MARITAL RELATIONSHIP AND ATTACHMENT PREDICTORS OF POSTPARTUM STRESS, ANXIETY, AND DEPRESSION SYMPTOMS
MARITAL RELATIONSHIP AND ATTACHMENT PREDICTORS OF POSTPARTUM STRESS, ANXIETY, AND DEPRESSION SYMPTOMS
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DOI：
10.1521/jscp.2016.35.4.322
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发表时间：
2016-04-01
影响因子：
1.7
通讯作者：
Brown, Rhonda
中科院分区：
文献类型：
--
作者：
Clout, Danielle;Brown, Rhonda
本文的目的是评估孕期依恋回避和焦虑以及婚姻关系质量与产后抑郁、焦虑和压力表达的关系。一百五名女性在妊娠晚期和产后四到六个月期间参加了一项两阶段纵向研究。他们在第一时间完成了依恋和关系测量，并在两个时间完成了压力、焦虑和抑郁的测量。情感表达和二元满意度的婚姻关系变量显着预测产后抑郁水平，而二元满意度显着预测焦虑水平。没有变量可以预测母亲的压力水平。中介分析表明，二元满意度显着介导了高依恋焦虑与更严重的焦虑和抑郁之间的关系，以及高依恋回避与后来的焦虑和抑郁之间的关系。研究结果表明，婚姻关系质量可能比依恋回避和焦虑的工作模式更大程度地促进新妈妈情感症状的发展。临床上，结果表明伴侣关系应该成为临床医生在围产期的重点关注点。提供旨在改善关系功能的心理干预措施可能有助于保护新妈妈免受心理困扰。
The purpose of this paper was to evaluate the relationship between attachment-avoidance and-anxiety, and marital relationship quality during pregnancy to the expression of depression, anxiety, and stress postpartum. One-hundred-five women participated in a two-phase longitudinal study during the third trimester of pregnancy and at four to six months postpartum. They completed the attachment and relationship measures at Time 1, and the measures of stress, anxiety, and depression at both times. The marital relationship variables of affectional expression and dyadic satisfaction significantly predicted depression levels postpartum, whereas dyadic satisfaction significantly predicted anxiety levels. No variables predicted maternal stress levels. Mediational analyses indicated that dyadic satisfaction significantly mediated the relationships between high attachment-anxiety to worse anxiety and depression, and also the relationship between high attachment-avoidance to later anxiety and depression. The study results suggest that marital relationship quality may contribute to the development of affective symptoms in new mothers to a greater degree than working models of attachment-avoidance and-anxiety. Clinically, the results suggest that partner relationships should be a key focus for clinicians in the perinatal period. The provision of psychological interventions aimed at improving relationship functioning may help to protect new mothers against psychological distress.