Allsop David B, Nesbitt-Daly Kathleen, Péloquin Katherine, Cockwell Heather, Rosen Natalie O
Department of Psychological Sciences, Northern Arizona University.
Department of Psychology and Neuroscience, Dalhousie University.
J Fam Psychol. 2025 Aug;39(5):627-638. doi: 10.1037/fam0001357. Epub 2025 May 29.
Pregnancy loss disrupts couples' sexual well-being, which is crucial to health and relationship quality, yet it is unclear what predicts sexual well-being postloss. Symbolic interactionism theory and prior literature point to perinatal grief as one potential predictor. Thus, our objective was to examine how perinatal grief of either couple member relates longitudinally to both couple members' sexual well-being after a pregnancy loss. We conducted multilevel structural equation modeling assessing whether fluctuations in perinatal grief were associated with fluctuations in sexual well-being for oneself and a partner among 109 couples who experienced a pregnancy loss in the past 4 months and who completed four monthly surveys. We also tested whether those with the highest average perinatal grief had the lowest average sexual well-being. When either partner reported greater than typical perinatal grief, both couple members reported lower than typical sexual satisfaction and sexual desire, and higher than typical sexual function problems and sexual distress. Those with the highest average perinatal grief had the lowest average sexual satisfaction and highest average sexual function problems and sexual distress. Higher perinatal grief may be a risk factor for lower sexual well-being. Couples who grieve effectively postloss may better manage sexual challenges. Practitioners can screen couples for perinatal grief as they assess impacts to sexuality, refer them to grief resources to promote sexual well-being, and invite them to discuss how meanings around sex may have changed postloss. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
妊娠丢失会破坏夫妻的性健康，而性健康对健康和关系质量至关重要，但目前尚不清楚是什么因素预测了妊娠丢失后的性健康状况。符号互动理论和先前的文献指出围产期悲伤是一个潜在的预测因素。因此，我们的目标是研究夫妻双方的围产期悲伤如何在纵向层面上与妊娠丢失后双方的性健康状况相关联。我们进行了多层次结构方程建模，评估了在过去4个月内经历过妊娠丢失且完成了4次月度调查的109对夫妻中，围产期悲伤的波动是否与自身及伴侣的性健康波动相关。我们还测试了平均围产期悲伤程度最高的人是否平均性健康状况最差。当夫妻一方报告围产期悲伤程度高于正常水平时，双方报告的性满意度和性欲均低于正常水平，性功能问题和性困扰则高于正常水平。平均围产期悲伤程度最高的人平均性满意度最低，性功能问题和性困扰的平均水平最高。较高的围产期悲伤可能是性健康状况较差的一个风险因素。在妊娠丢失后能够有效悲伤的夫妻可能能更好地应对性方面的挑战。从业者在评估对性的影响时，可以筛查夫妻的围产期悲伤情况，为他们提供悲伤应对资源以促进性健康，并邀请他们讨论妊娠丢失后性观念可能发生的变化。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
