PDF(Pubmed)
Abstract：
BACKGROUND: Pregnancy is an important period of life for women and their husbands as the couple\'s health is essential. The present study evaluated the impact of some factors (marital adjustment with depressive symptoms) on health-promoting behaviors in pregnant women and their husbands based on the actor-partner interdependence model (APIM).
METHODS: This descriptive study examined 211 couples (pregnant women and their husbands) in pregnancy clinics of Babol University of Medical Sciences using a convenience sampling method. The participants completed Spanier\'s Dyadic Adjustment Scale (DAS) (1979), Edinburgh Postnatal Depression Scale (EPDS) (1987), and Walker\'s Health Promoting Lifestyle Profile II (HPLPII) questionnaire (1997). The relationships between women and their husbands were also evaluated using structural equation modeling with R software according to the Lavaan (latent variable analysis) package based on APIM-SEM.
RESULTS: The pregnant women\'s marital adjustment positively affected their health-promoting behaviors (β = 0.456, 95% Cl: 0.491-0.998, p < 0.001) and their husbands\' (β = 0.210, 95% Cl: 0.030-0.726, p = 0.048). Pregnant woman\'s depressive symptoms also negatively affected their health-promoting behaviors (β=-0.088, 95% Cl: -0.974-0.074, P = 0.236) and their husbands\' health-promoting behaviors (β=-0.177, 95% Cl: -0.281 - -0.975, P = 0.011). Furthermore, the husband\'s marital adjustment only positively affected his studied behaviors (β = 0.323, 95% Cl: 0.0303-0.895, P < 0.001) but did not affect the pregnant woman\'s health behaviors. The husband\'s depressive symptoms had a negative impact on his studied behaviors (β = 0.219, 95% Cl: -0.122 - -0.917, P = 0.001) and did not affect the pregnant woman\'s depressive symptoms. Our findings confirmed the mediating role of depressive symptoms in pregnant women and their husbands on the association of marital adjustment and health-promoting behaviors. According to the actor-partner study, a pregnant woman\'s marital adjustment scores positively affected her studied behaviors and her husband (β = 0.071, 95% Cl: 0.042-0.278, P = 0.015) by decreasing her depression score. Therefore, the husband\'s marital adjustment score positively affected his studied behaviors by decreasing his depression score (β = 0.084, 95% Cl: -0.053 -0.292, P = 0.005), and it did not affect his wife\'s health-promoting behaviors.
CONCLUSIONS: These findings suggest healthcare providers, obstetricians, and psychologists evaluate the husbands\' symptoms of depression and health-promoting behaviors in the routine pregnancy care of pregnant women. They also pay great attention to marital adjustment as a determinant of reducing depressive symptoms in pregnant women and their husbands.
METHODS: This descriptive study examined 211 couples (pregnant women and their husbands) in pregnancy clinics of Babol University of Medical Sciences using a convenience sampling method. The participants completed Spanier\'s Dyadic Adjustment Scale (DAS) (1979), Edinburgh Postnatal Depression Scale (EPDS) (1987), and Walker\'s Health Promoting Lifestyle Profile II (HPLPII) questionnaire (1997). The relationships between women and their husbands were also evaluated using structural equation modeling with R software according to the Lavaan (latent variable analysis) package based on APIM-SEM.
RESULTS: The pregnant women\'s marital adjustment positively affected their health-promoting behaviors (β = 0.456, 95% Cl: 0.491-0.998, p < 0.001) and their husbands\' (β = 0.210, 95% Cl: 0.030-0.726, p = 0.048). Pregnant woman\'s depressive symptoms also negatively affected their health-promoting behaviors (β=-0.088, 95% Cl: -0.974-0.074, P = 0.236) and their husbands\' health-promoting behaviors (β=-0.177, 95% Cl: -0.281 - -0.975, P = 0.011). Furthermore, the husband\'s marital adjustment only positively affected his studied behaviors (β = 0.323, 95% Cl: 0.0303-0.895, P < 0.001) but did not affect the pregnant woman\'s health behaviors. The husband\'s depressive symptoms had a negative impact on his studied behaviors (β = 0.219, 95% Cl: -0.122 - -0.917, P = 0.001) and did not affect the pregnant woman\'s depressive symptoms. Our findings confirmed the mediating role of depressive symptoms in pregnant women and their husbands on the association of marital adjustment and health-promoting behaviors. According to the actor-partner study, a pregnant woman\'s marital adjustment scores positively affected her studied behaviors and her husband (β = 0.071, 95% Cl: 0.042-0.278, P = 0.015) by decreasing her depression score. Therefore, the husband\'s marital adjustment score positively affected his studied behaviors by decreasing his depression score (β = 0.084, 95% Cl: -0.053 -0.292, P = 0.005), and it did not affect his wife\'s health-promoting behaviors.
CONCLUSIONS: These findings suggest healthcare providers, obstetricians, and psychologists evaluate the husbands\' symptoms of depression and health-promoting behaviors in the routine pregnancy care of pregnant women. They also pay great attention to marital adjustment as a determinant of reducing depressive symptoms in pregnant women and their husbands.
摘要：
背景：怀孕是女性及其丈夫生命的重要时期，因为夫妻的健康至关重要。本研究基于演员-伴侣相互依存模型（APIM）评估了某些因素（抑郁症状的婚姻适应）对孕妇及其丈夫促进健康行为的影响。
方法：这项描述性研究使用便利抽样方法，对巴博尔医科大学妊娠诊所的211对夫妇（孕妇及其丈夫）进行了调查。参与者完成了西班牙人的二元调整量表(DAS)(1979)，爱丁堡产后抑郁量表(EPDS)(1987)，和沃克的健康促进生活方式简介II(HPLPII)问卷(1997年)。还根据基于APIM-SEM的Lavaan（潜在变量分析）软件包，使用R软件进行结构方程建模，评估了妇女与丈夫之间的关系。
结果：孕妇的婚姻适应对其健康促进行为（β=0.456，95％Cl：0.491-0.998，p<0.001）和丈夫（β=0.210，95％Cl：0.030-0.726，p=0.048）有积极影响。孕妇的抑郁症状也对其健康促进行为（β=-0.088，95％Cl：-0.974-0.074，P=0.236）和丈夫的健康促进行为（β=-0.177，95％Cl：-0.281-0.975，P=0.011）产生负面影响。此外，丈夫的婚姻调整仅对其研究行为产生积极影响（β=0.323，95％Cl：0.0303-0.895，P<0.001），但对孕妇的健康行为没有影响。丈夫的抑郁症状对其研究行为有负面影响（β=0.219，95％Cl：-0.122--0.917，P=0.001），并且不影响孕妇的抑郁症状。我们的发现证实了孕妇及其丈夫的抑郁症状在婚姻调整和健康促进行为之间的关系中的中介作用。根据演员-合作伙伴的研究，孕妇的婚姻调整分数通过降低抑郁分数对其研究行为和丈夫（β=0.071，95％Cl：0.042-0.278，P=0.015）产生积极影响。因此,丈夫的婚姻调整得分通过降低其抑郁得分（β=0.084，95％Cl：-0.053-0.292，P=0.005）对其研究行为产生积极影响，这并没有影响他妻子的健康促进行为。
结论：这些研究结果表明，医疗保健提供者，产科医生,和心理学家在孕妇的常规妊娠护理中评估丈夫的抑郁症状和促进健康的行为。他们还非常重视婚姻调整，以此作为减少孕妇及其丈夫抑郁症状的决定因素。
方法：这项描述性研究使用便利抽样方法，对巴博尔医科大学妊娠诊所的211对夫妇（孕妇及其丈夫）进行了调查。参与者完成了西班牙人的二元调整量表(DAS)(1979)，爱丁堡产后抑郁量表(EPDS)(1987)，和沃克的健康促进生活方式简介II(HPLPII)问卷(1997年)。还根据基于APIM-SEM的Lavaan（潜在变量分析）软件包，使用R软件进行结构方程建模，评估了妇女与丈夫之间的关系。
结果：孕妇的婚姻适应对其健康促进行为（β=0.456，95％Cl：0.491-0.998，p<0.001）和丈夫（β=0.210，95％Cl：0.030-0.726，p=0.048）有积极影响。孕妇的抑郁症状也对其健康促进行为（β=-0.088，95％Cl：-0.974-0.074，P=0.236）和丈夫的健康促进行为（β=-0.177，95％Cl：-0.281-0.975，P=0.011）产生负面影响。此外，丈夫的婚姻调整仅对其研究行为产生积极影响（β=0.323，95％Cl：0.0303-0.895，P<0.001），但对孕妇的健康行为没有影响。丈夫的抑郁症状对其研究行为有负面影响（β=0.219，95％Cl：-0.122--0.917，P=0.001），并且不影响孕妇的抑郁症状。我们的发现证实了孕妇及其丈夫的抑郁症状在婚姻调整和健康促进行为之间的关系中的中介作用。根据演员-合作伙伴的研究，孕妇的婚姻调整分数通过降低抑郁分数对其研究行为和丈夫（β=0.071，95％Cl：0.042-0.278，P=0.015）产生积极影响。因此,丈夫的婚姻调整得分通过降低其抑郁得分（β=0.084，95％Cl：-0.053-0.292，P=0.005）对其研究行为产生积极影响，这并没有影响他妻子的健康促进行为。
结论：这些研究结果表明，医疗保健提供者，产科医生,和心理学家在孕妇的常规妊娠护理中评估丈夫的抑郁症状和促进健康的行为。他们还非常重视婚姻调整，以此作为减少孕妇及其丈夫抑郁症状的决定因素。
