目的 探讨妊娠期女性及其配偶婚姻满意度在感知压力和抑郁间主客体互倚中介关系，为开展相关干预研究提供参考。方法 采用便利抽样法，于2023年10月至2024年5月选取苏州市3所三级甲等医院的252对妊娠期女性及其配偶，采用感知压力量表、婚姻满意度量表和流调中心用抑郁量表进行调查，基于Amos 26.0构建主客体互倚中介模型。结果 夫妻感知压力对双方婚姻满意度均存在主体效应（β=-0.29，β=-0.35；均P＜0.001）和客体效应（β=-0.32，β=-0.22；均P＜0.001），对双方的抑郁均存在主体效应（β=0.76，β=0.46；均P＜0.001）；配偶婚姻满意度在其感知压力和抑郁间主体中介效应显著（β=0.11，P＜0.001），在孕妇感知压力和配偶抑郁间客体中介效应显著（β=0.10，P＜0.001）。结论 妊娠期女性及其配偶感知压力影响抑郁的主客体互倚模式，提示应将夫妻视作整体进行二元干预，以提升双方的婚姻满意度，协同促进双方心理健康。

Objective To explore the actor-partner interdependent mediating effects of marital satisfaction on the relationship between perceived stress and depression in pregnant women and their spouses,so as to provide a reference for relevant intervention research.Methods A total of 252 pairs of pregnant women and their spouses were recruited from three tertiary A hospitals in Suzhou by the convenience sampling method from October 2023 to May 2024.All participants were investigated using the Perceived Stress Scale,the Marital Satisfaction Scale,and the Epidemiologic Studies Depression Scale for Epidemic Investigation Center.The actor-partner interdependent mediation model was constructed based on Amos 26.0.Results Perceived stress of both partners showed significant actor effects (β=-0.29,β=-0.35;both P＜0.001) and partner effects (β=-0.32,β=-0.22;both P＜0.001) on their own and each other’s marital satisfaction,as well as significant actor effects on their own depression (β=0.76,β=0.46;both P＜0.001).Marital satisfaction of spouses exerted a significant actor mediating effect between their own perceived stress and depression (β=0.11,P＜0.001),and a significant partner mediating effect between pregnant women’s perceived stress and spouses’ depression (β=0.10,P＜0.001).Conclusions The actor-partner interdependent pattern suggests that couples should be regarded as an integral unit for dyadic interventions to improve marital satisfaction and jointly promote the mental health of both partners.

R473.71

国家自然科学基金青年项目（72204064）；苏州市医学重点扶持学科项目（SZFCXK202109）