探索年轻夫妻向父母角色转变过程中抑郁症状的轨迹及预测因素。
Exploring Trajectories and Predictors of Depressive Symptoms Among Young Couples During Their Transition to Parenthood.
作者信息
Sipsma Heather L, Callands Tamora, Desrosiers Alethea, Magriples Urania, Jones Krista, Albritton Tashuna, Kershaw Trace
机构信息
Department of Women, Children and Family Health Science, University of Illinois at Chicago College of Nursing, Chicago, IL, USA.
Center for Interdisciplinary Inquiry and Innovation in Sexual and Reproductive Health, University of Chicago, Chicago, IL, USA.
出版信息
Matern Child Health J. 2016 Nov;20(11):2372-2381. doi: 10.1007/s10995-016-2064-3.
Objectives Young parents may be particularly vulnerable to poor mental health during the postpartum period. Little research exists, however, to adequately describe trajectories of depressive symptoms during their transition to parenthood, particularly among young fathers. Therefore, we aim to explore trajectories of depressive symptoms from pregnancy through 1 year postpartum among young expectant mothers and their partners. Methods Data are derived from a longitudinal cohort of pregnant adolescent females (ages 14-21; n = 220) and their male partners (n = 190). Multilevel regression models examined the impact of time on depressive symptoms, and generalized linear regression models examined predictors of experiencing elevated depressive symptoms. Results Depressive symptoms significantly decreased from pregnancy through 1 year postpartum among young females. Overall, depressive symptoms did not significantly change over time among young males. Predictors of elevated depressive symptoms common across genders included social support and relationship satisfaction. Marijuana use resulted in almost twice the odds of experiencing elevated depressive symptoms among young fathers (OR 1.82; 95 % CI 1.04, 3.20). Conclusion for Practice Providing strategies for strengthening social support networks among young parents may be an effective way to improve mental health among young parents, particularly during this period of potential social isolation. Additionally, providing tools to strengthen relationships between partners may also be effective for both young mothers and fathers. Substance use may be a marker for depressive symptoms among young fathers and thus screening for substance use could be important to improving their mental health. Future research is needed to better understand how IPV affects mental health, particularly among young fathers.
目标 年轻父母在产后时期可能特别容易出现心理健康问题。然而,几乎没有研究能够充分描述他们在为人父母过渡阶段的抑郁症状轨迹,尤其是在年轻父亲当中。因此,我们旨在探讨年轻准妈妈及其伴侣从孕期到产后1年的抑郁症状轨迹。方法 数据来源于一个针对怀孕少女(年龄14 - 21岁;n = 220)及其男性伴侣(n = 190)的纵向队列研究。多层次回归模型检验了时间对抑郁症状的影响,广义线性回归模型检验了抑郁症状加重的预测因素。结果 年轻女性从孕期到产后1年抑郁症状显著减轻。总体而言,年轻男性的抑郁症状随时间没有显著变化。两性中抑郁症状加重的共同预测因素包括社会支持和关系满意度。年轻父亲中,使用大麻会使抑郁症状加重的几率增加近一倍(比值比1.82;95%置信区间1.04,3.20)。实践结论 为年轻父母加强社会支持网络提供策略,可能是改善年轻父母心理健康的有效途径,尤其是在这个可能存在社会隔离的时期。此外,提供加强伴侣关系的工具对年轻母亲和父亲可能也有效。物质使用可能是年轻父亲抑郁症状的一个指标,因此筛查物质使用情况对改善他们的心理健康可能很重要。未来需要进一步研究,以更好地了解亲密伴侣暴力如何影响心理健康,尤其是在年轻父亲当中。