伴侣关系满意度与孕早期产妇情绪困扰。
Partner relationship satisfaction and maternal emotional distress in early pregnancy.
机构信息
Norwegian Institute of Public Health, Division of Mental Health, PO Box 4404 Nydalen, N-0403 Oslo, Norway.
出版信息
BMC Public Health. 2011 Mar 14;11:161. doi: 10.1186/1471-2458-11-161.
BACKGROUND
Recognition of maternal emotional distress during pregnancy and the identification of risk factors for this distress are of considerable clinical- and public health importance. The mental health of the mother is important both for herself, and for the physical and psychological health of her children and the welfare of the family. The first aim of the present study was to identify risk factors for maternal emotional distress during pregnancy with special focus on partner relationship satisfaction. The second aim was to assess interaction effects between relationship satisfaction and the main predictors.
METHODS
Pregnant women enrolled in the Norwegian Mother and Child Cohort Study (n = 51,558) completed a questionnaire with questions about maternal emotional distress, relationship satisfaction, and other risk factors. Associations between 37 predictor variables and emotional distress were estimated by multiple linear regression analysis.
RESULTS
Relationship dissatisfaction was the strongest predictor of maternal emotional distress (β = 0.25). Other predictors were dissatisfaction at work (β = 0.11), somatic disease (β = 0.11), work related stress (β = 0.10) and maternal alcohol problems in the preceding year (β = 0.09). Relationship satisfaction appeared to buffer the effects of frequent moving, somatic disease, maternal smoking, family income, irregular working hours, dissatisfaction at work, work stress, and mother's sick leave (P < 0.05).
CONCLUSIONS
Dissatisfaction with the partner relationship is a significant predictor of maternal emotional distress in pregnancy. A good partner relationship can have a protective effect against some stressors.
背景
识别孕妇的情绪困扰并确定导致这种困扰的风险因素具有重要的临床和公共卫生意义。母亲的心理健康对她自己、她的孩子的身心健康以及家庭的幸福都很重要。本研究的首要目的是确定导致孕妇情绪困扰的风险因素，特别关注伴侣关系满意度。第二个目的是评估关系满意度和主要预测因素之间的交互作用。
方法
参加挪威母婴队列研究的孕妇（n=51558）完成了一份问卷，内容包括情绪困扰、关系满意度和其他风险因素。使用多元线性回归分析估计 37 个预测变量与情绪困扰之间的关系。
结果
关系不满是导致孕妇情绪困扰的最强预测因素（β=0.25）。其他预测因素包括工作不满（β=0.11）、躯体疾病（β=0.11）、工作相关压力（β=0.10）和母亲前一年的酒精问题（β=0.09）。关系满意度似乎缓冲了频繁搬家、躯体疾病、母亲吸烟、家庭收入、不规则工作时间、工作不满、工作压力和母亲请病假的影响（P<0.05）。
结论
伴侣关系不满是孕妇情绪困扰的重要预测因素。良好的伴侣关系可以对一些压力源起到保护作用。
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