黑人夫妇的人际关系与孕期抑郁症状
Interpersonal Relationships Among Black Couples and Depressive Symptoms During Pregnancy.
作者信息
Caldwell Cleopatra Howard, Misra Dawn P, Rogers William B, Young Alford, Giurgescu Carmen
机构信息
Cleopatra Howard Caldwell is a Professor, School of Public Health, University of Michigan, Ann Arbor, MI. Dawn P. Misra is a Professor, Department of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, Detroit, MI. William B. Rogers is a Clinical Research Specialist, School of Medicine & VA Medical Center, Indiana University, Indianapolis, IN. Alford Young is a Professor, Department of Sociology, College of Literature, Science, & Arts, University of Michigan, Ann Arbor, MI. Carmen Giurgescu is an Associate Professor, College of Nursing, The Ohio State University, Columbus, OH. The author can be reached via e-mail at
出版信息
MCN Am J Matern Child Nurs. 2018 Sep/Oct;43(5):265-270. doi: 10.1097/NMC.0000000000000460.
OBJECTIVE
The purpose of this study was to examine associations of the mother-father relationship and social support with depressive symptoms during pregnancy among Black mothers and fathers.
METHODS
Fifty Black mother-father dyads from the Midwest completed a packet of questionnaires that included conflict with partner, social support, depressive symptoms, and sociodemographic characteristics.
RESULTS
Twenty-four percent of mothers and 16% of fathers had Center for Epidemiological Studies-Depression scores ≥23, which have been correlated with a major depression diagnosis. There were no differences in depressive symptoms between mothers and fathers. Fathers reporting high depressive symptoms were not more likely to be partnered with mothers reporting high depressive symptoms. Controlling for age, higher levels of conflict with partner, and lower levels of social support predicted higher levels of depressive symptoms for both mothers and fathers.
CLINICAL IMPLICATIONS
Black expectant mothers and fathers may be at risk for clinical depression. Fathers experienced comparable levels of depressive symptoms with mothers, indicating the need to consider fathers' psychological adjustment during pregnancy. Higher levels of conflict with partner and lower levels of social support predicted higher levels of depressive symptoms for both parents. Maternal-child nurses should assess for mothers' as well as fathers' experiences of depressive symptoms and the mother-father relationship when providing prenatal care.
目的
本研究旨在探讨黑人父母孕期母婴关系和社会支持与抑郁症状之间的关联。
方法
来自美国中西部的50对黑人父母完成了一组问卷，内容包括与伴侣的冲突、社会支持、抑郁症状和社会人口学特征。
结果
24%的母亲和16%的父亲流行病学研究中心抑郁量表得分≥23，这与重度抑郁症诊断相关。母亲和父亲的抑郁症状无差异。报告有高抑郁症状的父亲与报告有高抑郁症状的母亲为伴的可能性并不更高。在控制年龄后，与伴侣冲突程度较高以及社会支持水平较低预示着母亲和父亲的抑郁症状水平较高。
临床意义
黑人准父母可能有临床抑郁症风险。父亲经历的抑郁症状水平与母亲相当，这表明在孕期需要考虑父亲的心理调适。与伴侣冲突程度较高以及社会支持水平较低预示着父母双方的抑郁症状水平较高。母婴护士在提供产前护理时应评估母亲和父亲的抑郁症状经历以及母婴关系。
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