Promoting resilience to depression among couples during pregnancy: The protective functions of intimate relationship satisfaction and self-compassion

Fam Process. 2023 Mar;62(1):387-405. doi: 10.1111/famp.12788. Epub 2022 May 24.

Abstract

Pregnancy, while often marked by joy, may pose considerable risk for depression among parents. Against a backdrop of adverse life events, expectant parents may be even more vulnerable to developing symptoms of depression during the prenatal period. Thus, it is critical to identify sources of resilience that might facilitate a successful transition to parenthood among couples who have a history of adversity. Prior work suggests that interpersonal and intrapersonal factors associated with resilience, such as intimate relationship satisfaction and self-compassion (i.e., self-kindness, common humanity, and mindfulness), have the potential to attenuate prenatal depression among couples with a history of stressful life experiences. We tested this possibility in a sample of 159 couples navigating pregnancy. As predicted, a greater number of prior stressful life experiences was associated with increased depression symptom severity for both mothers and fathers. However, moderation analyses revealed the positive link between cumulative stressful life experiences and depression symptom severity was attenuated among mothers who reported greater self-compassion in the form of feelings of common humanity, and fathers who reported higher levels of intimate relationship satisfaction and self-compassion in the form of mindfulness. Findings suggest enhancing intimate relationship satisfaction and self-compassion among expectant couples may be valuable in attenuating prenatal depression among those with a greater history of adversity.

怀孕,通常都以快乐为标志,但也可能会给准父母带来相当大的抑郁风险。在不利的生活事件背景下,准父母可能更容易在产前出现抑郁症状。因此,成功地找到能够帮助过渡到为人父母的复原力来源是极其重要的,尤其是有过逆境经历的夫妇。已有的研究表明,与复原力相关的人际和个人内部因素,如亲密关系满意度和自我同情(即自我同情、普遍的人性、正念),有可能缓解有生活压力史的夫妇的产前抑郁症。我们在159对怀孕夫妇的样本中测试了这种可能性。正如预测的那样,对父母来说,以往有压力的生活经历与抑郁症状的严重程度有关。然而,调和分析显示,累积的压力生活经历和抑郁症症状严重程度之间的正向联系在两种情况下减弱:一种是那些报告了更多的自我同情的母亲,怜惜自我都是人之常情;一种是在亲密关系中表现出较高满意度和通过正念冥想来同情怜惜自我的父亲。研究结果表明,提高亲密关系满意度和强化自我同情,对于孕妇夫妇减轻产前抑郁可能是有价值的,尤其是那些经历过更多逆境的人。.

Keywords: adversity; couples; depression; family; relationship satisfaction; self-compassion; 关系满意度; 夫妻; 家庭; 抑郁; 自我同情; 逆境.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Depression*
  • Female
  • Humans
  • Mothers
  • Parents
  • Personal Satisfaction
  • Pregnancy
  • Self-Compassion*