Document Detail


The relationships of social support, uncertainty, self-efficacy, and commitment to prenatal psychosocial adaptation.
MedLine Citation:
PMID:  22360348     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
hui choi w.h., lee g.l., chan c.h.y., cheung r.y.h., lee i.l.y. & chan c.l.w. (2012) The relationships of social support, uncertainty, self-efficacy, and commitment to prenatal psychosocial adaptation. Journal of Advanced Nursing00(0), 000-000. doi: 10.1111/j.1365-2648.2012.05962.x ABSTRACT: Aims.  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.
Authors:
W H Hui Choi; G L Lee; Celia H Y Chan; Ray Y H Cheung; Irene L Y Lee; Cecilia L W Chan
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-23
Journal Detail:
Title:  Journal of advanced nursing     Volume:  -     ISSN:  1365-2648     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7609811     Medline TA:  J Adv Nurs     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 Blackwell Publishing Ltd.
Affiliation:
W.H. Hui Choi PhD RN Teaching Consultant School of Nursing The University of Hong Kong G.L. Lee MSocSci PhD Visiting Fellow Department of Social Work National University of Singapore Celia H.Y. Chan MSW PhD Assistant Professor Department of Social Work and Social Administration The University of Hong Kong Ray Y.H. Cheung Mphil PhD Candidate Department of Psychology The Chinese University of Hong Kong Irene L.Y. Lee MHA MPHC RN General Manager (Nursing) Queen Mary Hospital HKWC Hospital Authority Cecilia L.W. Chan PhD Associate Dean Faculty of Social Sciences, Si Yuan Professor in Health and Social Work Professor, Department of Social Work and Social Administration The University of Hong Kong.
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