College of Nursing, Eulji University, 77, Gyeryong-ro, 771 beon-gil, Jung-gu, Daejeon 34824, Korea.
Int J Environ Res Public Health. 2021 Jan 9;18(2):487. doi: 10.3390/ijerph18020487.
Prenatal depression is an important factor in predicting postpartum depression. Most studies have assessed factors affecting prenatal depression by focusing on pregnant wives. However, the emotional and psychological aspects of both expectant parents need to be considered. Therefore, the purpose of this study was to examine the effect of spouse-related stress in expectant couples on prenatal depression and investigate the mediating effects of marital intimacy on this relationship. A total of 120 expectant couples from two cities in Korea at more than 15 weeks of completed pregnancy participated in the study. Using a structured questionnaire, we assessed the general characteristics of the participants, spouse-related stress, prenatal depression, and marital intimacy. The results revealed that four actor effects and one partner effect were significant. Marital intimacy and prenatal depression among expectant parents were affected by spouse-related stress. Moreover, spouse-related stress in the husbands completely mediated marital intimacy in pregnant wives, demonstrating partner effects on prenatal depression in pregnant wives. Therefore, it was observed that paternal factors affect prenatal depression in pregnant wives. This warrants the inclusion of husbands in marital interventions and strategies to improve marital intimacy in pregnant wives.
产前抑郁是预测产后抑郁的一个重要因素。大多数研究通过关注孕妇妻子来评估影响产前抑郁的因素。然而，准父母的情绪和心理方面都需要考虑。因此，本研究旨在考察准配偶关系相关压力对产前抑郁的影响，并探讨婚姻亲密感在这种关系中的中介作用。共有来自韩国两个城市的 120 对妊娠 15 周以上的准配偶参与了这项研究。使用结构化问卷，我们评估了参与者的一般特征、配偶关系相关压力、产前抑郁和婚姻亲密感。结果显示，有四个自变量效应和一个因变量效应显著。配偶关系相关压力会影响准父母的婚姻亲密感和产前抑郁。此外，丈夫的配偶关系相关压力完全中介了孕妇妻子的婚姻亲密感，表明丈夫的配偶关系相关压力对孕妇妻子的产前抑郁存在因变量效应。因此，观察到父亲因素会影响孕妇妻子的产前抑郁。这表明需要将丈夫纳入婚姻干预措施和提高孕妇妻子婚姻亲密感的策略中。
