<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Gynecology</journal-id><journal-title-group><journal-title xml:lang="en">Gynecology</journal-title><trans-title-group xml:lang="ru"><trans-title>Гинекология</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2079-5696</issn><issn publication-format="electronic">2079-5831</issn><publisher><publisher-name xml:lang="en">Consilium Medicum</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">83193</article-id><article-id pub-id-type="doi">10.26442/20795696.2022.2.201359</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>ORIGINAL ARTICLE</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНАЯ СТАТЬЯ</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Predictors of Mental health in Pregnant Women: Application of the theory of planned behavior</article-title><trans-title-group xml:lang="ru"><trans-title>Предикторы психического здоровья у беременных женщин: пример использования теории запланированного поведения</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0803-7679</contrib-id><name-alternatives><name xml:lang="en"><surname>Jalambadani</surname><given-names>Zeinab</given-names></name><name xml:lang="ru"><surname>Джаламбадани</surname><given-names>Зейнаб</given-names></name></name-alternatives><address><country country="IR">Iran, Islamic Republic of</country></address><email>jalambadaniz@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1282-6569</contrib-id><name-alternatives><name xml:lang="en"><surname>Hosseini</surname><given-names>Zakieh Sadat</given-names></name><name xml:lang="ru"><surname>Хоссейни</surname><given-names>Закисадат</given-names></name></name-alternatives><address><country country="IR">Iran, Islamic Republic of</country></address><bio xml:lang="en"><p>Graduate Student</p></bio><bio xml:lang="ru"><p>аспирант каф. санитарного просвещения и укрепления здоровья фак-та медицинских наук</p></bio><email>jalambadaniz@trjums.ac.ir</email><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Torbat Jam Faculty of Medical Sciences</institution></aff><aff><institution xml:lang="ru">Торбат-Джамский факультет медицинских наук</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Tarbiat Modares University</institution></aff><aff><institution xml:lang="ru">Университет Тарбиат Модарес</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2022-04-15" publication-format="electronic"><day>15</day><month>04</month><year>2022</year></pub-date><volume>24</volume><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>120</fpage><lpage>125</lpage><history><date date-type="received" iso-8601-date="2021-10-16"><day>16</day><month>10</month><year>2021</year></date><date date-type="accepted" iso-8601-date="2022-03-28"><day>28</day><month>03</month><year>2022</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2022, Consilium Medicum</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2022, ООО "Консилиум Медикум"</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="en">Consilium Medicum</copyright-holder><copyright-holder xml:lang="ru">ООО "Консилиум Медикум"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-sa/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://gynecology.orscience.ru/2079-5831/article/view/83193">https://gynecology.orscience.ru/2079-5831/article/view/83193</self-uri><abstract xml:lang="en"><p><bold>Aim. </bold>The purpose of this study was to predictors of mental health in pregnant women based on theory of planned behavior referred to Iran health centers during the COVID-19 in 2021.</p> <p><bold>Materials and methods. </bold>This study was cross-sectional study thatwas conducted on 250 pregnant women. Pregnant women completed General Health Questionnaire (GHQ) and theory of planned behavior questionnaire. The data were analyzed with SPSS software version 20 (SPSS Inc., Chicago, IL, USA) through running Pearson Correlation statistical tests, descriptive statistics methods including frequency, percentage, mean, standard deviation scores. The Kruskal-Wallis test was used for normally distributed variable. The significance level of the tests was considered to be 0.05.</p> <p><bold>Results. </bold>There was a significant correlation between mental health disorders and some personal and socioeconomic factors. The findings showed that all structures attitude (r=0.69, <italic>p&lt;</italic>0.001), subjective norms (r=0.58, <italic>p&lt;</italic>0.001) and perceived behavioral control (r=0.56, <italic>p&lt;</italic>0.001) and intention (r=0.51, <italic>p&lt;</italic>0.001) had significant correlations with mental health. Among the variables entered into the regression model, attitude, subjective norms and perceived behavioral control were able to predict 65 percent of variance of mental health among the participants (F=60.75, R=0.66, R<sup>2</sup>=0.65).</p> <p><bold>Conclusion. </bold>It is necessary to plan for appropriate care in order to prevent the occurrence of mental disorders among this vulnerable group.</p></abstract><trans-abstract xml:lang="ru"><p><bold>Цель. </bold>Выявление предикторов психического здоровья беременных женщин, поступивших в медицинские центры Ирана во время COVID-19 в 2021 г., с использованием теории запланированного поведения.</p> <p><bold>Материалы и методы. </bold>Данное исследование было поперечное исследование и включало 250 беременных женщин. Беременные женщины заполняли опросник общего состояния здоровья (GHQ) и опросник теории запланированного поведения. Статистический анализ проведен с помощью программного обеспечения SPSS версии 20 (SPSS Inc., Чикаго, Иллинойс, США) с применением коэффициента корреляции Пирсона, методов описательной статистики, включая частоту, процент, среднее значение, стандартное отклонение. Критерий Краскела–Уоллиса использовался для нормально распределенных величин. Уровень значимости был принят равным 0,05.</p> <p><bold>Результаты. </bold>Выявлена статистически значимая корреляция между нарушениями психического здоровья и некоторыми личностными и социально-экономическими факторами. Согласно полученным данным, все компоненты отношения (r=0,69, <italic>p&lt;</italic>0,001), субъективные нормы (r=0,58, <italic>p&lt;</italic>0,001), осознанный поведенческий контроль (r=0,56, <italic>p&lt;</italic>0,001), намерения (r=0,51, <italic>p&lt;</italic>0,001) имели достоверную корреляцию с психическим здоровьем. Среди переменных, введенных в регрессионную модель, отношение, субъективные нормы и осознанный поведенческий контроль смогли предсказать 65% дисперсии психического здоровья среди участниц (F=60,75, R=0,66, R<sup>2</sup>=0,65).</p> <p><bold>Заключение. </bold>Необходимо планировать соответствующий уход, чтобы предотвратить возникновение психических расстройств среди этой уязвимой группы.</p></trans-abstract><kwd-group xml:lang="en"><kwd>mental health</kwd><kwd>pregnant women</kwd><kwd>general health questionnaire</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>психическое здоровье</kwd><kwd>беременные женщины</kwd><kwd>опросник общего состояния здоровья</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Leis JA, Heron J, Stuart EA, Mendelson T. Associations between maternal mental health and child emotional and behavioral problems: does prenatal mental health matter? J Abnorm Child Psychol. 2014;42(1):161-71. DOI:10.1007/s10802-013-9766-4</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Bao Y, Sun Y, Meng S, et al. 2019-nCoV epidemic: address mental health care to empower society. Lancet. 2020;395(10224):e37-e8. DOI:10.1016/S0140-6736(20)30309-3</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Yang J, Zheng Y, Gou X, et al. Prevalence of comorbidities in the novel Wuhan coronavirus (COVID-19) infection: a systematic review and meta-analysis. Int J Infect Dis. 2020;94:91-5. DOI:10.1016/j.ijid.2020.03.017</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Guan WJ, Ni ZY, Hu Y, et al. Clinical characteristics of coronavirus disease 2019 in China. N Eng J Med. 2020;382(18):1708-20. DOI:10.1056/NEJMoa2002032</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Bosnjak M, Ajzen I, Schmidt PJ. The theory of planned behavior: Selected recent advances and applications. Eur J Psychol. 2020;16(3):352-6. DOI:10.5964/ejop.v16i3.3107</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Ajzen IJ. The theory of planned behaviour is alive and well, and not ready to retire: a commentary on Sniehotta, Presseau, and Araújo-Soares. Health Psychol Rev. 2015;9(2):131-7. DOI:10.1080/17437199.2014.883474</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Abedi P, Afrazeh M, Javadifar N, Saki A. The relation between stress and sexual function and satisfaction in reproductive-age women in Iran: a cross-sectional study. J Sex Marital Ther. 2015;41(4):384-90. DOI:10.1080/0092623X.2014.915906</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Sterling M. General health questionnaire–28 (GHQ-28). J Physiother. 2011;57(4):259. DOI:10.1016/S1836-9553(11)70060-1</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Noorbala A, Mohammad K. The validation of general health questionnaire-28 as a psychiatric screening tool. Hakim Res J. 2009;11(4):47-53.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Anjara S, Bonetto C, Van Bortel T, Brayne C. Using the GHQ-12 to screen for mental health problems among primary care patients: psychometrics and practical considerations. Int J Ment Health Syst. 2020;141:62. DOI:10.1186/s13033-020-00397-0</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Francis J, Eccles MP, Johnston M, et al. Constructing questionnaires based on the theory of planned behaviour: A manual for health services researchers. 2004.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Santos JAR. Cronbach’s alpha: A tool for assessing the reliability of scales. J Extansion. 1999;37(2):1-5.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Chau PY, Hu PJ. Information technology acceptance by individual professionals: A model comparison approach. Decision Sciences. 2001;32(4):699-719. DOI:10.1111/j.1540-5915.2001.tb00978.x</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Zandifar A, BadrfamRJ. Iranian mental health during the COVID-19 epidemic. Asian J Psychiatr. 2020;51:1019900. DOI:10.1016/j.ajp.2020.101990</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Behdani F, Hebrani P, Afzal AM, et al. Psychological and obstetric risk factors for postnatal depression. Journal of Gorgan University of Medical Sciences. 2005;7(2):46-51.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Sepehrmanesh ZJ. Mental health and its related factors in young women in Kashan City. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2009;12(1):31-41.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Forouzandeh N, Delaram M, Deris F. The quality of mental health status in pregnancy and it's contributing factors on women visiting the health care centers of Shahrekord, (2001–2002). Journal of Reproduction and Infertility. 2003;4(2):146-55.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Zareipour M, Sadeghi R, Bazvand E. Mental Health and its Related Factors in Pregnant Women in Health Centers of Kuhdasht. Health and Development Journal. 2020;1(2):156-65.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Noorbala AA, Yazdi SA, Yasamy MT, Mohammad K. Mental health survey of the adult population in Iran. Br J Psychiatry. 2004;184:70-3. DOI:10.1192/bjp.184.1.70</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Callister LC, Beckstrand RL, Corbett C. Postpartum depression and help-seeking behaviors in immigrant Hispanic women. J Obstet Gynecol Neonatal Nurs. 2011;40(4):440-9. DOI:10.1111/j.1552-6909.2011.01254.x</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Borji M, Shahbazi F, Nariman S, et al. Investigating the relationship between mother-child bonding and maternal mental health. Journal of Comprehensive Pediatrics 2018;9(1). DOI:10.5812/compreped.14014</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Alipour Z, Kheirabadi GR, Kazemi A, Fooladi M. The most important risk factors affecting mental health during pregnancy: a systematic review. East Mediterr Health J. 2018;24(6):549-59. DOI:10.26719/2018.24.6.549</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Hosseini R, Abolfathi Momtaz Y, Mohammadi Shabalaghi F, et al. Physical and Mental Health Status and Its Related Demographic Factors in Martyr's Elderly Parents: A Case Study of Tehran City. Iran J War Public Health. 2019;11(4):207-14. DOI:10.29252/ijwph.11.4.207</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Alami A, Tavakoly Sany SB, Lael-Monfared E, et al. Factors that influence dietary behavior toward iron and vitamin D consumption based on the theory of planned behavior in Iranian adolescent girls. Nutr J. 2019;18(1):8. DOI:10.1186/s12937-019-0433-7</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Mutuli LA, Walingo MK. Applicability of Theory of Planned Behavior in understanding Breastfeeding Intention of Postpartum Women. IJMCR. 2014;2:258-66.</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>La Barbera F, Ajzen IJ. Control interactions in the theory of planned behavior: Rethinking the role of subjective norm. Eur J Psychol. 2020;16(3):401-17. DOI:10.5964/ejop.v16i3.2056</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Sun S, Law R, Schuckert M. Mediating effects of attitude, subjective norms and perceived behavioural control for mobile payment-based hotel reservations. Int J Hospital Managem. 2020;84:102331. DOI:10.1016/j.ijhm.2019.102331</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Zahedzadeh F, Joohari Fard R. The Effect of Mindfulness-Based Art Therapy on Metacognitive Beliefs and Mindfulness in Women with Depression. IGPN. 2018;6(5):42-9.</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Petraszko H. Theory of planned behavior to predict multivitamin/mineral use. commonsemichedu. Master's Theses and Doctoral Dissertations. 2013.</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Duncan MJ, Rivis A, Jordan C. Brief report: Understanding intention to be physically active and physical activity behaviour in adolescents from a low socio-economic status background: An application of the Theory of Planned Behaviour. J Adolesc. 2012;35(3):761-4. DOI:10.1016/j.adolescence.2011.07.017</mixed-citation></ref></ref-list></back></article>
