Ngai Fei-Wan, Ngu Siew-Fei
School of Nursing, The Li Ka Shing Faculty of Medicine, The University of Hong Kong, Room 417, 4/F, William M W Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong.
Department of Obstetrics and Gynaecology, Queen Mary Hospital, The Li Ka Shing Faculty of Medicine, The University of Hong Kong, 6/F, William MW Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong.
J Psychosom Res. 2015 Feb;78(2):156-61. doi: 10.1016/j.jpsychores.2014.12.003. Epub 2014 Dec 9.
Postnatal depression has emerged as a major public health concern, which has deleterious effects on the well-being of the entire family. The aim of this study was to examine the predictive role of prenatal family sense of coherence, stress, social support and family, and marital functioning; the effect that any changes in these factors from pregnancy to postpartum; and partner's depressive symptoms on depressive symptoms at 6 months postpartum.
This study used a longitudinal design. A convenience sample of 200 childbearing couples in Hong Kong completed assessments of family sense of coherence, stress, social support, family, and marital functioning and depressive symptoms during pregnancy and at 6 months postpartum. Multiple regression analyses were employed.
The results showed that a low level of family sense of coherence and a high level of depressive symptoms during pregnancy and partner's depressive symptoms were significantly associated with an increase in depressive symptoms for both mothers and fathers at 6 months postpartum. A lack of social support was significantly associated with increased risk of depressive symptoms for mothers, but not for fathers.
The results suggest that couple-based interventions that foster a sense of family coherence may be helpful in promoting parental well-being. Well-designed trials to test the effects of such interventions are recommended for future research.
产后抑郁已成为一个主要的公共卫生问题，对整个家庭的幸福产生有害影响。本研究的目的是探讨产前家庭连贯感、压力、社会支持以及家庭和婚姻功能的预测作用；这些因素从孕期到产后的任何变化所产生的影响；以及伴侣的抑郁症状对产后6个月时抑郁症状的影响。
本研究采用纵向设计。香港200对育有子女的夫妇组成的便利样本，完成了孕期和产后6个月时家庭连贯感、压力、社会支持、家庭和婚姻功能以及抑郁症状的评估。采用多元回归分析。
结果显示，孕期家庭连贯感水平低、抑郁症状水平高以及伴侣的抑郁症状与产后6个月时母亲和父亲的抑郁症状增加显著相关。缺乏社会支持与母亲抑郁症状风险增加显著相关，但与父亲无关。
结果表明，促进家庭连贯感的基于夫妻的干预措施可能有助于促进父母的幸福。建议未来研究进行精心设计的试验，以测试此类干预措施的效果。
