{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T00:33:57Z","timestamp":1758587637237,"version":"3.44.0"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T00:00:00Z","timestamp":1758499200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Understanding the link between perceived social support and prenatal distress is vital for improving maternal mental health during pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the relationship between perceived social support and prenatal distress among pregnant women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross-sectional study was conducted on 220 pregnant women at Ayatollah Mousavi Hospital in Zanjan City in 2023. Participants were selected through a convenience sampling method, and data were collected using the Prenatal Distress and social support questionnaires. The analysis involved Spearman\u2019s rank correlation, the Mann\u2013Whitney U test, the Kruskal\u2013Wallis test, and backward conditional logistic regression with median cut-off points, all at a 95% confidence level.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average perinatal distress score was 39.38 (SD\u00a0=\u00a06.04), and the average social support score was 45.66 (SD\u00a0=\u00a010.91). Total social support was negatively correlated with overall prenatal distress (r = -0.355), childbirth and the baby-related distress (r =-0.472), and emotional\/relational issues(r = -0.119), but not with body image-related distress (r = 0.090, p = 0.35). Younger, higher-educated women with more children reported lower distress. Additionally, women aged 18-25, with more children, low income, who were housewives, or had a gestational age of 29\u201342 weeks, had higher social support scores (p &amp;lt; 0.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Both perinatal distress and perceived social support were observed at moderate levels among the study population. Parity emerged as the only independent predictor for both prenatal distress and social support, with primiparous women exhibiting higher distress levels, while multiparous women reported higher perceived social support. These findings underscore the importance of developing tailored interventions that address the distinct needs of women according to their parity status.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2025.1514249","type":"journal-article","created":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T14:02:46Z","timestamp":1758549766000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Examining the relationship between perceived social support and prenatal distress in pregnant women"],"prefix":"10.3389","volume":"16","author":[{"given":"Somayae Abdollahi","family":"Sabet","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samira","family":"Ahmadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zahra","family":"Pakian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azam","family":"Maleki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,9,22]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2016.08.005","article-title":"Partner relationship, social support and perinatal distress among pregnant Icelandic women","volume":"30","author":"Jonsdottir","year":"2017","journal-title":"Women Birth"},{"key":"B2","doi-asserted-by":"publisher","first-page":"13932","DOI":"10.3390\/ijms232213932","article-title":"Maternal distress during pregnancy and the postpartum period: underlying mechanisms and child\u2019s developmental outcomes\u2014a narrative review","volume":"23","author":"Jeli\u010di\u0107","year":"2022","journal-title":"Int J Mol Sci"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.116.187179","article-title":"Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis","volume":"210","author":"Dennis","year":"2017","journal-title":"Br J Psychiatry"},{"key":"B4","doi-asserted-by":"publisher","first-page":"105944","DOI":"10.5498\/wjp.v15.i6.105944","article-title":"Anxiety and hypertensive disorders of pregnancy: Epidemiology, mechanisms, and management strategies","volume":"15","author":"Liu","year":"2025","journal-title":"World J Psychiatry"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/15622975.2025.2530000","article-title":"Stress and depression risk in pregnancy associates with altered immune function","author":"Mealy","year":"2025","journal-title":"World J Biol Psychiatry"},{"key":"B6","doi-asserted-by":"publisher","first-page":"e47044","DOI":"10.7759\/cureus.47044","article-title":"Effects of prenatal stress on behavior, cognition, and psychopathology: A comprehensive review","volume":"15","author":"Jagtap","year":"2023","journal-title":"Cureus"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2020.1789950","article-title":"Prenatal distress levels of pregnant women in Turkey and affecting factors: a multicentre study","volume":"41","author":"Yilmaz","year":"2021","journal-title":"J Obstetrics Gynaecology"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1080\/23293691.2023.2296019","article-title":"Family functioning as a predictor of maternal mental health during pregnancy","volume":"11","author":"Bouzari","year":"2024","journal-title":"Women's Reprod Health"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2018.01.018","article-title":"A systematic review and meta-analysis of interpersonal psychotherapy for perinatal women","volume":"232","author":"Sockol","year":"2018","journal-title":"J Affect Disord"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2020.12.014","article-title":"Perceived social support and prenatal wellbeing; 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