Kitamura T, Toda M A, Shima S, Sugawara K, Sugawara M
Department of Sociocultural Environmental Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, Chiba, Japan.
Psychiatry Clin Neurosci. 1998 Feb;52(1):37-45. doi: 10.1111/j.1440-1819.1998.tb00970.x.
In a questionnaire survey among 1329 first-trimester pregnant women, both the husband support measures and unwanted pregnancy ('stressor' agent in pregnancy) showed significant effects on an elevated score of the cognitive disturbance subscale of the Zung's self-rating depression scale (SDS), while only unwanted pregnancies showed an effect on an elevated score of the dysphoric mood subscale of the SDS. However, no interaction was observed between the husband support measures and unwanted pregnancy, therefore the effect of the husband's social support on the cognitive disturbance score was not that of a buffer, but rather a main effector. Finally, multiple regression analyses showed that the dysphoric mood score was preceded by unwanted pregnancy, premenstrual irritability, public self-consciousness, and maternal overprotection; while the cognitive disturbance score was preceded by unwanted pregnancy, husband reduced 'given' and 'giving' support, maternal reduced care and overprotection, paternal reduced care, low annual income, low private self-consciousness, and smoking. These findings suggest that the husband's support for a pregnant woman is effective only in reducing cognitive symptoms, and that different symptomatic constellations have different sets of psychosocial correlates.
在一项针对1329名孕早期孕妇的问卷调查中，丈夫支持措施和意外怀孕（孕期“应激源”因素）均对zung氏自评抑郁量表（SDS）认知障碍分量表得分升高有显著影响，而仅意外怀孕对SDS烦躁情绪分量表得分升高有影响。然而，未观察到丈夫支持措施与意外怀孕之间存在交互作用，因此丈夫的社会支持对认知障碍得分的影响并非缓冲作用，而是主要效应。最后，多元回归分析表明，烦躁情绪得分受意外怀孕、经前易怒、公众自我意识和母亲过度保护的影响；而认知障碍得分受意外怀孕、丈夫减少“给予”和“付出”支持、母亲减少关爱和过度保护、父亲减少关爱、低年收入、低个人自我意识和吸烟的影响。这些发现表明，丈夫对孕妇的支持仅在减轻认知症状方面有效，且不同症状组合有不同的心理社会相关因素。
