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<p>Family functioning is a modifiable factor in depression. The study aimed to (1) report the prevalence of depressive symptoms and family functioning at four postpartum time points; (2) investigate trends in postpartum depression and family functioning at 1,3,6 and 12 months postpartum; (3) examine the longitudinal relationship between family functioning and postpartum depression from 1 month postpartum to 1 year postpartum. The core research question of this study was to examine the dynamic association between the trajectory of maternal postpartum family functioning and the trajectory of postpartum depressive symptoms. 689 pregnant women participated in four postnatal surveys. While traditional studies are mostly based on cross-sectional research design to explore the association between family functioning and postpartum depression, the present study is based on a longitudinal research design using the Parallel Latent Growth Model, which considers maternal family functioning and postpartum depressive symptoms as two dynamic processes of change. Screening for postpartum depression symptoms and family functioning at 1, 3, 6 and 12 months postpartum. The Latent Growth Curve Model (LGCM) is an important method for exploring the trajectory of a variable, while the Parallel Latent Growth Model (PLGM) explores the dynamic association between bivariate trajectories by treating the two variables as parallel processes. By building parallel latent growth models of family functioning and postpartum depression symptoms, it was found that between one month and one year after delivery, higher initial levels of family functioning were associated with slower worsening of postpartum depression symptoms, and pregnant women with a faster trend of declining family functioning had a faster trend of worsening postpartum depression symptoms. Maintaining a good level of family functioning in the postpartum period plays an important role in the development of maternal depressive symptoms in the year after delivery, and a single intervention alone will not ensure a stable level of family functioning, so it is crucial to improve and maintain good family functioning. The findings have important theoretical and practical implications for the development of effective family-based preventive and control measures for postpartum depression.</p>

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Association between family functioning and postpartum depression symptoms: A longitudinal study based on parallel latent growth model

  • 期刊论文

  • 发表日期：

    2025年8月28日

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  • Jiayi Wang,
  • Zina Fan,
  • Ke Peng,
  • Yi Zhu,
  • Zuxun Lu,
  • Xiaoxv Yin,
  • Yanhong Gong

摘要

Family functioning is a modifiable factor in depression. The study aimed to (1) report the prevalence of depressive symptoms and family functioning at four postpartum time points; (2) investigate trends in postpartum depression and family functioning at 1,3,6 and 12 months postpartum; (3) examine the longitudinal relationship between family functioning and postpartum depression from 1 month postpartum to 1 year postpartum. The core research question of this study was to examine the dynamic association between the trajectory of maternal postpartum family functioning and the trajectory of postpartum depressive symptoms. 689 pregnant women participated in four postnatal surveys. While traditional studies are mostly based on cross-sectional research design to explore the association between family functioning and postpartum depression, the present study is based on a longitudinal research design using the Parallel Latent Growth Model, which considers maternal family functioning and postpartum depressive symptoms as two dynamic processes of change. Screening for postpartum depression symptoms and family functioning at 1, 3, 6 and 12 months postpartum. The Latent Growth Curve Model (LGCM) is an important method for exploring the trajectory of a variable, while the Parallel Latent Growth Model (PLGM) explores the dynamic association between bivariate trajectories by treating the two variables as parallel processes. By building parallel latent growth models of family functioning and postpartum depression symptoms, it was found that between one month and one year after delivery, higher initial levels of family functioning were associated with slower worsening of postpartum depression symptoms, and pregnant women with a faster trend of declining family functioning had a faster trend of worsening postpartum depression symptoms. Maintaining a good level of family functioning in the postpartum period plays an important role in the development of maternal depressive symptoms in the year after delivery, and a single intervention alone will not ensure a stable level of family functioning, so it is crucial to improve and maintain good family functioning. The findings have important theoretical and practical implications for the development of effective family-based preventive and control measures for postpartum depression.