ArticleFrontiers in public health2026
Analysis of the subject-object effects and chain mediation of psychosocial factors in couples during late pregnancy on depression: a cross-sectional study of pregnant women and their spouses.
Article in Frontiers in public health, 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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Abstract
Objective: To examine, from a dual-perspective approach, the actor and partner associations of couples' perceptions of stress, rumination, self-efficacy, self-disclosure, and family intimacy with depressive symptoms during late pregnancy, and to test the chain mediation mechanism of "stress-family intimacy-rumination/self-disclosure-depression. Methods: From July 2025 to May 2026, 1,331 pairs of pregnant women and their spouses attending prenatal checkups at the outpatient clinic of a Grade III Level A hospital in Nanjing were selected as study participants using convenience sampling. The Patient Health Questionnaire (PHQ-9), the Perceived Stress Scale (PSS), the Rumination Scale (RRS), the General Self-Efficacy Scale, the Distress Disclosure Scale, and the Family Affection and Cohesion Scale (FACES II) were used to collect data. Data analysis was performed using paired-sample Results: (1) Positive Detection Rate for Symptoms of Depression among women was 18.3%, and among their spouses, it was 16.7%. (2) Spouses' perceived stress and ruminative thinking were significantly higher than those of pregnant women (both Conclusion: Depression among couples in late pregnancy is primarily driven by intra-individual associations, with rumination and perceived stress serving as core correlates; family intimacy may act as a key correlate linking stress to depression and cross-individual spillover patterns. Family intimacy was indirectly associated with depression levels in both partners, and these associations operated through rumination and self-disclosure levels. Clinical interventions should focus primarily on individual psychological adjustment to reduce stress and ruminative thinking in both the expectant mother and the father, while also emphasizing enhanced communication to improve marital intimacy and alleviate depressive symptoms in both partners.
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