Abstract：
BACKGROUND: Although miscarriage and termination of pregnancy affect maternal mental illnesses on subsequent pregnancies, their effects on the positive mental health (e.g., eudaimonia) of both first-time and multi-time parents have received minimal attention, especially for fathers. This longitudinal study examines the effects of experiences of miscarriage and termination on parental well-being in subsequent pregnancies from prenatal to postpartum years, while simultaneously considering parity.
METHODS: Pregnant women and their partners were recruited during early prenatal visits in Taiwan from 2011 to 2022 and were followed up from mid-pregnancy to 1 year postpartum. Six waves of self-reported assessments were employed.
RESULTS: Of 1813 women, 11.3 % and 14.7 % had experiences of miscarriage and termination, respectively. Compared with the group without experiences of miscarriage or termination, experiences of miscarriage were associated with increased risks of paternal depression (adjusted odds ratio = 1.6, 95 % confidence interval [CI] = 1.13-2.27), higher levels of anxiety (adjusted β = 1.83, 95 % CI = 0.21-3.46), and lower eudaimonia scores (adjusted β = -1.09, 95 % CI = -1.99 to -0.19) from the prenatal to postpartum years, particularly among multiparous individuals. Additionally, experiences of termination were associated with increased risks of depression in their partner.
CONCLUSIONS: The experiences of miscarriage and TOP were self-reported and limited in acquiring more detailed information through questioning.
CONCLUSIONS: These findings highlight the decreased well-being of men whose partners have undergone termination of pregnancy or experienced miscarriage, and stress the importance of interventions aimed at preventing adverse consequences among these individuals.
METHODS: Pregnant women and their partners were recruited during early prenatal visits in Taiwan from 2011 to 2022 and were followed up from mid-pregnancy to 1 year postpartum. Six waves of self-reported assessments were employed.
RESULTS: Of 1813 women, 11.3 % and 14.7 % had experiences of miscarriage and termination, respectively. Compared with the group without experiences of miscarriage or termination, experiences of miscarriage were associated with increased risks of paternal depression (adjusted odds ratio = 1.6, 95 % confidence interval [CI] = 1.13-2.27), higher levels of anxiety (adjusted β = 1.83, 95 % CI = 0.21-3.46), and lower eudaimonia scores (adjusted β = -1.09, 95 % CI = -1.99 to -0.19) from the prenatal to postpartum years, particularly among multiparous individuals. Additionally, experiences of termination were associated with increased risks of depression in their partner.
CONCLUSIONS: The experiences of miscarriage and TOP were self-reported and limited in acquiring more detailed information through questioning.
CONCLUSIONS: These findings highlight the decreased well-being of men whose partners have undergone termination of pregnancy or experienced miscarriage, and stress the importance of interventions aimed at preventing adverse consequences among these individuals.
摘要：
背景：尽管流产和终止妊娠会影响后续妊娠的产妇精神疾病，它们对积极心理健康的影响(例如，eudaimonia)的第一次和多次父母都受到了很少的关注，尤其是父亲。这项纵向研究检查了从产前到产后的后续怀孕中流产和终止妊娠的经历对父母幸福感的影响，同时考虑平价。
方法：在台湾从2011年至2022年的早期产前检查中招募孕妇及其伴侣，并从妊娠中期到产后1年进行随访。采用了六波自我报告的评估。
结果：在1813名女性中，11.3%和14.7%有流产和终止的经历，分别。与没有流产或终止经历的组相比，流产的经历与父性抑郁症的风险增加相关（调整后的比值比=1.6，95％置信区间[CI]=1.13-2.27），焦虑水平较高(调整后的β=1.83，95%CI=0.21-3.46)，和较低的eudaimonia评分（调整后的β=-1.09，95％CI=-1.99至-0.19），从产前到产后，尤其是在多胎个体中。此外,终止妊娠的经历与伴侣的抑郁风险增加相关.
结论：流产和TOP的经历是自我报告的，并且在通过询问获得更多详细信息方面受到限制。
结论：这些发现强调了伴侣经历过终止妊娠或经历过流产的男性的幸福感下降，并强调旨在防止这些人的不良后果的干预措施的重要性。
方法：在台湾从2011年至2022年的早期产前检查中招募孕妇及其伴侣，并从妊娠中期到产后1年进行随访。采用了六波自我报告的评估。
结果：在1813名女性中，11.3%和14.7%有流产和终止的经历，分别。与没有流产或终止经历的组相比，流产的经历与父性抑郁症的风险增加相关（调整后的比值比=1.6，95％置信区间[CI]=1.13-2.27），焦虑水平较高(调整后的β=1.83，95%CI=0.21-3.46)，和较低的eudaimonia评分（调整后的β=-1.09，95％CI=-1.99至-0.19），从产前到产后，尤其是在多胎个体中。此外,终止妊娠的经历与伴侣的抑郁风险增加相关.
结论：流产和TOP的经历是自我报告的，并且在通过询问获得更多详细信息方面受到限制。
结论：这些发现强调了伴侣经历过终止妊娠或经历过流产的男性的幸福感下降，并强调旨在防止这些人的不良后果的干预措施的重要性。
