The association between resilience and psychological well-being in women with threatened miscarriage

Context and relevance. This study is relevant due to the high societal demand for improving reproductive health and psychological well-being among pregnant women. Objective. To examine the association between personal resilience and psychological well-being in women with an uncomplicated pregnancy and in women with threatened miscarriage. Hypothesis. Personal resilience is likely to predict pregnant women’s psychological well-being. Methods and materials. The study included 76 women at 15—20 weeks of gestation: 35 with threatened miscarriage and 41 with an uncomplicated pregnancy. Measures included the Personal Resilience Questionnaire by A.A. Nesterov and Ryff’s Psychological Well-Being Scale (PWB-M; adapted by N.N. Lepeshinsky). Statistical analyses were performed in SPSS Statistics 27 using the Kolmogorov—Smirnov test for normality, the Mann—Whitney U test, Spearman’s rank correlation, and linear regression analysis. Results. Scores for Psychological well-being (Z = –2.157, p = 0.031) and Self-acceptance (Z = –2.761, p = 0.006) were lower in the threatened miscarriage group. The same group also showed lower scores for Total resilience (Z = –2.361, p = 0.018), Self-activation and accomplishments (Z = –2.425, p = 0.015), Activity and initiative (Z = –2.242, p = 0.025), Emotional control (Z = –2.191, p = 0.028), Positive attitudes (Z = –2.613, p = 0.009), Self-esteem (Z = –2.508, p = 0.012), Adaptive coping styles (Z = -2.049, p = 0.040), and Self-organization (Z = –2.393, p = 0.017). Conclusions. Personal resilience is positively associated with pregnant women’s psychological well-being. The pattern and strength of these associations differ between women with uncomplicated pregnancies and those with threatened miscarriage. Experiencing threatened miscarriage as a major life stressor may impair resilience and alter the system of links between resilience and psychological well-being