目的 探讨产妇及其配偶产后抑郁情绪与心理弹性、二元应对的主客体互倚关系，为制定针对性干预措施提供新视角。方法 便利抽样选取珠海市3所三级甲等医院232对产妇其及配偶为研究对象，采用一般资料问卷、爱丁堡产后抑郁量表、心理弹性量表、二元应对问卷对其进行调查。结果 232名产妇产后抑郁情绪总分为10（7，13）分、二元应对总分为（126.82±21.18）分、心理弹性总分为（59.57±17.56）分；232名产妇配偶产后抑郁情绪总分为7（5，10）分、二元应对总分为（124.43±19.63）分、心理弹性总分为（63.17±16.75）分。产妇及其配偶二元应对、心理弹性分别负向预测自身产后抑郁情绪，即主体效应显著。产妇及其配偶二元应对、心理弹性分别负向预测对方产后抑郁情绪，即客体效应显著。结论 产妇及其配偶产后抑郁情绪与心理弹性、二元应对存在主客体互倚关系。医护人员应将夫妻视为一个共同体及早进行干预。

Objective To explore the subject-object interdependence between postpartum depression,resilience and dyadic coping between puerperae and their spouses,and to provide a new perspective for the development of targeted intervention.Methods A total of 232 puerperae and their spouses from 3 tertiary A hospitals in Zhuhai were selected as the objects,investigated by a general information questionnaire with Edinburgh Postpartum Depression Scale,the Connor-Davidson Resilience scale,and the Dyadic Coping Inventory.Results The total score of postpartum depression was 10 (7,13),that of binary coping (126.82±21.18),and that of resilience (59.57±17.56).The total score of postpartum depression in 232 spouses was 7 (5,10),that of dyadic coping (124.43±19.63),and that of resilience (63.17±16.75).The dyadic coping and psychological resilience of puerperae and their spouses negatively predicted their own postpartum depression,respectively,that is,the main effect was significant.The dyadic coping and psychological resilience of puerperae and their spouses negatively predicted the postpartum depression of the other party,respectively,that is,the object effect was significant.Conclusions There is a subject-object interdependence relationship between postpartum depression,psychological resilience and dyadic coping in puerperae and their spouses.Healthcare workers should treat couples as a community for early intervention.

R473.71

国家自然科学基金面上项目（72274090，71874075）；教育部人文社会科学研究规划基金项目（18YJAZH008）；广东省本科高校教学质量工程建设项目[粤教高函(2020)19号]；南方医科大学南海医院-护理学院护理研究基金（2018HL03）