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伴侣对怀孕的情绪反应在怀孕计划与产前心理健康之间起中介作用。

Partner's emotional reaction to pregnancy mediates the relationship between pregnancy planning and prenatal mental health.

机构信息

Reproductive Health Department, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Hezarjerib Av., Isfahan, Iran.

Reproductive Health Department, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

BMC Pregnancy Childbirth. 2021 Feb 27;21(1):168. doi: 10.1186/s12884-021-03644-5.

DOI:10.1186/s12884-021-03644-5
PMID:33639876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7913387/
Abstract

BACKGROUND

An unplanned pregnancy may be followed by increased depression and anxiety. The aim of the present study was to evaluate the mediating role of partner's emotional reaction to pregnancy (PERP) on the relationship between pregnancy planning and prenatal mental health.

METHODS

This cross-sectional study was conducted on 303 healthy Iranian pregnant women during their third trimester. The levels of depression and anxiety were measured using the Edinburgh Postnatal Depression Scale and the State-Trait Anxiety Inventory. The PERP score was also measured using a researcher-made questionnaire. The data were analyzed using the plug-in application PROCESS macro.

RESULTS

The results showed that PERP score was reversely related to pregnancy planning and prenatal depression and anxiety. The direct effect of the pregnancy planning on depression (c = -.05) and anxiety levels (c = -.02) were not significant; but the indirect effect of pregnancy planning on depression (Point Estimate = -.379, CI: -.523 to -.250) and anxiety levels (Point Estimate = -.560, CI: -.741 to -.385) with the mediating role of PERP were significant.

CONCLUSIONS

The results indicated that the effect of pregnancy planning on prenatal mental health is mediated by PERP, and in unplanned pregnancy women need to receive positive reaction of their partners toward pregnancy so that they can preserve their mental health.

摘要

背景

意外怀孕可能会导致抑郁和焦虑加剧。本研究旨在评估伴侣对怀孕的情绪反应（PERP）在怀孕计划与产前心理健康之间的关系中的中介作用。

方法

本横断面研究共纳入 303 名健康的伊朗孕妇，在其孕晚期进行研究。采用爱丁堡产后抑郁量表和状态-特质焦虑量表评估抑郁和焦虑水平。采用研究者自制的问卷评估 PERP 评分。采用 PROCESS 宏插件应用程序对数据进行分析。

结果

结果显示，PERP 评分与怀孕计划和产前抑郁、焦虑呈负相关。怀孕计划对抑郁（c=-.05）和焦虑水平（c=-.02）的直接效应不显著；但怀孕计划对抑郁（点估计值=-.379，CI：-.523 至-.250）和焦虑水平（点估计值=-.560，CI：-.741 至-.385）的间接效应，以及 PERP 的中介作用是显著的。

结论

结果表明，怀孕计划对产前心理健康的影响是通过 PERP 介导的，在非计划怀孕的女性中，需要得到伴侣对怀孕的积极反应，以便她们能够保持心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ed/7913387/41e985208909/12884_2021_3644_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ed/7913387/41e985208909/12884_2021_3644_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ed/7913387/41e985208909/12884_2021_3644_Fig1_HTML.jpg

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