Academic Journal
Depressive symptoms, social support, and family functioning among pregnant women with a history of recurrent pregnancy loss and their spouses: An analysis of the actor-partner interdependence mediation model.
| Τίτλος: | Depressive symptoms, social support, and family functioning among pregnant women with a history of recurrent pregnancy loss and their spouses: An analysis of the actor-partner interdependence mediation model. |
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| Συγγραφείς: | Wu J; Department of Nursing, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Yuexiu District, Guangzhou, China; Department of Obstetrics and Gynecology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Yuexiu District, Guangzhou, China., Weng X; Department of Nursing, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Yuexiu District, Guangzhou, China; Department of Obstetrics and Gynecology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Yuexiu District, Guangzhou, China., Han R; School of Nursing, Sun Yat-sen University, Guangzhou, China., Lin G; Department of Nursing, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Yuexiu District, Guangzhou, China; Department of Obstetrics and Gynecology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Yuexiu District, Guangzhou, China., Qi X; Department of Nursing, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Yuexiu District, Guangzhou, China; Department of Obstetrics and Gynecology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Yuexiu District, Guangzhou, China., Zhong J; Department of Nursing, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Yuexiu District, Guangzhou, China; Department of Obstetrics and Gynecology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Yuexiu District, Guangzhou, China., Lam SC; School of Nursing, Tung Wah College, Hong Kong Special Administrative Region of China. Electronic address: simlc@alumni.cuhk.net., Qiu Y; Department of Nursing, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiang West Road, Yuexiu District, Guangzhou, China. Electronic address: qiuyh@mail.sysu.edu.cn., Gao L; Faculty of Health Sciences and Sports, Macao Polytechnic University, Room 702, MengTak Building, Rua de Luis Gonzaga Gomes, Macau, China. Electronic address: llgao@mpu.edu.mo. |
| Πηγή: | Midwifery [Midwifery] 2026 Sep; Vol. 160, pp. 104859. Date of Electronic Publication: 2026 May 12. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Churchill Livingstone Country of Publication: Scotland NLM ID: 8510930 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-3099 (Electronic) Linking ISSN: 02666138 NLM ISO Abbreviation: Midwifery Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Edinburgh ; New York : Churchill Livingstone, 1985- |
| Ιατρικοί όροι (MeSH): | Abortion, Habitual*/psychology , Spouses*/psychology , Depression*/psychology , Depression*/epidemiology , Depression*/etiology , Pregnant People*/psychology , Family Relations*/psychology , Social Support*, China/epidemiology ; Humans ; Female ; Pregnancy ; Cross-Sectional Studies ; Adult ; Surveys and Questionnaires ; Prevalence ; Family Support |
| Περίληψη: | Background: Recurrent pregnancy loss (RPL) can be an extremely stressful experience for couples. Nevertheless, prior research has predominantly focused on pregnant women, and few studies have included spouses. Objective: This study aims to explore the prevalence of depressive symptoms and the relationship between social support, family functioning, and depressive symptoms among pregnant women with a history of recurrent pregnancy loss (RPL) and their spouses. It also seeks to identify whether family functioning mediates the relationship between depressive symptoms and social support. Methods: A cross-sectional study was conducted in Guangzhou, China, from January to September 2023. 205 pregnant women with a history of RPL and their spouses completed the Self-rating Depression Scale (SDS), Perceived Social Support Scale (PSSS), and Family APGAR Index (APGAR). The actor-partner interdependence mediation model (APIMeM) was used to analyze the dyadic data. Results: The prevalence of depressive symptoms (SDS score ≥ 53) among the pregnant women with a history of RPL and among their spouses was 40.00% and 33.65%, respectively. Social support was directly and indirectly related to depressive symptoms in couples with a history of RPL, with family functioning acting as a mediator. Maternal family functioning mediated the relationship between paternal social support and maternal depressive symptoms (β = -0.09, 95%CI [-0.167, -0.040]). Conclusion: Pregnant women with a history of RPL and their spouses should be viewed as a whole system to be screened for depressive symptoms, and couple-centered interventions to enhance social support and family functioning may help in alleviating their depressive symptoms. (Copyright © 2026 Elsevier Ltd. All rights reserved.) |
| Competing Interests: | Declaration of competing interest No potential conflict of interest was reported by the author(s). |
| Contributed Indexing: | Keywords: Couple; Depressive symptoms; Family functioning; Recurrent pregnancy loss; Social support |
| Entry Date(s): | Date Created: 20260517 Date Completed: 20260708 Latest Revision: 20260708 |
| Update Code: | 20260708 |
| DOI: | 10.1016/j.midw.2026.104859 |
| PMID: | 42143900 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1532-3099 |
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| DOI: | 10.1016/j.midw.2026.104859 |