Associations Between Fear of COVID-19, Mental Health, and Preventive Behaviours Across Pregnant Women and Husbands: An Actor-Partner Interdependence Modelling
Associations Between Fear of COVID-19, Mental Health, and Preventive Behaviours Across Pregnant Women and Husbands: An Actor-Partner Interdependence Modelling
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DOI：
10.1007/s11469-020-00340-x
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发表时间：
2020-06-11
影响因子：
8
通讯作者：
Pakpour, Amir H.
中科院分区：
文献类型：
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作者：
Ahorsu, Daniel Kwasi;Imani, Vida;Pakpour, Amir H.
这项横断面研究考察了在2020年第一波新冠肺炎疫情期间，伊朗孕妇及其丈夫之间对新冠肺炎恐惧的行为-伴侣相互依赖效应及其与心理健康和预防行为的关联。从伊朗综合保健系统的孕妇名单中随机挑选了290名孕妇及其丈夫(N=580)，邀请他们接受心理测量量表，评估对新冠肺炎的恐惧、抑郁、焦虑、自杀意图、精神生活质量和新冠肺炎预防行为。研究结果表明，丈夫和怀孕的妻子对新冠肺炎的恐惧、心理健康和预防行为之间存在显著的二元关系。孕期妻子对新冠肺炎的恐惧与抑郁、自杀意向、心理生活质量和新冠肺炎预防性行为显著相关，而与焦虑无关。此外，新冠肺炎恐惧的丈夫演员效应与抑郁、焦虑、自杀意向、精神生活质量和新冠肺炎预防行为显著相关。此外，在所有结果上，怀孕的妻子和她们的丈夫都观察到了显著的伴侣效应。本研究采用横断面设计，因此无法确定影响的机制或因果顺序。此外，这些数据主要基于自我报告的衡量标准，由于其潜在的社会合意性和回忆偏差，这些衡量标准具有一定的局限性。根据这一发现，夫妇可能会受益于心理教育，重点是心理健康问题对孕妇和胎儿的影响。
The present cross-sectional study examined the actor-partner interdependence effect of fear of COVID-19 among Iranian pregnant women and their husbands and its association with their mental health and preventive behaviours during the first wave of the COVID-19 pandemic in 2020. A total of 290 pregnant women and their husbands (N = 580) were randomly selected from a list of pregnant women in the Iranian Integrated Health System and were invited to respond to psychometric scales assessing fear of COVID-19, depression, anxiety, suicidal intention, mental quality of life, and COVID-19 preventive behaviours. The findings demonstrated significant dyadic relationships between husbands and their pregnant wives' fear of COVID-19, mental health, and preventive behaviours. Pregnant wives' actor effect of fear of COVID-19 was significantly associated with depression, suicidal intention, mental quality of life, and COVID-19 preventive behaviours but not anxiety. Moreover, a husband actor effect of fear of COVID-19 was significantly associated with depression, anxiety, suicidal intention, mental quality of life, and COVID-19 preventive behaviours. Additionally, there were significant partner effects observed for both the pregnant wives and their husbands concerning all outcomes. The present study used a cross-sectional design and so is unable to determine the mechanism or causal ordering of the effects. Also, the data are mainly based on self-reported measures which have some limitations due to its potential for social desirability and recall biases. Based on the findings, couples may benefit from psychoeducation that focuses on the effect of mental health problems on pregnant women and the foetus.