{
  "abstract": "Background\n\nAs a critical factor in early childhood development (ECD), parenting stress has been demonstrated to adversely affect maternal well-being and child developmental outcomes. This study examined the association between family support and maternal parenting stress and assessed whether postpartum depressive and anxiety symptoms account for this association.Methods\n\nA cross-sectional survey was conducted among 1,099 mothers of children aged 0-2 years in Shanghai, China. The Simplified Chinese version of the Parenting Stress Index-Short Form (PSI-SF), the Family Adaptability, Partnership, Growth, Affection, and Resolve (APGAR) Scale and the 21-item Depression Anxiety Stress Scales (DASS-21) were used to assess maternal parenting stress, family support and postpartum depressive and anxiety symptoms, respectively. Regression models were used to examine the study hypotheses and evaluate whether depressive and anxiety symptoms statistically explained the association.Results\n\nThe mean parenting stress score was 26.37 ± 9.05. Overall, 24.3% of mothers reported low family support, 8.6% exhibited postpartum depressive symptoms, and 12.2% showed postpartum anxiety symptoms. Family support was negatively associated with maternal parenting stress (β=-5.415, p < 0.001). After depressive and anxiety symptoms were entered into the model as candidate statistical mediators, depressive symptoms were significantly associated with maternal parenting stress (β = 5.847, p < 0.001), whereas the association between family support and maternal parenting stress became non-significant (β=-1.924, p > 0.05). There was no evidence of statistical mediation by anxiety symptoms.Conclusions\n\nLower family support was associated with higher maternal parenting stress, and depressive symptoms accounted for much of the association in the specified cross-sectional model. While these findings cannot establish temporality or causality, they support the prospective evaluation of family-centered care practices within the primary health care system.",
  "abstract_shown": true,
  "affiliations": [
    "School of Global Health, Shanghai Jiao Tong University School of Medicine, 227 South Chong Qing Road, Shanghai, 200025, China.",
    "School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.",
    "Freeman Spogli Institute for International Studies, Stanford University, Stanford, CA, USA.",
    "Institute of Healthy Yangtze River Delta, Shanghai Jiao Tong University, Shanghai, China.",
    "China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai, China.",
    "Shanghai Key Laboratory of Child Brain and Development, Shanghai, China. fanjiang@shsmu.edu.cn.",
    "Department of Developmental and Behavioral Pediatrics, National Children's Medical Center, Shanghai Children's Medical Center, 1678 Dongfang Road, Shanghai, 200127, China. fanjiang@shsmu.edu.cn.",
    "School of Global Health, Shanghai Jiao Tong University School of Medicine, 227 South Chong Qing Road, Shanghai, 200025, China. guohongli@sjtu.edu.cn.",
    "School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China. guohongli@sjtu.edu.cn.",
    "Institute of Healthy Yangtze River Delta, Shanghai Jiao Tong University, Shanghai, China. guohongli@sjtu.edu.cn.",
    "Shanghai Key Laboratory of Child Brain and Development, Shanghai, China. guohongli@sjtu.edu.cn."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 9,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Jiaqi Shi"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Jianing Xu"
    },
    {
      "affs": [
        1,
        2
      ],
      "name": "Yuyin Xiao"
    },
    {
      "affs": [
        3
      ],
      "name": "Chenshu Shi"
    },
    {
      "affs": [
        4
      ],
      "name": "Feifei Li"
    },
    {
      "affs": [
        4
      ],
      "name": "Yujie Cui"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Chenhao Yu"
    },
    {
      "affs": [
        5,
        6
      ],
      "name": "Fan Jiang"
    },
    {
      "affs": [
        7,
        8,
        9,
        10
      ],
      "name": "Guohong Li"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/64w8rtemdad37.bib",
  "cited_by": 0,
  "doi": "10.1186/s40359-026-05220-y",
  "fulltext_url": "https://europepmc.org/articles/PMC13689308",
  "id": "64w8rtemdad37",
  "issns": [
    "2050-7283"
  ],
  "landing_url": "https://europepmc.org/article/MED/42919429",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2739|Maternal Mental Health During Pregnancy and Postpartum"
    ]
  ],
  "openalex": "W7171379705",
  "pdf_url": "https://europepmc.org/articles/PMC13689308?pdf=render",
  "pmcid": "PMC13689308",
  "pmid": "42919429",
  "published": "2026-07-28",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/64w8rtemdad37.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:21:02Z",
      "native_id": "MED:42919429",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42919429"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2739|Maternal Mental Health During Pregnancy and Postpartum",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "The association between family support and maternal parenting stress: the potential mediating role of postpartum depressive symptoms.",
  "title_text": "The association between family support and maternal parenting stress: the potential mediating role of postpartum depressive symptoms.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:21:02Z",
  "url": "https://research.draconitic.com/paper/64w8rtemdad37",
  "venue": "BMC psychology",
  "versions": []
}