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孕期焦虑、抑郁、夫妻关系调整和胎儿依恋:演员-伙伴相互依存中介分析。

Anxiety, depression, dyadic adjustment, and attachment to the fetus in pregnancy: Actor-partner interdependence mediation analysis.

机构信息

Departamento de Psicologia.

出版信息

J Fam Psychol. 2019 Apr;33(3):294-303. doi: 10.1037/fam0000513. Epub 2019 Feb 14.

DOI:10.1037/fam0000513
PMID:30762409
Abstract

Perinatal research has focused essentially on maternal outcomes leaving paternal outcomes unexplored. This cross-sectional study aimed to explore the intrapersonal and interpersonal effects of mothers' and fathers' anxiety and depressive symptoms on their own and their partners' antenatal attachment to the fetus. Additionally, it aimed to explore the mediating role of dyadic adjustment on these associations. Participants, 320 pregnant women and their partners, completed the Hospital Anxiety and Depression Scale, the Dyadic Adjustment Scale, and the Maternal and Paternal Antenatal Attachment Scale. Data were analyzed using the actor-partner interdependence mediation model. Mothers' (ß = -.16, p < .01) and fathers' depressive symptoms (ß = -.38, p < .001) were associated with their levels of antenatal attachment to the fetus. These relationships, however, were mediated by levels of dyadic adjustment (ß = -.08, p < .05; ß = -.09, p < .05, respectively). Fathers' anxiety symptoms were associated with their levels of antenatal attachment to the fetus (ß = .16, p < .05). This relationship was partially mediated by their levels of dyadic adjustment (ß = -.05, p < .05). Finally, fathers' depressive symptoms were associated with mothers' levels of antenatal attachment to the fetus through the mothers' dyadic adjustment levels (ß = -.06, p < .05). Results indicated that anxiety and depressive symptoms as well as lower levels of dyadic adjustment during pregnancy seem to negatively impact the levels of antenatal attachment to the fetus, especially for fathers. Results highlight the need to adopt a dyadic perspective to understand mothers' and fathers' outcomes during pregnancy. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

摘要

围产期研究主要集中在产妇结局上,而未探究父亲的结局。本横断面研究旨在探讨母亲和父亲的焦虑和抑郁症状对自身及其伴侣产前胎儿依恋的个体内和人际影响。此外,它还旨在探讨二元调整在这些关联中的中介作用。320 名孕妇及其伴侣完成了医院焦虑和抑郁量表、二元调整量表和母婴产前依恋量表。使用演员-伙伴相互依存中介模型分析数据。母亲(ß=-.16,p<.01)和父亲(ß=-.38,p<.001)的抑郁症状与他们对胎儿的产前依恋程度有关。然而,这些关系受二元调整水平的中介(ß=-.08,p<.05;ß=-.09,p<.05,分别)。父亲的焦虑症状与他们对胎儿的产前依恋程度有关(ß=-.16,p<.05)。这种关系部分受其二元调整水平的中介(ß=-.05,p<.05)。最后,父亲的抑郁症状通过母亲的二元调整水平与母亲对胎儿的产前依恋水平相关(ß=-.06,p<.05)。结果表明,焦虑和抑郁症状以及妊娠期间较低的二元调整水平似乎会对胎儿的产前依恋水平产生负面影响,尤其是对父亲而言。结果强调需要采用二元观点来理解孕妇及其伴侣在怀孕期间的结局。(PsycINFO 数据库记录(c)2019 APA,保留所有权利)。

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