产前父母行为对首次为人父母者产后抑郁的影响

IF 2.3 3区 心理学 Q1 COMMUNICATION
Roi Estlein, D. Shai
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引用次数: 0

摘要

产后抑郁症(PPD)是妊娠和分娩中常见的心理健康并发症,对父母的健康和功能有长期和短期的影响。特别是,第一次为人父母似乎有很高的风险出现产后抑郁症状,因为向为人父母的转变会增加压力,并需要适应重大变化。先前的研究大多记录了个人特征,如产前抑郁和精神病史,作为PPD的预测因素,但对关系背景下的人际过程(如共租关系)对首次为人父母的PPD的潜在贡献知之甚少。有证据表明,共租动力学在出生前就开始发展,因此必须早在怀孕期间就考虑共租互动行为的特征,以确定这些行为是PPD的风险或保护因素。在目前的研究中,我们探讨了自己(演员)和伴侣观察到的产前共租行为作为母亲和父亲PPD的预测因素。一项针对107对准夫妇的混合方法纵向研究提供了伴侣双方的自我报告测量和产前、产后3个月和6个月互动任务的观察数据。APIM多层次模型分析显示,在首次为人父母的人群中,消极(即退缩和冲突)和积极(即沟通技能、支持和解决问题的尝试)的产前共租行为对PPD的预测作用都是独一无二的,超过了PPD的其他潜在预测因素,尽管在父亲和母亲之间发现了一些相似和不同之处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Actor and Partner Effects of Prenatal Coparenting Behavior on Postpartum Depression in First-Time Parents
Postpartum depression (PPD) is a common mental health complication of pregnancy and childbirth with long- and short-term consequences for the wellbeing and the functioning of parents. In particular, first-time parents seem to be at high risk for developing post-birth depressive symptoms as the transition to parenthood elevates stress and demands adjustment to significant changes. Prior research has mostly documented individual characteristics, such as prenatal depression and psychiatric history, as predictors of PPD, but much less is known about the potential contribution of interpersonal processes within relational contexts, such as the coparenting relationship, to PPD among first-time mothers and fathers. With evidence suggesting that coparenting dynamics start developing prior to the birth, it is imperative to consider characteristics of coparenting interaction behaviors as early as during pregnancy to identify such behaviors as risk or protective factors for PPD. In the current study, we explored one’s own (actor) and partner’s observed prenatal coparenting behaviors as predictors of mothers' and fathers' PPD. A mixed-method longitudinal study with 107 expectant couples provided both partners' self-report measures and observational data from interaction tasks prenatally, and at 3 and 6 months post-birth. APIM multilevel model analyses revealed that both negative (i.e., withdrawal and conflict) and positive (i.e., communication skills, support, and problem solving attempts) prenatal coparenting behaviors were uniquely predictive of PPD among first-time parents above and beyond other potential predictors of PPD, although several similarities and dissimilarities among fathers and mothers were detected.
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来源期刊
CiteScore
4.30
自引率
17.90%
发文量
187
期刊介绍: The Journal of Social and Personal Relationships is an international and interdisciplinary peer reviewed journal that publishes the highest quality original research on social and personal relationships. JSPR is the leading journal in the field, publishing empirical and theoretical papers on social and personal relationships. It is multidisciplinary in scope, drawing material from the fields of social psychology, clinical psychology, communication, developmental psychology, and sociology.
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