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促进孕期夫妇对抑郁的适应力:亲密关系满意度和自我同情的保护作用。

Promoting resilience to depression among couples during pregnancy: The protective functions of intimate relationship satisfaction and self-compassion.

机构信息

Department of Psychology, University of Nebraska-Lincoln, Lincoln, Nebraska, USA.

Department of Psychology, University of Maryland, Baltimore County, Maryland, USA.

出版信息

Fam Process. 2023 Mar;62(1):387-405. doi: 10.1111/famp.12788. Epub 2022 May 24.

Abstract

Pregnancy, while often marked by joy, may pose considerable risk for depression among parents. Against a backdrop of adverse life events, expectant parents may be even more vulnerable to developing symptoms of depression during the prenatal period. Thus, it is critical to identify sources of resilience that might facilitate a successful transition to parenthood among couples who have a history of adversity. Prior work suggests that interpersonal and intrapersonal factors associated with resilience, such as intimate relationship satisfaction and self-compassion (i.e., self-kindness, common humanity, and mindfulness), have the potential to attenuate prenatal depression among couples with a history of stressful life experiences. We tested this possibility in a sample of 159 couples navigating pregnancy. As predicted, a greater number of prior stressful life experiences was associated with increased depression symptom severity for both mothers and fathers. However, moderation analyses revealed the positive link between cumulative stressful life experiences and depression symptom severity was attenuated among mothers who reported greater self-compassion in the form of feelings of common humanity, and fathers who reported higher levels of intimate relationship satisfaction and self-compassion in the form of mindfulness. Findings suggest enhancing intimate relationship satisfaction and self-compassion among expectant couples may be valuable in attenuating prenatal depression among those with a greater history of adversity.

摘要

怀孕通常伴随着喜悦,但也可能给父母带来相当大的抑郁风险。在不利生活事件的背景下,准父母在产前期间更有可能出现抑郁症状。因此,识别可能有助于那些有逆境经历的夫妇成功过渡到父母身份的弹性来源至关重要。先前的研究表明,与弹性相关的人际和内在因素,如亲密关系满意度和自我同情(即自我友善、共同人性和正念),有可能减轻有压力生活经历的夫妇的产前抑郁。我们在 159 对经历怀孕的夫妇中测试了这种可能性。正如预测的那样,对于母亲和父亲来说,更多的先前压力生活经历与抑郁症状严重程度的增加有关。然而,调节分析显示,在报告共同人性感更强的自我同情形式以及报告亲密关系满意度和自我同情形式的正念更高的父亲中,累积的压力生活经历与抑郁症状严重程度之间的正相关减弱。研究结果表明,增强准父母的亲密关系满意度和自我同情可能有助于减轻那些有更多逆境经历的人的产前抑郁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ff/9899353/7c2565df582f/nihms-1866643-f0001.jpg

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