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Role of Family Decision‐Making and Perceived Social Support in the Mental Health of Mothers of Infants in Rural Western China.

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Title: Role of Family Decision‐Making and Perceived Social Support in the Mental Health of Mothers of Infants in Rural Western China.
Authors: Xian, Xiannan (AUTHOR), Wu, Yuju (AUTHOR), Liu, Lu (AUTHOR), Darmstadt, Gary L. (AUTHOR), Weber, Ann M. (AUTHOR), Rule, Andrew (AUTHOR), Luo, Cui (AUTHOR), Zhou, Huan (AUTHOR), Asif, Muhammad (AUTHOR)
Source: Depression & Anxiety (1091-4269). 11/14/2025, Vol. 2025, p1-13. 13p.
Subjects: Mental health, Social support, Mothers, Anxiety, Family relations, Rural conditions, Infants, Mental depression
Geographic Terms: China
Abstract: Background: The mental health of mothers has an important impact on both the growth and development of infants and on the health of mothers themselves. Family decision‐making may play an important role in mother's mental health, yet little research has explored the relationship. This paper explores the association and influential pathways between family decision‐making and mental health among mothers of infants in rural western China. Methods: : Mothers with infants aged 0–6 months in four impoverished counties of a predominantly rural province in southwestern China were enrolled in 2021 from the control group of a cluster‐randomized trial using a multistage sampling method and followed up 6 months later. Information on family decision‐making, perceived social support, and maternal mental health was collected through household interviews. Causal mediation analysis was employed to explore the association between family decision‐making and mental health, and a four‐item decomposition was used to explore the control direct effect of family decision‐making on mental health, the pure mediation effect of perceived social support, and the possible interaction between exposure and mediation. Results: Baseline data was collected on 444 mother–infant pairs and 331 were followed up 6 months later. After controlling for the set of confounding factors indicated by our causal framework, the results of longitudinal causal mediation analyses showed that family decision‐making was negatively associated with depression, anxiety, and stress after controlling for confounding factors (βtotal effect: −1.323, −0.928, and −1.351, respectively). Perceived social support played a proportional mediating role in each of the above associations (pure indirect effects of 22.33%, 22.60%, and 27.02%, respectively), while interaction effects were not significant. Conclusions: Family decision‐making had a direct negative effect on maternal depression, anxiety, and stress, and perceived social support played a mediating role. These findings can be used to guide future interventions to improve maternal mental health and healthy child development in rural China. [ABSTRACT FROM AUTHOR]
Copyright of Depression & Anxiety (1091-4269) is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Role of Family Decision‐Making and Perceived Social Support in the Mental Health of Mothers of Infants in Rural Western China.
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  Data: <searchLink fieldCode="JN" term="%22Depression+%26+Anxiety+%281091-4269%29%22">Depression & Anxiety (1091-4269)</searchLink>. 11/14/2025, Vol. 2025, p1-13. 13p.
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  Data: <searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Mothers%22">Mothers</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Family+relations%22">Family relations</searchLink><br /><searchLink fieldCode="DE" term="%22Rural+conditions%22">Rural conditions</searchLink><br /><searchLink fieldCode="DE" term="%22Infants%22">Infants</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22China%22">China</searchLink>
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  Label: Abstract
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  Data: Background: The mental health of mothers has an important impact on both the growth and development of infants and on the health of mothers themselves. Family decision‐making may play an important role in mother's mental health, yet little research has explored the relationship. This paper explores the association and influential pathways between family decision‐making and mental health among mothers of infants in rural western China. Methods: : Mothers with infants aged 0–6 months in four impoverished counties of a predominantly rural province in southwestern China were enrolled in 2021 from the control group of a cluster‐randomized trial using a multistage sampling method and followed up 6 months later. Information on family decision‐making, perceived social support, and maternal mental health was collected through household interviews. Causal mediation analysis was employed to explore the association between family decision‐making and mental health, and a four‐item decomposition was used to explore the control direct effect of family decision‐making on mental health, the pure mediation effect of perceived social support, and the possible interaction between exposure and mediation. Results: Baseline data was collected on 444 mother–infant pairs and 331 were followed up 6 months later. After controlling for the set of confounding factors indicated by our causal framework, the results of longitudinal causal mediation analyses showed that family decision‐making was negatively associated with depression, anxiety, and stress after controlling for confounding factors (βtotal effect: −1.323, −0.928, and −1.351, respectively). Perceived social support played a proportional mediating role in each of the above associations (pure indirect effects of 22.33%, 22.60%, and 27.02%, respectively), while interaction effects were not significant. Conclusions: Family decision‐making had a direct negative effect on maternal depression, anxiety, and stress, and perceived social support played a mediating role. These findings can be used to guide future interventions to improve maternal mental health and healthy child development in rural China. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Depression & Anxiety (1091-4269) is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1155/da/8794211
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        Text: English
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        PageCount: 13
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    Subjects:
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Mothers
        Type: general
      – SubjectFull: Anxiety
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      – SubjectFull: Family relations
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      – SubjectFull: Rural conditions
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      – SubjectFull: Infants
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      – SubjectFull: Mental depression
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      – SubjectFull: China
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              Text: 11/14/2025
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