Maternal-Fetal Medicine Research Center, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Assistant Professor of Reproductive Health, Shiraz University of Medical Sciences, Shiraz, Iran.
BMC Psychol. 2024 Oct 18;12(1):575. doi: 10.1186/s40359-024-02078-w.
Abortion could impact the mental well-being of parents. Resilience also has a significant effect on the mental health of the family as a factor in coping with abortion. This study aimed to compare depression, anxiety, perceived stress, and resilience in parents after abortion.
The present longitudinal study was performed on 200 hospitalized women and their spouses in the post-partum department of Shiraz hospitals in 2023. The instruments used in this study included questionnaires of fertility and demographic characteristics, hospital depression and anxiety (HADS), Connor's resilience, and Cohen's perceived stress. Data analysis was performed using SPSS 25.
The mean age of the fathers was 35.37 ± 4.99 and that of mothers was 31.35 ± 6.23. The scores of parents' anxiety, depression, and perceived stress in the first 24 h after facing abortion were in the highest possible state and decreased in 12 weeks, and their resilience also increased. In all three time periods, the mean scores of the fathers' anxiety, depression, and perceived stress were lower than those of the mothers, but the mean score of resilience was always higher in fathers. Fathers´ age and mothers' age, mothers' age at the time of marriage, fathers' job, number of children, gender of the last child (boy or girl), and unwanted pregnancy were among the predicting variables of anxiety, depression, perceived stress, and resilience of both parents faced with abortion.
Although mental disorders in fathers were fewer than mothers compared to post-abortion resilience, identifying and managing these issues promptly is crucial for enhancing post-abortion mental well-being in both parents. How parents navigate the challenges of pregnancy, childbirth, and abortion can significantly impact the couple's health.
流产可能会影响父母的心理健康。韧性作为应对流产的一个因素，对家庭的心理健康也有重要影响。本研究旨在比较流产后父母的抑郁、焦虑、感知压力和韧性。
本纵向研究于 2023 年在设拉子医院的产后病房对 200 名住院妇女及其配偶进行。本研究使用的工具包括生育和人口统计学特征问卷、医院抑郁和焦虑量表（HADS）、Connor 的韧性量表和 Cohen 的感知压力量表。使用 SPSS 25 进行数据分析。
父亲的平均年龄为 35.37±4.99 岁，母亲的平均年龄为 31.35±6.23 岁。父母在面临流产后 24 小时内的焦虑、抑郁和感知压力评分处于最高水平，并在 12 周内下降，他们的韧性也增加。在所有三个时间段，父亲的焦虑、抑郁和感知压力的平均得分均低于母亲，但父亲的韧性平均得分始终较高。父亲的年龄和母亲的年龄、母亲结婚时的年龄、父亲的工作、孩子的数量、最后一个孩子的性别（男孩或女孩）和意外怀孕是父母面临流产时焦虑、抑郁、感知压力和韧性的预测变量。
尽管与流产后韧性相比，父亲的精神障碍少于母亲，但及时识别和管理这些问题对于增强父母双方流产后的心理健康至关重要。父母如何应对怀孕、分娩和流产的挑战会对夫妻的健康产生重大影响。
