The Effect And Mechanism Of Partner Phubbing Of Couples In Late Pregnancy On Prenatal Depression From The Perspective Of Binary Vision

BackgroundPrenatal depression is a global public health problem affecting maternal and child health.Prenatal depression may occur in both pregnant women and their spouses during pregnancy.However,previous studies have focused on postpartum depression in women,and prenatal depression as an important independent risk factor for postpartum depression is easily overlooked.According to the interdependence theory,the cognition,behavior and emotion of couples influence each other.However,the pathway of the interaction between couples in late pregnancy is not clear.ObjectiveTo investigate the status and correlation of partner phubbing,marital satisfaction,and prenatal depression in late pregnancy women and their spouses,and construct an actor-partner interdependence mediation model of marital satisfaction between latepregnancy women and their spouse’s partner phubbing and prenatal depression.This article explores the effects of partner phubbing and marital satisfaction on prenatal depression of late-pregnancy women and their spouses,and provide a theoretical and practical basis for prenatal depression intervention in late-pregnancy women and their spouses.MethodsThis study is a cross-sectional study.The convenience sampling method was used to select women in late pregnancy and their spouses from the obstetrical clinic of a grade Ⅲ class A hospital in Anhui Province from October 2020 to May 2021.Paper questionnaires were used to investigate general data,partner phubbing Scale（PPS）,quality marriage index（QMI）,and Edinburgh postnatal depression scale（EPDS）.Epidata3.0 software was used for double data entry,SPSS23.0 software was used for statistical analysis,and MEDYAD Beta 1.1 software was used for path analysis of Actor-Partner interdependence Mediation Relation..Results（1）A total of 385 pairs of questionnaires were sent out in this study,and 352 pairs of effective questionnaires were collected,with a sample recovery rate of 91.42%.According to the scores of EPDS,women in late pregnancy and their spouses were divided into the depression and the non-depression groups.One hundred and thirty-seven women（38.92%）were in the depression group,and 62 spouses（17.61%）were in the depression group.Of the 352 couples,108（30.7%）had prenatal depression in the women and non-prenatal depression in the spouse,33 couples（9.4%）had prenatal depression in the spouse and none in pregnant women,29 couples（8.2%）both had prenatal depression.（2）The score of partner phubbing of pregnant women（25.24±6.3）was higher than that of their spouse（22.22±5.44）.There were statistically significant differences in satisfaction with different housing conditions,gender expectations for babies,sleep status,marital affection,relationship with elders,and abnormal pregnancy and birth history among women in late pregnancy.There were statistically significant differences in the level of spouse’s partner phubbing in different sleep status,marital affection and relationship with elders（all P<0.05）.（3）The marital satisfaction score of women in late pregnancy（38.72 ± 6.30）was lower than that of their spouse（42.70±3.21）.There were statistically significant differences in the degree of marital satisfaction of late-pregnancy women at different education levels,working status during pregnancy,satisfaction with housing conditions,planned pregnancy,gender expectations for babies,sleep status,marital affection,relationship with elders,and first pregnancy or not.There were statistically significant differences in marital satisfaction levels of spouses in different housing conditions,gender expectations for babies,sleep status,marital affection,relationship with elders,and health status（all P<0.05）.（4）The prenatal depression score of women in late pregnancy（8.03±3.66）was higher than that of their spouses（5.94 ± 3.13）.There were statistically significant differences in prenatal depression level of women in late pregnancy in terms of different education levels,satisfaction with housing conditions,gender expectations for babies,sleep status,marital affection,relationship with elders and first pregnancy or not.There were statistically significant differences in prenatal depression levels of spouses in terms of different monthly income,satisfaction with housing conditions,sleep status,marital affection,relationship with elders,and health status（all P<0.05）.（5）The scores of late-pregnant women’s partner phubbing were correlated with marital satisfaction（r=-0.445,P<0.01）and prenatal depression scores（r=0.464,P<0.01）.The scores of spouse’s partner phubbing were correlated with marital satisfaction（r=-0.282,P<0.01）and prenatal depression（r=-0.397,P<0.01）.There was a positive correlation between the scores of the late-pregnant women’s partner phubbing and that of their spouse’s partner phubbing（r=0.169,P<0.01）.There was also a positive correlation between the marital satisfaction scores of late-pregnant women and their spouses（r=0.222,P<0.01）.（6）In the binary relationship,the subjective mediating effect of marital satisfaction of late-pregnancy women and their spouses between their partner phubbing and prenatal depression was both established,accounting for 36.47%and 17.49%,respectively.The objective mediating effect of spouse’s marital satisfaction between late-pregnancy women’s partner phubbing and spouse’s prenatal depression was established.and the mediating effect accounted for 71.43%.ConclusionThis study shows that partner phubbing can not only directly affect prenatal depression but also indirectly affect prenatal depression through marital satisfaction.（1）The scores of partner phubbing of late-pregnant women and their spouses were correlated with marital satisfaction and prenatal depression.There was a positive correlation between the scores of the late-pregnant women’s partner phubbing and that of her spouse’s partner phubbing.There was also a positive correlation between the marital satisfaction scores of late-pregnant women and their spouses.（2）The subject-mediating effect of marital satisfaction was also found in the relationship between partner phubbing of late-pregnant women and their spouses and prenatal depression.The objective-mediating effect was only found in the path of spouse’s marital satisfaction from late-pregnant women’s partner phubbing to spouse’s prenatal depression.