Clinical Psychology Unit, Department of Psychology, Western Bank, University of Sheffield, Sheffield, UK.
J Anxiety Disord. 2011 May;25(4):520-30. doi: 10.1016/j.janxdis.2010.12.006. Epub 2011 Jan 13.
The roles of partner attachment and perceptions of partner support were explored in relation to symptoms of posttraumatic stress and postpartum depression in couples within the first three postnatal months.
Participants (n=372) were recruited within the first seven days postpartum, and completed questionnaire measures of trait anxiety, symptoms of acute posttraumatic stress, and perceptions of partner support. Postal questionnaires were completed at six weeks and three months, assessing attachment, perception of partner support, symptoms of posttraumatic stress, and postpartum depression. Two hundred and twelve couples completed all time-points.
Results indicated that symptoms were significantly related within couples. Men's acute trauma symptoms predicted their partner's subsequent symptoms of posttraumatic stress. Less secure attachment and dissatisfaction with partner support were associated with higher levels of postpartum depression and posttraumatic stress.
Men's and women's responses following childbirth appear to be strongly interlinked; services should target both members of the dyad.
本研究旨在探讨伴侣依恋和伴侣支持感知在产后前三个月夫妇创伤后应激症状和产后抑郁中的作用。
参与者(n=372)在产后 7 天内招募,并完成了特质焦虑、急性创伤后应激症状和伴侣支持感知的问卷测量。在 6 周和 3 个月时通过邮寄问卷评估依恋、伴侣支持感知、创伤后应激症状和产后抑郁。共有 212 对夫妇完成了所有时间点的评估。
结果表明,夫妇之间的症状存在显著相关性。男性的急性创伤症状预测了其伴侣随后的创伤后应激症状。不安全感依恋和对伴侣支持的不满与更高水平的产后抑郁和创伤后应激有关。
产后男女的反应似乎密切相关,服务应针对夫妻双方。