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中国夫妻中产前压力与产前抑郁的相互作用:基于行为者-伴侣相互依赖模型

The interplay of prenatal stress and prenatal depression in Chinese couples: based on the actor-partner interdependence model.

作者信息

Liu Xiaoqing, Dong Yuting, Zhou Jungu, Lin Shiying, Liu Minghuan, Zeng Hang, Zhou Xiaowan, Song Yang, Xie Xiaoxu, Liao Qiuping, Lin Shaowei, Wu Siying

机构信息

Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, Fujian, China.

Fujian Maternity and Child Health Hospital, Fuzhou, Fujian, China.

出版信息

Front Psychiatry. 2025 Jul 31;16:1607470. doi: 10.3389/fpsyt.2025.1607470. eCollection 2025.

Abstract

OBJECTIVE

Pregnant women exhibit heightened stress susceptibility and elevated depression risk during gestation, factors associated with adverse outcomes including postpartum depression. Current research predominantly examines maternal experiences while neglecting spousal influences.

METHODS

The study surveyed 282 Chinese married couples using validated scales to assess prenatal stress and depression. And analysed dyadic data from expectant parents using the Actor-Partner Interdependence Model (APIM) to determine the pattern of action of prenatal stress on prenatal depression between couples by calculating the magnitude of the ratio between the partner effect and the actor effect.

RESULTS

The analysis revealed = 0.064, 95% (-0.113, 0.260) and = 0.064, 95% : (-0.118, 0.249). The confidence intervals for both and included zero, indicating an actor-only pattern in the APIM. Specifically, prenatal stress positively predicted one's own prenatal depression but did not significantly influence the partner's depression.

CONCLUSION

It is crucial to encourage couples to actively manage their stress levels during the prenatal period. This can help to reduce the negative psychological effects of prenatal stress, which may lead to improved pregnancy outcomes and postnatal health.

摘要

目的

孕妇在孕期表现出更高的压力易感性和更高的抑郁风险,这些因素与包括产后抑郁在内的不良后果相关。目前的研究主要考察母亲的经历,而忽视了配偶的影响。

方法

该研究使用经过验证的量表对282对中国已婚夫妇进行调查,以评估产前压力和抑郁情况。并使用actor - partner相互依赖模型(APIM)分析准父母的二元数据,通过计算伴侣效应与行为者效应之间的比值大小,来确定夫妻之间产前压力对产前抑郁的作用模式。

结果

分析显示β = 0.064,95%CI(-0.113,0.260)以及β = 0.064,95%CI:(-0.118,0.249)。β和β的置信区间都包含零,表明在APIM中存在仅行为者模式。具体而言,产前压力正向预测自身的产前抑郁,但对伴侣的抑郁没有显著影响。

结论

鼓励夫妻在孕期积极管理压力水平至关重要。这有助于减少产前压力的负面心理影响,进而可能改善妊娠结局和产后健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52c7/12352324/258093f4f2ea/fpsyt-16-1607470-g001.jpg

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