| 其他摘要 | Pregnancy is stressful, and if the pregnant woman and her spouse are not well adjusted, they are prone to negative emotions such as anxiety and depression symptoms. The anxiety and depression symptoms of pregnant women and their spouses not only affect their own health, but also bring negative effects on the physical and mental development of their offspring. Previous studies focused on the influencing factors and adverse consequences of anxiety and depression symptoms during pregnancy, but few studies on the related mechanisms. Among the influencing factors of anxiety and depression during pregnancy, stress is an external factor, cognitive emotion regulation is an internal resource of individuals, and dual coping is an interpersonal resource. This study explores the influencing factors and mechanisms of anxiety and depression symptoms under stress during pregnancy from the individual and relational levels, and provides theoretical guidance for carrying out relevant psychological intervention during pregnancy.
Objective: 1.From the individual level of pregnant women, to explore the predictive effect of life events during pregnancy on anxiety and depression symptoms, and the mediating role of cognitive emotion regulation in the relationship between them. To explore the potential cognitive emotion regulation strategies of pregnant women in the face of stress during pregnancy and their relationship with anxiety and depression symptoms. 2. At the relationship level, explore the subject-object effects of life events, anxiety and depressive symptoms of pregnant women and their spouses, and the chain mediating effects of cognitive emotion regulation and duality coping in the relationship. To further explore the potential categories of cognitive emotion regulation strategies in pregnant women and spouses and their relationship with dyadic coping, anxiety and depressive symptoms.
Methods: This study was based on the cognitive evaluation theory of stress and the system interaction model, including two sub一studies. In study 1，375 pregnant women were surveyed by short range longitudinal tracking at the individual level of pregnant women. The research tools included the maternal Life Events Scale, the Cognitive Emotion Regulation Questionnaire, the Patient Health Questioner-9, and the Anxiety Screening Scale. In Study 2, 354 pregnant women and their spouses were surveyed by cross一sectional questionnaire from the relationship level. In study 1，the research tool basically added the binary coping scale. The two studies used variable-centered and subject-centered statistical methods to analyze the data respectively.
Results: Study 1:1) Life events during pregnancy predicted anxiety and depression symptoms by unadaptive cognition of pregnant women; 2) There are three potential categories of cognitive emotional regulation in pregnant women: low regulation group, non-adaptive regulation group and adaptive regulation group. The proportion of non-adaptive regulation group is the highest, and pregnant women have more anxiety and depression symptoms. The life events of pregnant women and their spouses had subject-object effects on depressive symptoms. The life events of pregnant women and their spouses directly predicted their own depressive symptoms, the life events of pregnant women indirectly predicted their own depressive symptoms through their own unadaptive cognitive regulation, and the life events of pregnant women indirectly predicted their own and their spouse's depressive symptoms through their own unadaptive cognitive regulation and negative dual coping. 2) Life events of pregnant women and their spouses had only a subjective effect on anxiety symptoms. Life events of pregnant women and their spouses directly predicted their own anxiety symptoms, while life events of pregnant women indirectly predicted their own anxiety symptoms through self-adaptive cognitive regulation. 3) There are four potential categories of cognitive emotional regulation in pregnant women and their spouses: female high-male low-regulated group, female low-male high-regulated group, bilateral low-regulated group, and bilateral high-regulated group. The high adjustment group accounted for the highest proportion, the positive binary coping of spouses in this group was higher than that in the low adjustment group, and the anxiety and depression symptoms of pregnant women and spouses were higher than that in the low adjustment group.
Conclusions: At the individual level, unadaptive cognitive regulation plays a mediating role in the relationship between life events and anxiety and depressive symptoms in pregnant women. There was heterogeneity in cognitive emotion regulation in pregnant women, and the proportion of the non-adaptive regulation group was the largest, and the symptoms of anxiety and depression were more. At the relational level, life events in pregnant women predicted depressive symptoms in themselves and their spouses through self-adaptive cognitive regulation and negative duality coping. There was heterogeneity in cognitive emotion regulation between pregnant women and their spouses. The high-regulation group of both sides accounted for the largest proportion, and both pregnant women and their spouses had higher anxiety and depression. |
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