夫妻层面的创伤后应激表现与母子产后关系功能

IF 4.7 2区 医学 Q1 PSYCHIATRY Depression and Anxiety Pub Date : 2024-03-28 DOI:10.1155/2024/6140465
Jordan L. Thomas, Jennifer A. Somers, Christine Dunkel Schetter, Jennifer A. Sumner
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引用次数: 0

摘要

目的:创伤后应激障碍(PTSD)与产后妇女亲密关系受损有关。创伤后应激障碍(PTSD)与产后妇女亲密关系受损有关,但在这一关键时期,人们对创伤后精神病理学在夫妻层面的表现以及与母亲和父亲关系功能的潜在关联却知之甚少。研究方法在一个主要由中低收入者组成的样本中,对 867 对母亲-父亲夫妇在孩子出生六个月后的情况进行了评估,采用了两种分析方法--数据驱动的夫妇潜特征分析法和假设驱动的先验分类法--评估是否能根据夫妇双方的创伤后应激障碍症状识别出离散的夫妇亚群。然后,结构方程模型检验了所确定的亚组与 (1) 自我报告的关系质量和 (2) 受访者评价的关系压力之间的关联。结果两种方法都有三种夫妻层面的创伤后应激障碍症状分组:双方都低,母亲低父亲高,母亲高父亲低。虽然在创伤后应激障碍症状不一致的夫妻中,哪一方的症状加重与夫妻关系功能的相关性在不同的方法中出现了不同的结果,但夫妻层面的创伤后应激障碍症状模式与母亲和父亲的关系功能障碍的相关性是不同的。在至少有一方创伤后应激障碍症状升高的夫妻关系中,与双方症状都较轻的夫妻关系相比,夫妻关系功能障碍的主观和客观指数都更高。结论以数据和假设为导向的方法可以确定创伤后应激障碍症状的夫妻层面类型,其结果基本一致。创伤后应激障碍症状的组合模式与母亲和父亲在产后期间的关系功能有关,可能有助于为更有针对性的干预工作提供信息,以支持为人父母的夫妇。
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Couple-Level Manifestations of Posttraumatic Stress and Maternal and Paternal Postpartum Relationship Functioning

Objective. Posttraumatic stress disorder (PTSD) is linked with impaired intimate relationships in postpartum women, yet less is known about couple-level manifestations of posttraumatic psychopathology and potential associations with relationship functioning for mothers and fathers during this critical time. Method. In a predominately low-to-middle income sample of 867 mother-father couple dyads assessed six months following the birth of a child, two analytic methods—a data-driven dyadic latent profile analysis and hypothesis-driven a priori categorization approach—evaluated whether discrete subgroups of couples could be identified based on both partners’ PTSD symptoms. Structural equation models then tested associations between identified subgroups with (1) self-reported relationship quality and (2) interviewer-rated relationship stress. Results. Three couple-level PTSD symptom groupings were common to both methods: both low, mother low-father high, and mother high-father low. Dyad-level PTSD symptom patterns were differentially related to relationship dysfunction for mothers and fathers, although mixed findings emerged across methods regarding the relevance of which partner had elevated symptoms for relationship functioning in PTSD symptom-discordant couples. Individuals in dyads characterized by at least one partner with elevated PTSD symptoms consistently exhibited greater relationship dysfunction—indexed both subjectively and objectively—compared to dyads where both partners had low symptoms. Conclusions. Couple-level typologies of PTSD symptoms can be identified using data- and hypothesis-driven approaches, with generally concordant results. Dyadic patterns of PTSD symptoms are relevant to relationship functioning for both mothers and fathers during the postpartum period and may help to inform more targeted intervention efforts to support couples who are parenting.

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来源期刊
Depression and Anxiety
Depression and Anxiety 医学-精神病学
CiteScore
15.00
自引率
1.40%
发文量
81
审稿时长
4-8 weeks
期刊介绍: Depression and Anxiety is a scientific journal that focuses on the study of mood and anxiety disorders, as well as related phenomena in humans. The journal is dedicated to publishing high-quality research and review articles that contribute to the understanding and treatment of these conditions. The journal places a particular emphasis on articles that contribute to the clinical evaluation and care of individuals affected by mood and anxiety disorders. It prioritizes the publication of treatment-related research and review papers, as well as those that present novel findings that can directly impact clinical practice. The journal's goal is to advance the field by disseminating knowledge that can lead to better diagnosis, treatment, and management of these disorders, ultimately improving the quality of life for those who suffer from them.
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