Prenatal couple relationship satisfaction, romantic attachment, and childbirth-related posttraumatic stress symptoms.

IF 2.1 4区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Journal of Reproductive and Infant Psychology Pub Date : 2025-01-19 DOI:10.1080/02646838.2025.2452908

Stephanie Alves, Margarida Pratas, Matilde Sousa, Daniela Fidalgo, Ana Morais, Inês Jongenelen, Diogo Lamela, Tiago Miguel Pinto, Raquel Costa

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引用次数: 0

Abstract

Background: Traumatic childbirth can lead to childbirth-related posttraumatic stress symptoms (CB-PTSS). Although underexplored, prenatal couple relationship satisfaction and romantic attachment orientations are modifiable factors that may increase or mitigate the risk of CB-PTSS after a traumatic childbirth experience.

Objectives: This study examined (1) the associations between prenatal couple relationship satisfaction and romantic attachment, traumatic childbirth and CB-PTSS; (2) whether prenatal couple relationship satisfaction moderates the association between traumatic childbirth and CB-PTSS; and (3) whether the interaction between prenatal couple relationship satisfaction and romantic attachment moderates the association between traumatic childbirth and CB-PTSS.

Method: The sample included 162 mothers from a Portuguese longitudinal cohort who completed self-report questionnaires at the third trimester of pregnancy (T1) and at two months postpartum (T2), on sociodemographic, mental health-related, and obstetric data (T1 and T2), couple relationship satisfaction (T1), romantic attachment (T1), traumatic childbirth experience (T2) and CB-PTSS (T2). Hierarchical regression analyses and moderated moderation models were performed.

Results: Lower prenatal couple relationship satisfaction predicted greater CB-PTSS severity, before accounting for attachment-related anxiety and avoidance. Attachment-related anxiety predicted greater CB-PTSS severity. The association between traumatic childbirth experience and CB-PTSS severity was only significant at low levels of prenatal couple relationship satisfaction and medium or high levels of attachment-related anxiety.

Conclusions: Especially in mothers reporting higher attachment-related anxiety, lower prenatal couple relationship satisfaction seems to increase the risk of CB-PTSS following the experience of a traumatic childbirth. Couple relationship satisfaction and romantic attachment orientations should be assessed during routine prenatal screenings, along with childbirth experiences.

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产前夫妻关系满意度，浪漫依恋和分娩相关的创伤后应激症状。

背景：创伤性分娩可导致分娩相关的创伤后应激症状（CB-PTSS）。尽管尚未充分研究，产前夫妻关系满意度和浪漫依恋取向是可改变的因素，可能会增加或减轻创伤性分娩经历后cb - ptsd的风险。目的：本研究探讨(1)产前夫妻关系满意度与浪漫依恋、创伤性分娩和cb - ptsd的关系；(2)产前夫妻关系满意度是否调节创伤性分娩与cb - ptsd的关系；(3)产前夫妻关系满意度和浪漫依恋的交互作用是否调节创伤性分娩与cb - ptsd的关系。方法：样本包括来自葡萄牙纵向队列的162名母亲，她们在妊娠晚期（T1）和产后两个月（T2）完成了自我报告问卷，内容包括社会人口学、心理健康、产科（T1和T2）、夫妻关系满意度（T1）、浪漫依恋（T1）、创伤性分娩经历（T2）和CB-PTSS （T2）。进行了层次回归分析和有调节调节模型。结果：在考虑依恋相关焦虑和回避之前，较低的产前夫妻关系满意度预示着较高的CB-PTSS严重程度。依恋相关焦虑预示着更严重的CB-PTSS。创伤性分娩经历与CB-PTSS严重程度之间的关联仅在低水平的产前夫妻关系满意度和中高水平的依恋相关焦虑中显着。结论：特别是在报告依恋相关焦虑的母亲中，较低的产前夫妻关系满意度似乎增加了创伤性分娩后发生CB-PTSS的风险。夫妻关系满意度和浪漫依恋取向应该在常规产前筛查和分娩经历中进行评估。

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来源期刊

Journal of Reproductive and Infant Psychology PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

6.80

自引率

8.00%

发文量

期刊介绍： The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.