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围产期家庭负面模式:对墨西哥裔女性心理健康的影响。

Patterns of family negativity in the perinatal period: Implications for mental health among Mexican-origin women.

机构信息

Department of Psychology.

出版信息

J Fam Psychol. 2020 Aug;34(5):642-651. doi: 10.1037/fam0000648. Epub 2020 Mar 12.

Abstract

Negativity in the family environment during the perinatal period is likely to have detrimental effects on maternal well-being, especially among low-income ethnic minority mothers who are at increased risk for experiencing postpartum depressive symptoms. With a sample of 322 Mexican and Mexican American families, this study used latent class growth analysis to identify meaningful subgroups of women based on their perceived family negativity reported prenatally and at 6, 12, 18, and 24 weeks postpartum. A 4-trajectory model of family negativity fit the data well: low-stable (58%), moderate-increasing (26%), high-decreasing (8%), and high-increasing (8%). Higher prenatal depressive symptomatology predicted membership in the moderate-increasing, high-decreasing, and high-increasing trajectories, relative to the low-stable trajectory. Findings suggest substantial heterogeneity in family negativity, identifying three significant growth patterns during the perinatal period with differential implications for maternal depressive symptomatology at 24 weeks and 12 months after delivery. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

摘要

围产期家庭环境中的消极因素可能对产妇的健康产生不利影响,尤其是在那些面临产后抑郁症状风险增加的低收入少数民族母亲中。本研究采用潜在类别增长分析,以 322 名墨西哥和墨西哥裔美国家庭为样本,根据其在产前和产后 6、12、18 和 24 周报告的感知家庭消极情况,识别出具有意义的女性亚组。家庭消极的 4 轨迹模型很好地拟合了数据:低稳定(58%)、中等增加(26%)、高下降(8%)和高增加(8%)。与低稳定轨迹相比,较高的产前抑郁症状预示着中等增加、高下降和高增加轨迹的成员身份。研究结果表明,家庭消极存在很大的异质性,确定了围产期期间的三种显著增长模式,对产后 24 周和 12 个月的产妇抑郁症状有不同的影响。

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