The Impact of Postpartum Posttraumatic Stress and Depression Symptoms on Couples' Relationship Satisfaction: A Population-Based Prospective Study.
The Impact of Postpartum Posttraumatic Stress and Depression Symptoms on Couples' Relationship Satisfaction: A Population-Based Prospective Study.
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DOI：
10.3389/fpsyg.2018.01728
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发表时间：
2018
影响因子：
3.8
通讯作者：
Eberhard-Gran M
中科院分区：
文献类型：
--
作者：
Garthus-Niegel S;Horsch A;Handtke E;von Soest T;Ayers S;Weidner K;Eberhard-Gran M
在向父母过渡的过程中和幼儿时期，夫妻关系尤为重要，因为它关系到伴侣、子女和家庭的福祉和心理健康。可能会对产后关系质量和夫妻满意度产生重大影响的一个因素是女性的分娩经历。大约2-4%的妇女在分娩后患上创伤后应激障碍（PTSD），对妇女本身及其家庭可能产生广泛的负面影响。到目前为止，一些定性研究探讨了产后PTSD对夫妻关系满意度的影响。然而，定量研究很少，结果好坏参半，方法也有局限性。我们假设，产后PTSD将与低夫妻关系满意度前瞻性相关，即使考虑到各种潜在的混杂变量，产后PTSD症状对夫妻关系满意度的影响将由产后抑郁症状介导。本研究基于阿克尔舒斯出生队列研究（一项前瞻性队列研究）的数据。使用了来自医院记录和在孕17周以及产后8周和2年完成的问卷调查的信息（n = 1480）。创伤后应激障碍症状的影响事件量表和夫妻关系满意度进行了评估，使用修改后的版本的Mehrabians婚姻满意度量表。采用爱丁堡产后抑郁量表评估抑郁症状。数据进行了分析，采用双变量相关性，多元回归分析，中介分析。产后PTSD症状与产后2年的低夫妻关系满意度相关，即使在控制了相当多的背景因素后。当将产后抑郁症状作为预测因素纳入分析时，产后PTSD的影响不再显著。此外，更详细的分析表明，产后抑郁症状作为一个显着的中介，充分解释了产后PTSD与夫妻关系满意度的关联。及早发现夫妻关系问题并提供专业帮助，特别是在高风险夫妻中，不仅可以改善夫妻关系的质量，还可以改善养育子女的工作，促进儿童的积极成果。
The couple relationship is of particular importance in the transition to parenthood and in the early childhood years because it is related to the well-being and mental health of partners, children, and the family. One factor that may substantially influence relationship quality and couple satisfaction after childbirth is the woman’s experience of birth. Approximately 2–4% of women develop posttraumatic stress disorder (PTSD) after childbirth, with potentially wide-ranging negative consequences for the women themselves and their families. To date, some qualitative studies have explored the influence of postpartum PTSD on couple relationship satisfaction. However, quantitative studies are sparse, with mixed results and methodological limitations. We hypothesized that postpartum PTSD will be prospectively associated with low couple relationship satisfaction, even when taking into account a variety of potential confounding variables, and that the effect of postpartum PTSD symptoms on couple relationship satisfaction will be mediated by postpartum depression symptoms. This study is based on data from the Akershus Birth Cohort study, a prospective cohort study. Information from hospital records and questionnaires completed at 17 weeks gestational age, as well as at 8 weeks and 2 years postpartum were used (n = 1480). PTSD symptoms were measured by the Impact of Event Scale and couple relationship satisfaction was assessed using a modified version of the Mehrabians Marital Satisfaction Scale. Depressive symptoms were assessed by the Edinburgh Postnatal Depression Scale. Data were analyzed using bivariate correlations, multivariate regression analyses, and mediation analyses. Postpartum PTSD symptoms were prospectively related to low couple relationship satisfaction at 2 years postpartum, even when controlling for a considerable number of background factors. When including postpartum depression symptoms as predictor in the analyses, the effect of postpartum PTSD was no longer significant. Moreover, more detailed analyses showed that postpartum depression symptoms acted as a significant mediator, fully explaining the association of postpartum PTSD with couples’ relationship satisfaction. Early detection of couples’ relationship problems and the provision of professional help, particularly in high-risk couples may not only improve the quality of the couple relationship but also improve parenting and promote positive child outcomes.
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影响因子：
3.1
作者：
Garthus-Niegel S;von Soest T;Knoph C;Simonsen TB;Torgersen L;Eberhard-Gran M
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影响因子：
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