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Determinants of Psychosocial Resilience Resources in Obese Pregnant Women with Threatened Preterm Labor—A Cross-Sectional Study

Author

Listed:
  • Agnieszka Bień

    (Chair of Obstetrics Development, Faculty of Health Sciences, Medical University of Lublin, 4-6 Staszica St., 20-081 Lublin, Poland)

  • Ewa Rzońca

    (Department of Obstetrics and Gynecology Didactics, Faculty of Health Sciences, Medical University of Warsaw, 14/16 Litewska St., 00-575 Warsaw, Poland)

  • Joanna Grzesik-Gąsior

    (Department of Midwifery, Carpathian State College in Krosno, 6 Kazimierza Wielkiego St., 38-400 Krosno, Poland)

  • Agnieszka Pieczykolan

    (Faculty of Health Sciences, Students’ Scientific Association at the Chair of Obstetrics Development, Medical University of Lublin, 4-6 Staszica St., 20-081 Lublin, Poland)

  • Ewa Humeniuk

    (Chair and Department of Psychology, Medical University of Lublin, 7 Chodźki St., 20-093 Lublin, Poland)

  • Małgorzata Michalak

    (Department of Gynecology, Independent Public Teaching Hospital No. 4 in Lublin, 8 Jaczewskiego St., 20-954 Lublin, Poland)

  • Grażyna Iwanowicz-Palus

    (Chair of Obstetrics Development, Faculty of Health Sciences, Medical University of Lublin, 4-6 Staszica St., 20-081 Lublin, Poland)

  • Artur Wdowiak

    (Chair of Obstetrics and Gynaecology, Faculty of Health Sciences, Medical University of Lublin, 4-6 Staszica St., 20-081 Lublin, Poland)

Abstract

Background : The purpose of the study was to assess the level of such psychosocial resilience resources as self-efficacy, dispositional optimism, and health locus of control in pregnant women with obesity with threatened premature labor. Methods: The study was performed in the years 2017–2020 in a group of 328 pregnant women hospitalized due to threatened preterm labor and diagnosed with obesity before the pregnancy. The following instruments were applied: the Life Orientation Test, the Generalized Self-Efficacy Scale, and the Multidimensional Health Locus of Control Scale. Results: Obese pregnant women with threatened premature labor have a moderate level of generalized self-efficacy (28.02) and a moderate level of dispositional optimism (16.20). Out of the three health locus of control dimensions, the highest scores were recorded in the “internal control” subscale (26.08). Statistically significant predictors for the self-efficacy variable model included: satisfactory socio-economic standing (ß = 0.156; p = 0.004), being nulliparous (ß = –0.191; p = 0.002), and the absence of comorbidities (ß = –0.145; p = 0.008). Higher levels of dispositional optimism were found in women who were married (ß = 0.381; p = 0.000), reported a satisfactory socio-economic standing (ß = 0.137; p = 0.005), were between 23 and 27 weeks pregnant (ß = –0.231; p = 0.000), and had no comorbidities (ß = –0.129; p = 0.009). Conclusions: Generalized self-efficacy in obese women with threatened preterm labor is associated with satisfactory socio-economic standing, being nulliparous, and the absence of chronic disease. Dispositional optimism in obese pregnant women with threatened preterm labor is determined by their marital status, socio-economic standing, gestational age, and the absence of comorbidities.

Suggested Citation

  • Agnieszka Bień & Ewa Rzońca & Joanna Grzesik-Gąsior & Agnieszka Pieczykolan & Ewa Humeniuk & Małgorzata Michalak & Grażyna Iwanowicz-Palus & Artur Wdowiak, 2021. "Determinants of Psychosocial Resilience Resources in Obese Pregnant Women with Threatened Preterm Labor—A Cross-Sectional Study," IJERPH, MDPI, vol. 18(20), pages 1-11, October.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:20:p:10590-:d:652834
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    References listed on IDEAS

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    1. Xiaoling Shu & Yifei Zhu, 2009. "The Quality of Life in China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 92(2), pages 191-225, June.
    2. Robyn Brunton & Nicole Simpson & Rachel Dryer, 2020. "Pregnancy-Related Anxiety, Perceived Parental Self-Efficacy and the Influence of Parity and Age," IJERPH, MDPI, vol. 17(18), pages 1-17, September.
    3. H Åmark & M Westgren & M Persson, 2018. "Prediction of stillbirth in women with overweight or obesity—A register-based cohort study," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-11, November.
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    1. Grażyna Iwanowicz-Palus & Marta Zarajczyk & Agnieszka Bień & Magdalena Korżyńska-Piętas & Justyna Krysa & Mansur Rahnama-Hezavah & Artur Wdowiak, 2021. "The Relationship between Social Support, Self-Efficacy and Characteristics of Women with Diabetes during Pregnancy," IJERPH, MDPI, vol. 19(1), pages 1-17, December.
    2. Iwona Niewiadomska & Agnieszka Bień & Ewa Rzońca & Krzysztof Jurek, 2022. "The Mediating Role of Dispositional Optimism in the Relationship between Health Locus of Control and Self-Efficacy in Pregnant Women at Risk of Preterm Delivery," IJERPH, MDPI, vol. 19(10), pages 1-13, May.
    3. Agnieszka Pieczykolan & Ewa Rzońca & Joanna Grzesik-Gąsior & Magdalena Korżyńska-Piętas & Grażyna Iwanowicz-Palus & Agnieszka Bień, 2023. "Acceptance of Pregnancy-Induced Disease and Intrapersonal Resistance Resources of Pregnant Women—Preliminary Report," IJERPH, MDPI, vol. 20(4), pages 1-12, February.
    4. Agnieszka Bień & Agnieszka Pieczykolan & Magdalena Korżyńska-Piętas & Joanna Grzesik-Gąsior, 2023. "Body Esteem and Self-Efficacy of Pregnant Women with Gestational Diabetes Mellitus," IJERPH, MDPI, vol. 20(3), pages 1-12, January.

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