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孕期及产后女性与亲密伴侣暴力及心理健康相关的压力、抑郁和关系调适概况。

Women's Stress, Depression, and Relationship Adjustment Profiles as They Relate to Intimate Partner Violence and Mental Health During Pregnancy and Postpartum.

作者信息

Flanagan Julianne C, Gordon Kristina Coop, Moore Todd M, Stuart Gregory L

机构信息

Medical University of South Carolina.

University of Tennessee-Knoxville.

出版信息

Psychol Violence. 2015 Jan;5(1):66-73. doi: 10.1037/a0036895.

Abstract

OBJECTIVE

This study applied latent class analysis to examine whether homogeneous subgroups of women emerged based on their self-reported stress, depression, and relationship adjustment during pregnancy. We also examined whether women in different groups experienced different intimate partner violence (IPV) and mental health symptoms during pregnancy and postpartum.

METHOD

180 women completed assessments during the first 18 weeks of pregnancy and 122 completed follow-up assessments six weeks postpartum.

RESULTS

A two-class solution best fit the data. One group reported higher mean stress and depression and poorer relationship adjustment compared to the other group. The high severity class reported more psychological IPV victimization and perpetration and more physical IPV victimization during pregnancy compared to the low severity class. Membership in the high severity class was associated with higher postpartum depression.

CONCLUSIONS

Findings highlight the associations between different profiles of mental and relational health during pregnancy and postpartum. Future studies should explore the utility of dyadic interventions aimed at reducing stress, depression, and IPV, and improving relationship adjustment as a means to improve women's health during pregnancy and postpartum. These findings also highlight the potential utility of applying person-centered analytic approaches to the study of women's and couples' health during this time period.

摘要

目的

本研究应用潜在类别分析,以检验基于孕期自我报告的压力、抑郁及关系调适情况,是否会出现女性的同质亚组。我们还检验了不同组别的女性在孕期及产后是否经历不同的亲密伴侣暴力(IPV)及心理健康症状。

方法

180名女性在孕期的前18周完成评估,122名女性在产后六周完成随访评估。

结果

两类解决方案最符合数据。与另一组相比,一组报告的平均压力和抑郁水平更高,关系调适更差。与低严重程度组相比,高严重程度组在孕期报告更多的心理IPV受害和施暴情况以及更多的身体IPV受害情况。高严重程度组与产后抑郁程度较高相关。

结论

研究结果突出了孕期及产后不同心理和关系健康状况之间的关联。未来研究应探索旨在减轻压力、抑郁和IPV,并改善关系调适的二元干预措施的效用,以此作为改善女性孕期及产后健康的一种手段。这些研究结果还突出了在此期间将以人为本的分析方法应用于女性及夫妻健康研究的潜在效用。

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