Jonsdottir Sigridur Sia, Thome Marga, Steingrimsdottir Thora, Lydsdottir Linda Bara, Sigurdsson Jon Fridrik, Olafsdottir Halldora, Swahnberg Katarina
Department of Health and Caring Sciences, Linnaeus University, Kalmar/Växjö, Sweden; School of Health Sciences, University of Akureyri, Iceland.
School of Health Science, Faculty of Nursing, University of Iceland, Reykjavik, Iceland.
Women Birth. 2017 Feb;30(1):e46-e55. doi: 10.1016/j.wombi.2016.08.005. Epub 2016 Sep 5.
It is inferred that perinatal distress has adverse effects on the prospective mother and the health of the foetus/infant. More knowledge is needed to identify which symptoms of perinatal distress should be assessed during pregnancy and to shed light on the impact of women's satisfaction with their partner relationship on perinatal distress.
The current study aimed to generate knowledge about the association of the partner relationship and social support when women are dealing with perinatal distress expressed by symptoms of depression, anxiety and stress.
A structured interview was conducted with 562 Icelandic women who were screened three times during pregnancy with the Edinburgh Depression Scale and the Depression, Anxiety, Stress Scale. Of these, 360 had symptoms of distress and 202 belonged to a non-distress group. The women answered the Multidimensional Scale of Perceived Social Support and the Dyadic Adjustment Scale. The study had a multicentre prospective design allowing for exploration of association with perinatal distress.
Women who were dissatisfied in their partner relationship were four times more likely to experience perinatal distress. Women with perinatal distress scored highest on the DASS Stress Subscale and the second highest scores were found on the Anxiety Subscale.
Satisfaction in partner relationship is related to perinatal distress and needs to be assessed when health care professionals take care of distressed pregnant women, her partner and her family. Assessment of stress and anxiety should be included in the evaluation of perinatal distress, along with symptoms of depression.
据推断，围产期困扰对未来母亲以及胎儿/婴儿的健康具有不利影响。需要更多知识来确定在孕期应评估围产期困扰的哪些症状，并阐明女性对伴侣关系的满意度对围产期困扰的影响。
本研究旨在获取有关女性在应对由抑郁、焦虑和压力症状所表达的围产期困扰时，伴侣关系与社会支持之间关联的知识。
对562名冰岛女性进行了结构化访谈，这些女性在孕期接受了三次爱丁堡抑郁量表以及抑郁、焦虑、压力量表的筛查。其中，360人有困扰症状，202人属于无困扰组。这些女性回答了感知社会支持多维量表和二元调适量表。该研究采用多中心前瞻性设计，以便探究与围产期困扰的关联。
对伴侣关系不满意的女性经历围产期困扰的可能性高出四倍。有围产期困扰的女性在抑郁、焦虑、压力量表的压力分量表上得分最高，焦虑分量表上得分次之。
伴侣关系满意度与围产期困扰相关，在医护人员照顾困扰的孕妇、其伴侣及其家人时需要进行评估。在评估围产期困扰时，应将压力和焦虑评估与抑郁症状一同纳入。
