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Associations between dyadic coping, marital satisfaction, and prenatal depression symptoms among couples with gestational diabetes mellitus. 妊娠期糖尿病夫妇的夫妻应对、婚姻满意度和产前抑郁症状之间的关系。
IF 2.1 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-03 DOI: 10.1080/02646838.2024.2411274
Rong-Rong Han, Ling-Ling Gao

Aims/background: Coping with gestational diabetes mellitus (GDM) presents significant challenges for pregnant women and their partners, which may result in elevated prenatal depression symptoms. However, research has predominantly centred on pregnant women with GDM, with little involvement of their partners. To understand their dyadic interactions, it is imperative to involve GDM couples in the study. This study aims to examine the interplay between dyadic coping and prenatal depression symptoms among GDM couples and to explore the possible mediating role of marital satisfaction.

Design/method: A cross-sectional study was conducted in Guangzhou, China. A total of 400 couples completed the Dyadic Coping Inventory, Locke-Wallace Marital Adjustment Scale, Edinburgh Postnatal Depression Scale, and sociodemographic data sheet. The actor-partner interdependence mediation model was utilised for dyadic data analysis.

Results: Overall, 13.0% of pregnant women with GDM and 8.3% of partners experienced elevated prenatal depression symptoms. Dyadic coping was directly or indirectly related to their own and partners' prenatal depression symptoms in GDM couples, with marital satisfaction acting as a mediator. Specifically, positive dyadic coping was associated with lower prenatal depression symptoms, while negative dyadic coping exhibited an opposite relationship.

Conclusion: The prevalence of elevated prenatal depression symptoms was high in GDM couples. It is important to view pregnant women with GDM and their partners as a dyad of a transactional system in prenatal clinical care. Couple-centred interventions targeting to enhance positive dyadic coping and mitigate negative dyadic coping might be beneficial to prevent and alleviate prenatal depression symptoms.

目的/背景:应对妊娠糖尿病(GDM)给孕妇及其伴侣带来了巨大挑战,可能导致产前抑郁症状加重。然而,研究主要集中在患有 GDM 的孕妇身上,很少涉及她们的伴侣。为了了解他们之间的相互作用,必须让 GDM 夫妇参与研究。本研究旨在探讨 GDM 夫妇的双向应对与产前抑郁症状之间的相互作用,并探讨婚姻满意度可能起到的中介作用:在中国广州进行了一项横断面研究。共有 400 对夫妇填写了 "夫妻应对量表"、"洛克-华莱士婚姻适应量表"、"爱丁堡产后抑郁量表 "和社会人口学数据表。结果显示,13.0%的孕产妇在产后出现抑郁:总体而言,13.0% 的 GDM 孕妇和 8.3% 的伴侣出现了产前抑郁症状。在 GDM 夫妇中,夫妻双方的应对方式直接或间接地与他们自己和伴侣的产前抑郁症状有关,而婚姻满意度则是其中的一个中介。具体来说,积极的夫妻应对方式与较低的产前抑郁症状相关,而消极的夫妻应对方式则表现出相反的关系:结论:在 GDM 夫妇中,产前抑郁症状升高的发生率很高。在产前临床护理中,将患有 GDM 的孕妇及其伴侣视为一个交易系统中的二元组合非常重要。以夫妇为中心的干预措施,旨在加强积极的夫妇应对方式和减轻消极的夫妇应对方式,可能对预防和缓解产前抑郁症状有益。
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引用次数: 0
Routine third-trimester ultrasonography and child neurodevelopmental outcomes: a follow-up of a pragmatic cluster-randomised controlled trial. 常规第三孕期超声波检查和儿童神经发育结果:实用分组随机对照试验的后续研究。
IF 2.1 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-02 DOI: 10.1080/02646838.2024.2409145
Jens Henrichs, Marielle van Roekel, Anke B Witteveen, Michael Veder, Yoni Feenstra, Arie Franx, Marlou L A de Kroon, Anneloes van Baar, Corine J Verhoeven, Ank de Jonge

Aims/background: Routine third-trimester ultrasonography is increasingly conducted to screen for foetal growth restriction (FGR) and reduce adverse perinatal and child neurodevelopmental outcomes using timely obstetric management. While it did not reduce adverse perinatal outcomes in previous trials, evidence regarding its association with child neurodevelopmental outcome is absent. We examined whether routine third-trimester ultrasonography is positively associated with child developmental and behavioural/emotional outcomes compared to usual care.

Design/methods: Dutch mothers with a low-risk pregnancy participating in a subsample (n = 1070) of a nationwide cluster-randomised trial reported infant (age 6 months) and toddler (age 28 months) developmental milestones (Ages and Stages Questionnaire) and toddlers' internalising and externalising problems (Child Behavior Checklist). Usual care (n = 380) comprised selective ultrasonography. The intervention strategy (n = 690) included two routine third-trimester ultrasounds next to usual care. Both strategies applied the same interdisciplinary protocol for FGR detection and management.

Results: Adjusted linear mixed-level regressions revealed that routine third-trimester ultrasonography was positively but modestly related to z-standardised infant developmental milestones at 6-month follow-up, B = 0.20, 95%CI [0.07; 0.32], p = 0.003, compared to usual care. At 28-month follow-up, these strategies did not differ in child developmental outcome and internalising and externalising problems.

Conclusion: Routine third-trimester ultrasonography was positively but modestly associated with infant development. In toddlerhood, routine ultrasonography was not related to child developmental and behavioural/emotional outcomes. Overall, these findings do not support the implementation of routine third-trimester ultrasonography for low-risk pregnant women for reasons concerning children's early neurodevelopmental outcomes.

目的/背景:常规第三孕期超声检查越来越多地用于筛查胎儿生长受限(FGR),并通过及时的产科管理减少围产期和儿童神经发育的不良后果。虽然在以往的试验中,超声检查并未减少围产期不良结局,但却缺乏有关超声检查与儿童神经发育结局相关性的证据。我们研究了与常规护理相比,常规第三孕期超声波检查是否与儿童发育和行为/情感结局呈正相关:荷兰低风险妊娠母亲参与了一项全国性群组随机试验的子样本(n = 1070),并报告了婴儿(6 个月大)和幼儿(28 个月大)的发育里程碑(年龄与阶段问卷)以及幼儿的内化和外化问题(儿童行为检查表)。常规护理(n = 380)包括选择性超声波检查。干预策略(n = 690)除了常规护理外,还包括两次第三胎常规超声波检查。两种策略均采用相同的跨学科方案进行FGR检测和管理:调整后的线性混合水平回归显示,与常规护理相比,常规第三孕期超声波检查与6个月随访时婴儿发育里程碑的z标准化呈正相关,但关系不大,B=0.20,95%CI [0.07; 0.32],P=0.003。在28个月的随访中,这些策略在儿童发育结果、内化和外化问题方面没有差异:结论:常规第三孕期超声波检查与婴儿发育呈正相关,但关系不大。在幼儿期,常规超声波检查与儿童发育和行为/情绪结果无关。总体而言,这些研究结果并不支持出于对儿童早期神经发育结果的考虑,对低风险孕妇实施常规第三孕期超声波检查。
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引用次数: 0
Evaluating the factor structure of the pregnancy-related anxiety scale: implications for maternal and infant wellbeing. 评估孕期焦虑量表的因子结构:对母婴健康的影响。
IF 2.1 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-30 DOI: 10.1080/02646838.2024.2409146
Frances C Calkins, Lauren M Laifer, Rachel C B Beck, Sarah J Gervais, Rebecca L Brock

Aims/background: Although the Pregnancy-Related Anxiety Scale - also referred to as the Pregnancy-Related Thoughts Scale (PRT) - is one of the most widely utilised measures of pregnancy-related anxiety (PrA), there is limited research exploring its factor structure and psychometric properties. The present study sought to (a) explore the factor structure of the PRT and (b) examine whether specific dimensions of PrA differentially predict postpartum outcomes.

Design/methods: A community sample of pregnant women (N = 159) was recruited from a Midwestern city in the United States and completed the PRT alongside other self-report measures of stress and maternal health and mood during pregnancy. Participants also completed measures of maternal health and mood, as well as parenting/infant outcomes, at 1- and 6-months postpartum.

Results: Results provided support for a bifactor model with two unique dimensions of the PRT capturing baby- and self-focused concerns, respectively. Maternal self-focused PrA uniquely predicted postpartum internalising problems (β = .22), worse physical health (β = -.27), and impaired mother-infant bonding (β = .19) when controlling for baby-focused and general PrA.

Conclusion: Findings highlight the utility of screening for specific dimensions of PrA to promote both maternal and infant wellbeing following childbirth. Specifically, evidence suggests that screening for self-focused PrA, above and beyond baby-focused PrA, might facilitate prevention and intervention efforts and allow researchers to better understand antecedents and consequences of unique facets of PrA.

目的/背景:尽管妊娠相关焦虑量表(又称妊娠相关想法量表(PRT))是最广泛使用的妊娠相关焦虑(PrA)测量方法之一,但对其因子结构和心理测量特性的研究却很有限。本研究旨在:(a)探索 PRT 的因子结构;(b)研究 PrA 的特定维度是否能以不同方式预测产后结果:从美国中西部的一个城市招募了一个孕妇社区样本(N = 159),她们在完成 PRT 的同时还完成了其他有关孕期压力、产妇健康和情绪的自我报告测量。参与者还完成了产后 1 个月和 6 个月的产妇健康和情绪以及养育/婴儿结果的测量:结果:研究结果支持双因素模型,PRT 的两个独特维度分别捕捉了以婴儿和自我为中心的关注点。在控制了以婴儿为中心的PRA和一般PRA的情况下,母亲以自我为中心的PRA可独特地预测产后内化问题(β = .22)、更差的身体健康(β = -.27)和受损的母婴关系(β = .19):结论:研究结果表明,筛查 PrA 的特定维度对促进产后母婴健康非常有用。具体而言,有证据表明,在关注婴儿的 PrA 之外,筛查关注自我的 PrA 可能有助于预防和干预工作,并使研究人员更好地了解 PrA 独特方面的前因后果。
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引用次数: 0
Feelings, thoughts and experiences of fathers in the early postpartum period: a phenomenological study. 产后初期父亲的感受、想法和经历:一项现象学研究。
IF 2.1 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-30 DOI: 10.1080/02646838.2024.2409149
Sadiye Ozcan, Nurcan Kirca

Aims/background: Transition to parenthood is a complex and challenging situation not only for mothers but also for fathers. In this process, fathers' feelings, thoughts and experiences are very important. This study aims to understand fathers' feelings, thoughts and experiences in the early postpartum period.

Design/methods: The descriptive phenomenological design was used in this study. Data were collected from 13 fathers through in-depth interviews. The content analysis method was used in data analysis.

Results: The following three themes were identified regarding the experiences of fathers in the early postpartum period: 'need for support', 'difficulties of being a father' and 'recommendations'. The fathers had more needs and inadequate support in their transition to the fatherhood role.

Conclusion: All these results suggest that they faced many challenges in the early postpartum period. Sleep deprivation, being tired, having a restricted social life and increased responsibilities, and experiencing postpartum psychological fluctuations were some of these difficulties. In order to overcome these difficulties, they needed financial and moral support. The fathers who participated in the present study stated that they did not receive enough training and support from healthcare professionals. Healthcare professionals should keep in mind that not only of mothers and babies but also of fathers have needs to be met.

目的/背景:为人父母的过渡不仅对母亲,而且对父亲来说都是一个复杂而具有挑战性的问题。在这一过程中,父亲的感受、想法和经历非常重要。本研究旨在了解父亲在产后早期的感受、想法和经历:本研究采用描述性现象学设计。通过深入访谈收集了 13 位父亲的数据。数据分析采用了内容分析法:关于父亲在产后初期的经历,确定了以下三个主题:"需要支持"、"作为父亲的困难 "和 "建议"。父亲们在向父亲角色过渡的过程中需要更多的支持,但却得不到足够的支持:所有这些结果都表明,他们在产后初期面临着许多挑战。睡眠不足、疲倦、社交生活受限、责任增加、产后心理波动等都是他们面临的困难。为了克服这些困难,他们需要经济和精神上的支持。参与本研究的父亲们表示,他们没有从医护人员那里得到足够的培训和支持。医护人员应牢记,不仅是母亲和婴儿,父亲也有需要得到满足的地方。
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引用次数: 0
Midwives' perspectives and perceptions in relation to perinatal psychotic-like experiences: a qualitative study. 助产士对围产期精神病样经历的观点和看法:一项定性研究。
IF 2.5 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-18 DOI: 10.1080/02646838.2024.2405122
Molly Turgoose,William Sellwood,Elizabeth Chamberlain,Craig D Murray
BACKGROUNDPsychotic-like experiences (PLEs) refer to subclinical experiences consistent with psychosis that may include hearing, feeling or seeing things that others cannot, or experiencing unusual beliefs. These experiences appear to be more common during the perinatal period. There appear to be barriers which make it difficult for midwives to support mothers with mental health difficulties. However, it is important that midwives can provide support with PLEs.AIMThis study aimed to explore UK midwives' perspectives and perceptions relating to mothers' psychotic-like experiences in the perinatal period.METHODSA qualitative study using semi-structured interviews with ten midwives recruited online was conducted. Transcripts were analysed using thematic analysis.RESULTSFour themes were developed: (1) Identifying psychotic-like experiences would be complicated; (2) Psychotic-like experiences can feel overwhelming for women and midwives; (3) This is my responsibility: I'll do what I can to support women even if it's hard; and (4) The system feels unsafe and insecure which makes the anticipated role in supporting psychotic-like experiences harder.CONCLUSIONMidwives described their motivation to support mothers with PLEs but articulated many factors that made this difficult. The results emphasise the importance of training and guidance for midwives to support them being able to offer support and information to mothers. The findings also highlight the importance of systemic safety for midwives alongside support through supervision and reflective practice.
背景精神病样经历(PLEs)是指与精神病一致的亚临床经历,可能包括听到、感觉到或看到别人看不到的东西,或经历不寻常的信念。这些经历似乎在围产期更为常见。助产士在为有心理健康问题的母亲提供支持时似乎会遇到一些障碍。本研究旨在探讨英国助产士对围产期母亲精神病样经历的观点和看法。方法本研究采用半结构式访谈的方式对网上招募的 10 名助产士进行了定性研究。结果形成了四个主题:(1)识别类似精神病的经历会很复杂;(2)类似精神病的经历会让产妇和助产士感到不知所措;(3)这是我的责任:结论助产士描述了她们为有 PLE 的母亲提供支持的动机,但也阐明了许多导致支持困难的因素。研究结果强调了对助产士进行培训和指导的重要性,以帮助她们为母亲提供支持和信息。研究结果还强调了助产士系统安全的重要性,以及通过督导和反思实践提供支持的重要性。
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引用次数: 0
Translation and validation of the Czech Partner version of the Birth Satisfaction Scale-Revised (BSS-R) 出生满意度量表(BSS-R)捷克合作伙伴版本的翻译和验证
IF 2.5 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-13 DOI: 10.1080/02646838.2024.2401828
Alena Lochmannová, Caroline J. Hollins Martin, Colin R. Martin
The Birth Satisfaction Scale-Revised (BSS-R) is a widely used, psychometrically robust and brief self-report measure of birth experience from the mothers perspective. The current study sought to ad...
分娩满意度量表-修订版(BSS-R)是一种被广泛使用的、心理测量学上可靠的、简短的自我报告测量方法,它从母亲的角度来测量分娩体验。目前的研究旨在为产妇提供更多的信息。
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引用次数: 0
A hopeful future: a qualitative investigation of positive psychological functioning in young mothers 充满希望的未来:对年轻母亲积极心理功能的定性调查
IF 2.5 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-10 DOI: 10.1080/02646838.2024.2401831
Angela Hinz, Breanna Solomon, Melissa Redsell, Kathryn Wenham, Lynette O’ Connor, Kate E. Mulgrew
Young mothers have reported facing specific challenges such as stigmatisation and social isolation, which may be exaggerated by the increasing maternal age in industrialised countries. Despite thes...
据报道,年轻母亲面临着污名化和社会孤立等特殊挑战,而在工业化国家,孕产妇年龄的增加可能会加剧这些挑战。尽管如此,年轻母亲们仍然面临着一些特殊的挑战。
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引用次数: 0
Mother-child bond and its relationship with maternal postpartum depression. 母子关系及其与产妇产后抑郁的关系。
IF 2.1 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-02 DOI: 10.1080/02646838.2024.2397126
Maria Antonia Diaz-Ogallar, Antonio Hernandez-Martinez, Manuel Linares-Abad, Juan Miguel Martinez-Galiano

Background: The mother-child bond may be related to maternal health, especially postpartum depression (PPD). Existing studies show the need for further in-depth research on the subject.

Aim: To determine the relationship between bonding and the probability of the development and presence of PPD in women with a biological child between 6 weeks and 18 months of age.

Methods: A cross-sectional study was conducted. A questionnaire containing sociodemographic, psychosocial, and health variables referring to the mother and the newborn, a questionnaire measuring the mother-child bond (VAMF-bond), and the Edinburgh Postpartum Depression Scale (EDPS) were administered.

Results: 1114 women participated. The association between the items of the VAMF-bond subscale and the risk of PPD was statistically significant for all items (p < 0.05), except items 4 and 10. The multivariate analysis showed that the risk of PPD (EPDS scale) was lower in women with higher scores on bond (Adjusted Odds Ratio: aOR = 0.85; 95%CI: 0.81, 0.88), whose birth experience was good or very good (aOR = 0.57; 95%CI: 0.36, 0.89), who received high or very high support from their partner (aOR = 0.34; 95%CI: 0.18, 0.66), and family (aOR = 0.53; 95%CI: 0.32, 0.86). The presence of PPD was less frequent in women who presented higher scores for bond (aOR = 0.90; 95%CI: 0.84, 0.97), who had skin-to-skin contact (aOR = 0.39; 95%CI: 0.17, 0.93) and who received high or very high support from the family (aOR = 0.36; 95%CI: 0.12, 1.04).

Conclusions: High scores on the subscale VAMF-bond were associated with a lower risk of PPD.

背景:母子亲情可能与产妇健康有关,尤其是产后抑郁症(PPD)。现有研究表明,有必要对这一主题进行进一步的深入研究。目的:确定亲子关系与有 6 周至 18 个月亲生子女的妇女发生和出现产后抑郁症的概率之间的关系:方法:进行横断面研究。结果:1114 名妇女参加了研究:结果:1114 名妇女参加了调查。所有项目的 VAMF-bond 子量表项目与 PPD 风险之间的关系均具有统计学意义(p 结论:VAMF-bond 子量表的高分与 PPD 风险之间的关系具有统计学意义:VAMF-bond 子量表的高分与 PPD 的低风险相关。
{"title":"Mother-child bond and its relationship with maternal postpartum depression.","authors":"Maria Antonia Diaz-Ogallar, Antonio Hernandez-Martinez, Manuel Linares-Abad, Juan Miguel Martinez-Galiano","doi":"10.1080/02646838.2024.2397126","DOIUrl":"https://doi.org/10.1080/02646838.2024.2397126","url":null,"abstract":"<p><strong>Background: </strong>The mother-child bond may be related to maternal health, especially postpartum depression (PPD). Existing studies show the need for further in-depth research on the subject.</p><p><strong>Aim: </strong>To determine the relationship between bonding and the probability of the development and presence of PPD in women with a biological child between 6 weeks and 18 months of age.</p><p><strong>Methods: </strong>A cross-sectional study was conducted. A questionnaire containing sociodemographic, psychosocial, and health variables referring to the mother and the newborn, a questionnaire measuring the mother-child bond (VAMF-bond), and the Edinburgh Postpartum Depression Scale (EDPS) were administered.</p><p><strong>Results: </strong>1114 women participated. The association between the items of the VAMF-bond subscale and the risk of PPD was statistically significant for all items (<i>p</i> < 0.05), except items 4 and 10. The multivariate analysis showed that the risk of PPD (EPDS scale) was lower in women with higher scores on bond (Adjusted Odds Ratio: aOR = 0.85; 95%CI: 0.81, 0.88), whose birth experience was good or very good (aOR = 0.57; 95%CI: 0.36, 0.89), who received high or very high support from their partner (aOR = 0.34; 95%CI: 0.18, 0.66), and family (aOR = 0.53; 95%CI: 0.32, 0.86). The presence of PPD was less frequent in women who presented higher scores for bond (aOR = 0.90; 95%CI: 0.84, 0.97), who had skin-to-skin contact (aOR = 0.39; 95%CI: 0.17, 0.93) and who received high or very high support from the family (aOR = 0.36; 95%CI: 0.12, 1.04).</p><p><strong>Conclusions: </strong>High scores on the subscale VAMF-bond were associated with a lower risk of PPD.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"1-24"},"PeriodicalIF":2.1,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Paternal postnatal depression: prevalence and the associated demographic and maternal reproductive factors among Iranian fathers. 父亲产后抑郁症:伊朗父亲的患病率及相关人口和母亲生育因素。
IF 2.1 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-01 Epub Date: 2023-04-25 DOI: 10.1080/02646838.2023.2201844
Zahra Yazdanpanahi, Seyedeh Tahereh Mirmolaei, Ziba Taghizadeh, Molouk Jaafarpour, Mahboubeh Hajifoghaha

Background: Paternal postnatal depression (PPND) is a critical mental health issue that may harm family members' health and relationships. The Edinburgh Postpartum Depression Scale (EPDS) is the most common self-reported questionnaire for postnatal depression screening among mothers and fathers worldwide. However, identifying fathers with postnatal depression and determining the related factors have been neglected in some countries.

Aims: The present study aimed to determine the prevalence of PPND and then to identify its predictive demographic and reproductive factors. Two cut-off points (10 and 12) for the EPDS were used to detect PPND.

Methods: This cross-sectional study was conducted on 400 eligible fathers selected via multistage sampling. Data were collected using a demographic checklist and the EPDS.

Results: None of the participants had previously been screened for PPND. The mean age of the participants was 35.53 ± 5.47 years, and most of them were self-employed and had university degrees. The prevalence of PPND was 24.5% and 16.3% using the EPDS cut-off scores 10 and 12, respectively. An unwanted pregnancy and an abortion history were the predictors of PPND at both EPDS cut-off scores, with gravidity and the number of abortions also being associated with PPND at the cut-off score of 10.

Conclusion: In line with the related literature, our results revealed a fairly high prevalence of PPND and its related factors. This indicates the need for a screening program for fathers during the postnatal period to detect and adequately manage PPND and prevent its adverse effects.

背景:父亲产后抑郁(PPND)是一个严重的心理健康问题,可能会损害家庭成员的健康和关系。爱丁堡产后抑郁量表(EPDS)是全世界母亲和父亲产后抑郁筛查中最常见的自我报告问卷。目的:本研究旨在确定 PPND 的患病率,然后确定其预测性人口和生育因素。采用 EPDS 的两个截断点(10 和 12)来检测 PPND:这项横断面研究通过多阶段抽样对 400 名符合条件的父亲进行了调查。数据收集采用了人口统计核对表和 EPDS:结果:所有参与者之前均未接受过 PPND 筛查。参与者的平均年龄为(35.53±5.47)岁,大多数为个体经营者,拥有大学学历。按照 EPDS 临界值 10 分和 12 分计算,PPND 患病率分别为 24.5%和 16.3%。意外怀孕和人工流产史是 EPDS 两个截断分数下 PPND 的预测因素,在截断分数为 10 时,孕酮和人工流产次数也与 PPND 有关:与相关文献一致,我们的研究结果显示 PPND 及其相关因素的发病率相当高。这表明,有必要在产后期间对父亲进行筛查,以发现并适当处理 PPND,防止其不良影响。
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引用次数: 0
"The biggest disappointment": women's expectations from sex are ignored, from the perspective of infertile women. "最大的失望":从不孕妇女的角度看,她们对性的期望被忽视了。
IF 2.1 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-01 Epub Date: 2023-08-11 DOI: 10.1080/02646838.2023.2243296
Sevda Karakaş, Rukiye Höbek Akarsu, Özden Tandoğan, Özlem Şahan

Objective: The aim of this study is to determine the attitudes, behaviours and experiences of infertile women towards sexuality.

Methods: This study was carried out in the infertility outpatient clinic of a state hospital in Istanbul of Turkey. Fifteen infertile women who had been receiving primary infertility treatment for at least two years and were actively continuing infertility treatment were included in the study. Data were collected by means of an detailed information form and a semi-structured interview. Content analysis was applied to the data obtained from semi-structured interviews. Consistency percentage calculation was made between the codes and themes determined by 4 researchers who are experts in their fields.

Results: Results based on the interviews with the participants, 2 main themes, 6 sub-themes and 27 codes related to sub-themes were determined as 'Factors Affecting Sexual Life' and 'Overview of Sexual Health and Sexuality'. 'Disappointment' was determined as the most commonly defined code in the determined main theme and sub-themes.

Conclusion: It was determined that the majority of infertile women base their sexual lives on reproductive functions, experience serious sexual health problems, feel worthless, and describe their sexual life as a great disappointment.

研究目的本研究旨在确定不孕妇女对性行为的态度、行为和经验:本研究在土耳其伊斯坦布尔一家国立医院的不孕症门诊进行。15 名不孕妇女接受了至少两年的初级不孕症治疗,并正在积极地继续接受不孕症治疗。研究人员通过详细的信息表和半结构化访谈收集数据。对半结构式访谈获得的数据进行了内容分析。由 4 位在各自领域的专家研究员确定的代码和主题之间的一致性百分比进行了计算:根据与参与者的访谈结果,确定了 "影响性生活的因素 "和 "性健康和性概述 "这两个主主题、6 个次主题以及 27 个与次主题相关的代码。失望 "被确定为确定的主题和次主题中最常见的代码:结论:研究发现,大多数不孕妇女的性生活以生殖功能为基础,存在严重的性健康问题,觉得自己没有价值,并将自己的性生活描述为巨大的失望。
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引用次数: 0
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Journal of Reproductive and Infant Psychology
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