Association Between Resilience and Psychological Symptoms With Quality of Life in Pregnant Women With Hypertension: A Cross-Sectional Study.

BACKGROUND AND AIMS: Women experiencing high-risk pregnancies often encounter significant changes in their personal, family, and social lives, which can impact their overall quality of life. This study sought to explore the association between resilience and psychological factors with the quality of life among women dealing with pregnancy-related blood pressure disorders.

METHODS

This cross-sectional study, conducted in 2023, involved 185 pregnant women with pregnancy-related blood pressure disorders. Participants completed three assessment tools: the Connor-Davidson Resilience Scale, a 12-item quality of life questionnaire, and the DASS-21 to evaluate depression, anxiety, and stress. Univariate and multiple linear regression analyses were performed to identify predictors of quality of life.

RESULTS

The mean (SD) of resilience and the total score of quality of life were 50.97 (14.54) and 52.49 (7.25). The mean (SD) of depression, anxiety, and stress were 14.07 (9.98), 13.27 (10.09), and 14.07 (9.98), respectively. The regression model revealed that 38.8% of the variations in quality of life could be attributed to the variables incorporated in the model (R 2 adj = 0.388, p < 0.001), with psychological factors such as depression, stress, and anxiety playing a significant role. According to the model of three variables of resilience, education level, and income status, they had a significant association with quality of life, and resilience had the highest impact on quality of life (β = 0.376, p < 0.001).

CONCLUSION

Overall, women with pregnancy-related blood pressure disorders reported relatively low scores in both quality of life and resilience. Their mental health status was also less than favorable. Given the positive influence of resilience, education level, and income, as well as the negative effects of depression and anxiety on quality of life, it is crucial to address psychological factors. Resilience-focused interventions and psychological strategies, such as mindfulness-based skills, are essential to enhance the quality of life for these women.