Evidence map›Paper›PMID 42069573›Full record

ArticleBMC psychiatry2026

Dyadic effects of role adaptation on postpartum anxiety and depression: the mediating role of future time insight and parenting competence.

Congrui Fu, Shuxin Zhang, Ziqian Wei, Xinyao Yu, Bingwen Zhang, Shuo Gu, Jie Hu

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Article in BMC psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Congrui Fu *School of Nursing, Hebei Medical University, 361 Zhongshan East Road, Shijiazhuang, 050017, China.
Shuxin Zhang *School of Nursing, Hebei Medical University, 361 Zhongshan East Road, Shijiazhuang, 050017, China.
Ziqian WeiSchool of Nursing, Hebei Medical University, 361 Zhongshan East Road, Shijiazhuang, 050017, China.
Xinyao YuSchool of Nursing, Hebei Medical University, 361 Zhongshan East Road, Shijiazhuang, 050017, China.
Bingwen ZhangSchool of Nursing, Hebei Medical University, 361 Zhongshan East Road, Shijiazhuang, 050017, China.
Shuo GuHumanistic Care and Health Management Innovation Center, Hebei Medical University, 361 Zhongshan East Road, Shijiazhuang, 050017, China.
Jie HuSchool of Nursing, Hebei Medical University, 361 Zhongshan East Road, Shijiazhuang, 050017, China. Hujie@hebmu.edu.cn.

Funding

2023 Hebei Nursing Association Research Project None2026 Ningxia Autonomous Region Health Research Project 2026-NWQP-B111Science Research Project of Hebei Education Departments QN2022013
6 · The paper itself

Abstract

backgroundTo investigate the current status and dyadic mechanism of maternal and spousal role adaptation for postpartum anxiety and depression.

methodsConvenience sampling was employed to select 276 pairs of mothers and their spouses from October 2023 to October 2024 as study participants. Binary analyses were conducted using the actor-partner interdependence model (APIM) and the mediation model.

resultsThe prevalence rates of anxiety and depression during the first postpartum year were 38.5% and 14.5% among mothers, and 36.9% and 12.9% among their spouses, respectively. The APIM revealed that maternal and spousal role adaptation significantly and negatively predicted their own postpartum anxiety (maternal actor effect: β = -0.120; spousal actor effect: β = -0.081) and depression (maternal actor effect: β = -0.165; spousal actor effect: β = -0.113), and that role adaptation similarly predicted each other's anxiety (maternal partner effect: β = -0.115; spousal partner effect: β = -0.059) and depression (maternal partner effect: β = -0.129, spousal partner effect: β = -0.064). Mediation analyses suggest that future time insight and parenting competence mediate this process.

conclusionsPostpartum anxiety and depression serve as a dyadic phenomenon, where maternal and spousal role adaptation significantly affects mental health outcomes. Future time insights and feelings of parenting competence serve as mediating variables in the relationship. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Adaptation, PsychologicalAnxietyDepression, PostpartumMothersParentingRoleSpousesAdultFemaleHumansPostpartum PeriodActor-partner interdependence modelFuture time insightParenting competencePostpartum anxiety and depressionRole adaptation

Identifiers

PMID42069573
PMCPMC13312619

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.