ArticleBMJ open2023
Marital adjustment and depressive symptoms among Chinese perinatal women: a prospective, longitudinal cross-lagged study.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Antenatal stress, marital satisfaction and antenatal depression of Chinese couples: an actor-partner interdependence model extended to mediation.BMC psychology · 2026Article
- Romantic Relationship Quality and Eating Disorder Symptoms in Late Pregnancy: The Serial Mediating Role of Depression and Body Dissatisfaction.Behavioral sciences (Basel, Switzerland) · 2025Article
- Linking self-esteem and marital adjustment among couples in the third trimester of pregnancy: the mediating role of dyadic coping.BMC pregnancy and childbirth · 2025Article
- Assessing the Quality of Life of Pregnant Women in Romania: Socioeconomic, Health, and Obstetric Factors and the Validation of the WHOQOL-BREF Instrument.Nursing reports (Pavia, Italy) · 2025Article
- Health Utility Values and Influencing Factors Among Pregnant and Postpartum Women in Rural Yunnan Province, China.International journal of women's health · 2025Article
- The association between subjective socioeconomic status and depressive symptoms in women of reproductive age: the chain mediating effects of marital satisfaction and well-being.Frontiers in psychology · 2025Article
- The Relationship between Body Mass Index, Body Dissatisfaction and Mood Symptoms in Pregnant Women.Journal of clinical medicine · 2024Article
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5 authors.
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Abstract
objectivesThe objective was to assess the prevalence of perinatal depressive symptoms and determine the trajectories of marital adjustment and depressive symptoms and their reciprocal relationships among Chinese perinatal women.
designThis was a prospective, longitudinal cross-lagged study.
settingThe study was conducted at the outpatient department of the largest women's and children's hospital in China, which is located in Chengdu, Sichuan Province.
participantsFour hundred and sixty-three mothers were conveniently sampled.
main outcome measuresThe Dyadic Adjustment Scale and the Chinese version of the Edinburgh Postnatal Depression Scale were used to evaluate marital adjustment and depressive symptoms, respectively, at three time points: the first trimester of pregnancy (T1), the third trimester of pregnancy (T2) and 6 weeks after childbirth (T3). Descriptive statistics were used to assess the prevalence of perinatal depressive symptoms, and repeated-measures analysis of variance (ANOVA) was used to determine the trajectories of marital adjustment and depressive symptoms among the participants. A cross-lagged model was used to explore the reciprocal relationship between marital adjustment and depressive symptoms.
resultsThe prevalence of perinatal depressive symptoms among our participants ranged from 21.2% to 24.0%. Repeated-measures ANOVA showed that during the perinatal period there was a significant tendency towards worse marital adjustment (
conclusionThe prevalence of perinatal depressive symptoms ranged from 21.2% to 24.0% among the participants. During the perinatal period, the marital adjustment of women tended to be worse; however, there was no significant change in depressive symptoms. This study showed that better marital adjustment at T1 was a protective factor against maternal depressive symptoms at T2, and a higher level of depressive symptoms at T2 was a risk factor for worse marital adjustment at T3.
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