Abstract
Abstract
Background
Pregnancy is associated with extensive physiological and psychosocial changes that can increase maternal psychological vulnerability. Resilience, as a dynamic capacity for positive adaptation in the face of adversity, plays a key role in maintaining mental health during pregnancy; however, the mediating mechanisms underlying this relationship remain less understood. The present study aimed to investigate the mediating role of mindfulness levels in the relationship between quality of life and resilience among pregnant women.
Methods
This cross-sectional descriptive-correlational study employed structural equation modeling (SEM). The statistical population consisted of all pregnant women attending healthcare centers in Qom, Iran, during 2024, of whom 250 were selected through convenience sampling. Data were collected using the Connor-Davidson Resilience Scale (CD-RISC, 2003), the World Health Organization Quality of Life Questionnaire–BREF (WHOQOL-BREF, 1996), and the Five Facet Mindfulness Questionnaire (FFMQ, Baer et al., 2006). Data analysis was performed using Pearson correlation coefficient and structural equation modeling with maximum likelihood estimation, utilizing SPSS version 26 and AMOS version 24. To assess the significance of indirect effects, the bootstrap method with 2,000 resamples and a 95% confidence interval was employed.
Results
The final model demonstrated a good fit to the data (RMSEA = 0.08, GFI = 0.92, CFI = 0.94). Quality of life had a significant positive direct effect on resilience (β = 0.77, P < 0.001), and mindfulness also showed a significant direct effect on resilience (β = 0.11, P = 0.049). Furthermore, the indirect effect of quality of life on resilience through mindfulness was significant, with a standardized coefficient of 0.033 (P < 0.001), indicating partial mediation. Quality of life and mindfulness together explained 55% of the variance in resilience (R² = 0.55).
Conclusions