
dc.identifier.scopusauthoridChan, CL=35274549700en_HK

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