Volume 20, Issue 12 (March 2023)                   Nursing and Midwifery Journal 2023, 20(12): 973-983 | Back to browse issues page

XML Persian Abstract Print

1- Professor of Psychology, Faculty of Education & Psychology, University of Mohaghegh Ardabili, Ardabil, Iran (Corresponding Author) , n.mikaeilii.uma@gmail.com
2- PhD Student of Psychology, Faculty of Education & Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
3- M.A in clinical psychology, University of Tehran, Tehran, Iran
Abstract:   (571 Views)
Background & Aim: The health of pregnant women is of particular importance. Therefore, the present research was conducted to causal modeling of prenatal health behaviors based on social capital and cognitive-attentional syndrome with the mediation of mental fatigue perception in pregnant women.
 Materials & Methods: The research method was descriptive and based on structural equations. The study population included all pregnant women referred to health centers in Tehran in the fall of 2022. Two hundred and ten participants were selected by the convenience sampling method and participated in the study. The data were collected using Lobel et al.'s Pregnancy Health Behavior Scale (1995), Wells' Cognitive-Attention Syndrome Scale (2009), Enix and Bullen's Social Capital Questionnaire (2000), and Smets' Mental Fatigue Questionnaire (1996). The inclusion criteria included willingness to participate in the study, the age range of 18-45 years, having 6th grade or higher, not having any previous psychiatric history and especially mood disorders, and having a history of problematic childbirth and abortion. Exclusion criteria included any distortion of the questionnaires. Data were analyzed using SPSS 23 and Amos 18 software. The analysis of data was conducted using correlation coefficient and structural equation modeling.
Results: The results showed that the causal model of the relationship between social capital, attentional cognitive syndrome, perception of mental fatigue, and pregnancy health behaviors was confirmed based on various fit indices.  In addition, social capital and cognitive syndrome indirectly affected pregnancy health behaviors in pregnant women through the perception of mental fatigue
Conclusion: Social capital and cognitive problems play important roles in health care in pregnant women, and targeting these two components in psychological treatments can effectively reduce health problems.
Full-Text [PDF 822 kb]   (308 Downloads)    

1. Zhang Y, Wang S, Hermann A, Joly R, Pathak J. Development and validation of a machine learning algorithm for predicting the risk of postpartum depression among pregnant women. J Affect Disord 2021;279:1-8. [DOI:10.1016/j.jad.2020.09.113] [PMID] [PMCID]
2. Rahimi F, Moeni Mehr M. Effect of Different Relaxation Methods on Pregnancy and Childbirth: a Systematic Review. J Shahid Sadoughi Univ Med Sci 2021;29(2):3462-78 (persian) [DOI:10.18502/ssu.v29i2.6085]
3. Abdollahi S, Faramarzi M, Gholinia H, Esfandiari M. Psychometric Properties of Persian Version of Prenatal Health Behaviors. J Babol Univ Med Sci 2020; 22(1): 326-33. (persian) [Google Scholar]
4. Fathnezhad-Kazemi A, Hajian S. Factors influencing the adoption of health promoting behaviors in overweight pregnant women: a qualitative study. BMC Pregnancy Childbirth 2019;19:1-11. (persian). [DOI:10.1186/s12884-019-2199-5] [PMID] [PMCID]
5. Khodaveisi M, Omidi A, Farokhi S, Soltanian AR. The effect of Pender's health promotion model in improving the nutritional behavior of overweight and obese women. Int J Community Based Nurs Midwifery 2017;5(2):165. [DOI:10.1136/bmjopen-2016-015415.131] [PMID] [PMCID]
6. Dave D, McNichols D, Sabia JJ. The contagion externality of a superspreading event: The Sturgis Motorcycle Rally and COVID‐19. Southern Econ J 2021;87(3):769-807. [DOI:10.1002/soej.12475] [PMID] [PMCID]
7. Moosavinasab MS, Fahami F, Kazemi A. The relationship between cognitive social theory and physical activity in pregnant women. Int J Pediatr 2018;6(11):8527-35. [URL]
8. Fenwick J, Staff L, Gamble J, Creedy DK, Bayes S. Why do women request caesarean section in a normal, healthy first pregnancy? Midwifery 2010;26(4):394-400. [DOI:10.1016/j.midw.2008.10.011] [PMID] [PMCID]
9. Madmoli M, Khodadadi M, Ahmadi FP, Niksefat M. A systematic review on the impact of peer education on self-care behaviors of patients. Int J Biol Sci 2019;2(1):1-5. [Google Scholar]
10. Rashan N, Sharifi N, Golnazari K. The association between social support and psychological factors with health promoting behaviours in pregnant women: A cross sectional study. Tech Res Inf Sys 2021;4(1). (persian) [DOI:10.4103/jehp.jehp_390_20] [PMID] [PMCID]
11. Izadi rad H, Nohtani V, Aliahmadi M, Pourhaji F, Niknami S. The effect of educational intervention based on the integrated model of health belief with the structure of social support on self-care behaviors during pregnancy. Iran J Health Educ Health Promot 2021; 8(4): 324-35. [DOI:10.29252/ijhehp.8.4.324]
12. Kowalski J, Wypych M, Marchewka A, Dragan M. Brain structural correlates of cognitive-attentional syndrome-a voxel-based morphometry study. Brain Imaging Behav 2022;16(4):1914-8. [DOI:10.1007/s11682-022-00649-2] [PMID]
13. Mohebi S, Parham M, Sharifirad G, Gharlipour Z, Mohammadbeigi A, Rajati F. Relationship between perceived social support and self-care behavior in type 2 diabetics: A cross-sectional study. J Educ Health Promot 2018;7. [DOI:10.4103/jehp.jehp_73_17] [PMID] [PMCID]
14. Tester‐Jones M, Karl A, Watkins E, O'Mahen H. Rumination in dysphoric mothers negatively affects mother-infant interactions. J Child Psychol Psychiatry 2017;58(1):38-45. [DOI:10.1111/jcpp.12633] [PMID]
15. Chen P-Y, Hsieh S-H, Lin C-K, Wei L, Su Y-K, Tsai P-S, et al. Mental fatigue mediates the relationship between cognitive functions and return to productive activity following traumatic brain injury: a mediation analysis. Brain Injury 2022;36(1):32-8. [DOI:10.1080/02699052.2022.2034044] [PMID]
16. Xue Y, Lu J, Zheng X, Zhang J, Lin H, Qin Z, et al. The relationship between socioeconomic status and depression among the older adults: the mediating role of health promoting lifestyle. J Affect Disord 2021;285:22-8. [DOI:10.1016/j.jad.2021.01.085] [PMID]
17. Tang W, Bao C, Xu L, Zhu J, Feng W, Zhang W, et al. Depressive symptoms in late pregnancy disrupt attentional processing of negative-positive emotion: an eye-movement study. Front Psychiatry 2019;10:780. [DOI:10.3389/fpsyt.2019.00780] [PMID] [PMCID]
18. Jacquet T, Poulin-Charronnat B, Bard P, Perra J, Lepers R. Physical activity and music to counteract mental fatigue. Neurosci 2021;478:75-88. [DOI:10.1016/j.neuroscience.2021.09.019] [PMID]
19. Behrouz B, Bavali F, Heidarizadeh N, Farhadi M. The Effectiveness of Acceptance and Commitment Therapy on Psychological Symptoms, Coping Styles, and Quality of Life in Patients with Type-2 Diabetes. J Health 2016;7(2):236-53. (persian) [Google Scholar]
20. Bossuah KA. Fatigue in pregnancy. Int J Childbirth Educ 2017;32(1):10-3.
21. O'Connor KM, Gladstone E. Beauty and social capital: Being attractive shapes social networks. Soc Networks 2018;52:42-7. [DOI:10.1016/j.socnet.2017.05.003]
22. Banker T. An Evaluation of Rate of Fatigue and Sleep Quality in Pregnant Women: A Cross Sectional Study. Int J Health Sci Res 2021;6(1):30-4. [Google Scholar]
23. Yehia DBM, Malak MZ, Al‐Thwabih NN, Awad RR, Al‐Ajouri ES, Darwish SS, et al. Psychosocial factors correlate with fatigue among pregnant women in Jordan. Persp Psychiat Care 2020;56(1):46-53. [DOI:10.1111/ppc.12372] [PMID]
24. Lobel M, Cannella DL, Graham JE, DeVincent C, Schneider J, Meyer BA. Pregnancy-specific stress, prenatal health behaviors, and birth outcomes. Health Psychol 2008;27(5):604. [DOI:10.1037/a0013242] [PMID]
25. Wells A, Fisher P, Myers S, Wheatley J, Patel T, Brewin CR. Metacognitive therapy in recurrent and persistent depression: A multiple-baseline study of a new treatment. Cognit Ther Res 2009;33:291-300. [DOI:10.1007/s10608-007-9178-2]
26. Onyx J, Bullen P. Measuring social capital in five communities. J App Behav Sci 2000;36(1):23-42. [DOI:10.1177/0021886300361002]
27. Smets E, Garssen B, Bonke Bd, De Haes J. The Multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue. J Psychosom Res 1995;39(3):315-25. [DOI:10.1016/0022-3999(94)00125-O] [PMID]
28. Moradian Sorkhkalaee M, Eftekhar Ardebili H, Nedjat S, Saiepour N. Social capital among medical Students of Tehran University of Medical Sciences in 201. Razi J Med Sci 2012;19(102):30-7. [Google Scholar]
29. Salmani B, Hasani J. Cognitive Attentional Syndrome (CAS) & Cognitive Emotion Regulation Strategies: Transdiagnostic Processes or Diagnostic based on Mood & Anxiety Disorders. J Clin Psychol 2013;5(3):91-104. (persian) [URL]
30. Hafezi S, Zare H, Mehri SN, Mahmoodi H, editors. The Multidimensional Fatigue Inventory validation and fatigue assessment in Iranian distance education students. 2010 4th International Conference on Distance Learning and Education; 2010: IEEE. [DOI:10.1109/ICDLE.2010.5606006]
31. Bauer KW, Larson NI, Nelson MC, Story M, Neumark-Sztainer D. Fast food intake among adolescents: secular and longitudinal trends from 1999 to 2004. Prev Med 2009;48(3):284-7. [DOI:10.1016/j.ypmed.2008.12.021] [PMID]
32. Conner M. Cognitive determinants of health behavior. Handbook of behavioral medicine: methods and applications. 2010:19-30. [DOI:10.1007/978-0-387-09488-5_2]
33. Noh Nohtani V, Aliahmadi M, Pourhaji F, Niknami S. The effect of educational intervention based on the integrated model of health belief with the structure of social support on self-care behaviors during pregnancy. Iran J Health Educ Health Promot 2020;8(4):324-35. [DOI:10.29252/ijhehp.8.4.324]
34. Gaíva MAM, Palmeira EWM, Mufato LF. Women's perception of prenatal and delivery care in cases of neonatal death. Escola Anna Nery 2017;21 [DOI:10.1590/2177-9465-ean-2017-0018]
35. Lauche R, Hall H, Adams J, Steel A, Broom A, Sibbritt D. Health-care utilisation amongst pregnant women who experience sleeping problems and/or tiredness or fatigue: secondary analysis of a cross-sectional survey of 1835 pregnant women. Sleep Breathing 2016;20:355-62. [DOI:10.1007/s11325-015-1250-7] [PMID]

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.