University of Colorado at Boulder, Department of Psychology and Neuroscience, Boulder, CO 80309-0345, USA.
J Fam Psychol. 2011 Jun;25(3):375-83. doi: 10.1037/a0023790.
The associations between relationship adjustment and symptoms of depression and anxiety were evaluated in a sample of pregnant married or cohabiting women (N = 113) who were at risk for perinatal depression because of a prior history of major depression. Women completed self-report measures of relationship adjustment, depressive symptoms, and anxiety symptoms monthly during pregnancy and for the first six months following the birth of their child. Multilevel modeling was used to examine concurrent and time-lagged within-subjects effects for relationship adjustment and depressive and anxiety symptoms. Results revealed that (a) relationship adjustment was associated with both depressive symptoms and anxiety symptoms in concurrent analyses; (b) relationship adjustment was predictive of subsequent anxiety symptoms but not subsequent depressive symptoms in lagged analyses; and (c) depressive symptoms were predictive of subsequent relationship adjustment in lagged analyses with symptoms of depression and anxiety examined simultaneously. These results support the continued investigation into the cross-sectional and longitudinal associations between relationship functioning and depressive and anxiety symptoms in women during pregnancy and the postpartum period.
在一个有产前抑郁风险的孕妇样本（N=113）中，评估了关系调整与抑郁和焦虑症状之间的关联，这些孕妇是已婚或同居的女性，且有过重度抑郁病史。在怀孕期间和孩子出生后的头六个月里，女性每月都会完成关系调整、抑郁症状和焦虑症状的自我报告评估。采用多层次模型来检验关系调整与抑郁和焦虑症状在同期和时间滞后的个体内效应。结果表明：（a）在同期分析中，关系调整与抑郁症状和焦虑症状都有关联；（b）在滞后分析中，关系调整可以预测随后的焦虑症状，但不能预测随后的抑郁症状；（c）在同时检验抑郁症状和焦虑症状的滞后分析中，抑郁症状可以预测随后的关系调整。这些结果支持了在女性怀孕期间和产后期间，继续研究关系功能与抑郁和焦虑症状之间的横断面和纵向关联的必要性。
