Journal of Ilam University of Medical Sciences

fa The relationship between quality of life and pregnancy anxiety with the mediation of childbirth self-efficacy and social support The relationship between quality of life and pregnancy anxiety with the mediation of childbirth self-efficacy and social support زنان وزایمان obstetrics and gynecology پژوهشي Research <div style="text-align: left;">Introduction: Pregnancy is accompanied by physiological and psychological changes that can affect mothers’ quality of life and anxiety levels. Examining mediating factors such as childbirth self-efficacy and social support can help identify effective strategies to improve maternal mental health. Therefore, the present study aimed to investigate the relationship between quality of life and pregnancy anxiety with the mediating role of childbirth self-efficacy and social support and to test the fit of a correlation model among these variables. Materials & Methods: This descriptive-correlational study was conducted on 200 pregnant women who were referred to Shohada-ye Gomnam Comprehensive Health Center, Shohada-ye Golzar Comprehensive Health Center, and Agh-Tappeh Comprehensive Health Center of Karaj in 2025. Participants were selected through convenience sampling and completed a demographic information form along with standardized questionnaires, including pregnancy anxiety, quality of life, childbirth self-efficacy, and perceived social support. Data were analyzed using Pearson correlation, structural equation modeling, and AMOS-24 software. Results:  The results showed that there was a positive and significant relationship between quality of life, childbirth self-efficacy, and perceived social support. In contrast, pregnancy anxiety had a negative and significant relationship with these three variables. Quality of life directly reduced pregnancy anxiety (β=-0.542, p=0.001). Also, perceived social support (β=-0.226, p=0.010) and childbirth self-efficacy (β=-0.273, p=0.001) were also directly related to reducing pregnancy anxiety. In addition, quality of life also indirectly reduced pregnancy anxiety through increasing perceived social support (β=-0.136, p=0.001) and childbirth self-efficacy (β=-0.100, p=0.001). The proposed model also had a good fit. Conclusion:  Based on these findings, it can be concluded that childbirth self-efficacy and perceived social support serve as effective mediators in the relationship between quality of life and pregnancy anxiety.</div> <div style="text-align: justify;">Introduction: Pregnancy is accompanied by physiological and psychological changes that can affect mothers’ quality of life and anxiety levels. Examining mediating factors such as childbirth self-efficacy and social support can help identify effective strategies to improve maternal mental health. Therefore, the present study aimed to investigate the relationship between quality of life and pregnancy anxiety with the mediating role of childbirth self-efficacy and social support and to test the fit of a correlation model among these variables. Materials & Methods: This descriptive-correlational study was conducted on 200 pregnant women who were referred to Shohada-ye Gomnam Comprehensive Health Center, Shohada-ye Golzar Comprehensive Health Center, and Agh-Tappeh Comprehensive Health Center of Karaj in 2025. Participants were selected through convenience sampling and completed a demographic information form along with standardized questionnaires, including pregnancy anxiety, quality of life, childbirth self-efficacy, and perceived social support. Data were analyzed using Pearson correlation, structural equation modeling, and AMOS-24 software. Results:  The results showed that there was a positive and significant relationship between quality of life, childbirth self-efficacy, and perceived social support. In contrast, pregnancy anxiety had a negative and significant relationship with these three variables. Quality of life directly reduced pregnancy anxiety (β=-0.542, p=0.001). Also, perceived social support (β=-0.226, p=0.010) and childbirth self-efficacy (β=-0.273, p=0.001) were also directly related to reducing pregnancy anxiety. In addition, quality of life also indirectly reduced pregnancy anxiety through increasing perceived social support (β=-0.136, p=0.001) and childbirth self-efficacy (β=-0.100, p=0.001). The proposed model also had a good fit. Conclusion:  Based on these findings, it can be concluded that childbirth self-efficacy and perceived social support serve as effective mediators in the relationship between quality of life and pregnancy anxiety.</div> pregnancy, anxiety, self-efficacy, social support, quality of life pregnancy, anxiety, self-efficacy, social support, quality of life 58 71 http://sjimu.medilam.ac.ir/browse.php?a_code=A-10-8317-3&slc_lang=fa&sid=1 Mahboubeh Tavangar Dehghan Mahboubeh Tavangar Dehghan tavangarmd58@iau.ir 9600319475328460050498 0009-0005-9036-3618 No Dept of Psychology, Ro.C., Islamic Azad University, Roudehen, Iran Dept of Psychology, Ro.C., Islamic Azad University, Roudehen, Iran Sheida Sodagar Sheida Sodagar sh.sodagar@iau.ac.ir 9600319475328460050499 9600319475328460050499 Yes Dept of Health Psychology, Ka.C, Islamic Azad University, Karaj, Iran Dept of Health Psychology, Ka.C, Islamic Azad University, Karaj, Iran Anvar Sadat Nayebinia Anvar Sadat Nayebinia anvar.nayebi@gmail.com 9600319475328460050500 9600319475328460050500 No Dept of Midwifery, Ka.C, Islamic Azad University, Karaj, Iran Dept of Midwifery, Ka.C, Islamic Azad University, Karaj, Iran