Escuela de Psicología, Facultad de Ciencias Sociales, Pontificia Universidad Católica de Chile, Chile.
Escuela de Psicología, Facultad de Ciencias Sociales, Pontificia Universidad Católica de Chile, Chile.
J Psychosom Res. 2020 Dec;139:110280. doi: 10.1016/j.jpsychores.2020.110280. Epub 2020 Oct 11.
To test the bidirectional relationships between physical health symptoms (PHS) and depressive symptoms (DS) as well as between the intensity of 'any pain' and DS in the pre- and postpartum period METHOD: Women (N = 615) completed the Edinburgh Postnatal Depression Scale, the Patients Health Questionnaire-15, and numerical pain rating scales when they were between 32 and 37 weeks of gestation, and subsequently one, three, and six months postpartum. We conducted two random intercept cross-lagged panel models (RI-CLPM) RESULTS: Both models presented excellent fits. The relationship between PHS and DS was bidirectional across all the data waves (χ(9) = 6.610, p = .678, CFI = 1, TLI = 1, RMSEA = 0). The magnitude of the standardized cross-lagged regression coefficient was relatively similar from DS to PHS (raging between 0.081 and 0.171); and from PHS to DS (raging between 0.121 and 0.138). The relationship between 'any pain' intensity and DS was also bidirectional, but only during the postnatal period (χ(9) =11.765, p = .227, CFI = 0.99, TLI = 0.98, RMSEA = 0.022). The magnitude of the standardized cross-lagged regression coefficient was higher from DS to 'any pain' intensity (raging between 0.214 and 0.216); than from 'any pain' intensity to DS (raging between 0.092 and 0.097).
Concurrently intervening over physical and mental health symptoms could promote women's perinatal health.
检验身体健康症状（PHS）与抑郁症状（DS）之间以及“任何疼痛”的强度与孕期前后 DS 之间的双向关系。
女性（N=615）在妊娠 32 至 37 周时完成爱丁堡产后抑郁量表、患者健康问卷-15 和数字疼痛评分量表，随后在产后 1、3 和 6 个月进行调查。我们进行了两个随机截距交叉滞后面板模型（RI-CLPM）。
两个模型拟合度都很好。PHS 与 DS 在所有数据波之间存在双向关系（χ(9)=6.610，p=0.678，CFI=1，TLI=1，RMSEA=0）。从 DS 到 PHS 的标准化交叉滞后回归系数的大小相对相似（范围在 0.081 和 0.171 之间）；从 PHS 到 DS 的大小也相似（范围在 0.121 和 0.138 之间）。“任何疼痛”强度与 DS 之间的关系也是双向的，但仅在产后期间存在（χ(9)=11.765，p=0.227，CFI=0.99，TLI=0.98，RMSEA=0.022）。从 DS 到“任何疼痛”强度的标准化交叉滞后回归系数的大小较高（范围在 0.214 和 0.216 之间）；而从“任何疼痛”强度到 DS 的大小较小（范围在 0.092 和 0.097 之间）。
同时干预身体和心理健康症状可以促进女性的围产期健康。
