PDF(Pubmed)
Abstract：
UNASSIGNED: This study aims to examine the impact of spousal support on postpartum depression in women with different attachment styles and assessing if attachment style influences this effect.
UNASSIGNED: From March to May 2022, 96 couples with late-stage pregnant women were randomly selected from tertiary maternity hospitals in Shandong and Guangdong provinces for a prepartum survey. Psychological assessments were conducted using the Adult Attachment Scale, Dyadic Coping Inventory, and the Patient Health Questionnaire-9 (PHQ-9) Depression Scale. To examine the relationship between each variable and postpartum depression, univariate and multiple logistic regression analyses were employed. Additionally, interaction analysis was used to analyze the interplay between different attachment styles and how spousal support influences women\'s postpartum depression.
UNASSIGNED: The findings revealed that even after accounting for confounding variables, prepartum spousal support was an independent predictor of postpartum depression (adjusted odds ratio (OR) = 0.82, 95% CI: 0.69-0.96, P = .015). Women with a secure attachment style showed a significantly lower incidence of postpartum depression compared to those with insecure attachment styles (24.2% vs. 46%, P = .037). In the secure attachment group, spousal support had a protective effect against postpartum depression (adjusted OR = 0.57, 95% CI: 0.36-0.91, P = .018), and attachment style emerged as a potential interactive factor influencing the impact of spousal support on postpartum depression (P for interaction = .029).
UNASSIGNED: The provision of spousal support, especially to individuals with secure attachment styles, plays a preventive role in postpartum depression. This underscores the importance of considering attachment styles in interventions targeting postpartum depression prevention.
UNASSIGNED: From March to May 2022, 96 couples with late-stage pregnant women were randomly selected from tertiary maternity hospitals in Shandong and Guangdong provinces for a prepartum survey. Psychological assessments were conducted using the Adult Attachment Scale, Dyadic Coping Inventory, and the Patient Health Questionnaire-9 (PHQ-9) Depression Scale. To examine the relationship between each variable and postpartum depression, univariate and multiple logistic regression analyses were employed. Additionally, interaction analysis was used to analyze the interplay between different attachment styles and how spousal support influences women\'s postpartum depression.
UNASSIGNED: The findings revealed that even after accounting for confounding variables, prepartum spousal support was an independent predictor of postpartum depression (adjusted odds ratio (OR) = 0.82, 95% CI: 0.69-0.96, P = .015). Women with a secure attachment style showed a significantly lower incidence of postpartum depression compared to those with insecure attachment styles (24.2% vs. 46%, P = .037). In the secure attachment group, spousal support had a protective effect against postpartum depression (adjusted OR = 0.57, 95% CI: 0.36-0.91, P = .018), and attachment style emerged as a potential interactive factor influencing the impact of spousal support on postpartum depression (P for interaction = .029).
UNASSIGNED: The provision of spousal support, especially to individuals with secure attachment styles, plays a preventive role in postpartum depression. This underscores the importance of considering attachment styles in interventions targeting postpartum depression prevention.
摘要：
■本研究旨在研究配偶支持对不同依恋方式的女性产后抑郁症的影响，并评估依恋方式是否会影响这种影响。
■2022年3月至5月，在山东省和广东省三级妇产医院随机抽取96对晚期孕妇夫妇进行产前调查。使用成人依恋量表进行心理评估，二元应对库存，和患者健康问卷-9（PHQ-9）抑郁量表。为了检查每个变量与产后抑郁之间的关系，采用单因素和多因素logistic回归分析.此外,互动分析用于分析不同依恋方式之间的相互作用以及配偶支持对女性产后抑郁的影响。
■研究结果表明，即使考虑了混杂变量，产前配偶支持是产后抑郁的独立预测因子（校正比值比（OR）=0.82，95％CI：0.69-0.96，P=0.015）。具有安全依恋风格的女性与具有不安全依恋风格的女性相比，产后抑郁症的发生率显着降低（24.2％vs.46%,P=.037）。在安全附件组中，配偶支持对产后抑郁症有保护作用（校正OR=0.57，95%CI：0.36-0.91，P=.018），和依恋方式成为影响配偶支持对产后抑郁影响的潜在交互因素（P=0.029）。
■提供配偶支持，特别是对于具有安全依恋风格的个人，对产后抑郁症有预防作用。这强调了在针对产后抑郁症预防的干预措施中考虑依恋风格的重要性。
■2022年3月至5月，在山东省和广东省三级妇产医院随机抽取96对晚期孕妇夫妇进行产前调查。使用成人依恋量表进行心理评估，二元应对库存，和患者健康问卷-9（PHQ-9）抑郁量表。为了检查每个变量与产后抑郁之间的关系，采用单因素和多因素logistic回归分析.此外,互动分析用于分析不同依恋方式之间的相互作用以及配偶支持对女性产后抑郁的影响。
■研究结果表明，即使考虑了混杂变量，产前配偶支持是产后抑郁的独立预测因子（校正比值比（OR）=0.82，95％CI：0.69-0.96，P=0.015）。具有安全依恋风格的女性与具有不安全依恋风格的女性相比，产后抑郁症的发生率显着降低（24.2％vs.46%,P=.037）。在安全附件组中，配偶支持对产后抑郁症有保护作用（校正OR=0.57，95%CI：0.36-0.91，P=.018），和依恋方式成为影响配偶支持对产后抑郁影响的潜在交互因素（P=0.029）。
■提供配偶支持，特别是对于具有安全依恋风格的个人，对产后抑郁症有预防作用。这强调了在针对产后抑郁症预防的干预措施中考虑依恋风格的重要性。
