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产前关系美满,产后妈妈健康:一项关于关系满意度、产后压力和健康的前瞻性研究。

Happy prenatal relationships, healthy postpartum mothers: a prospective study of relationship satisfaction, postpartum stress, and health.

机构信息

Department of Psychology, McGill University, Montreal, Canada.

Department of Psychology, University of Waterloo, Waterloo, Canada.

出版信息

Psychol Health. 2021 Apr;36(4):461-477. doi: 10.1080/08870446.2020.1766040. Epub 2020 May 24.

Abstract

Major life transitions, such as the arrival of a new baby, can be stressful, and therefore, costly to one's health. Being in a satisfying romantic relationship has been previously linked with better health, perhaps because it provides access to a bank of psychosocial resources. The objective of the present research was two-fold. First, we examined whether prenatal relationship satisfaction benefitted mothers' postpartum health. Second, we examined whether this association was mediated by reduced postpartum stress. Pregnant women ( = 431) were drawn from a larger prospective pregnancy and birth cohort study. Participants reported on their relationship satisfaction, perceived stress, and perceived health at two time points: 24-26 weeks of gestation and 6 months postpartum. Greater prenatal romantic satisfaction predicted enhanced perceived postpartum health, and reduced perceived postpartum stress appeared to mediate this link. This research demonstrates that greater prenatal relationship satisfaction is associated with better postpartum health and provides evidence for one potential mechanism for this link: the reduction of perceived postpartum stress. Thus, assessments of women's prenatal relationship satisfaction may help identify those who are at higher risk of experiencing poor postpartum health. Implications for interventions are discussed.

摘要

重大的生活转变,如新生儿的到来,可能会带来压力,从而对健康造成损害。之前的研究表明,满意的浪漫关系与更好的健康有关,也许是因为它提供了获取心理社会资源的途径。本研究旨在探究两个问题。首先,我们考察了产前关系满意度是否有益于母亲产后的健康。其次,我们考察了这种关联是否通过降低产后压力来实现。从一个更大的前瞻性妊娠和分娩队列研究中抽取了孕妇(n=431)。参与者在两个时间点报告了他们的关系满意度、感知压力和感知健康:妊娠 24-26 周和产后 6 个月。较高的产前浪漫满意度预示着产后感知健康的增强,而感知压力的降低似乎介导了这种关系。这项研究表明,较高的产前关系满意度与更好的产后健康有关,并为这种关系的潜在机制提供了证据:即感知产后压力的降低。因此,对女性产前关系满意度的评估可能有助于识别那些产后健康状况较差的高风险人群。讨论了干预措施的意义。

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