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已发表论文
妊娠期夫妻感知压力、成人依恋与二元应对之间的关系：一种行为者 - 配偶相互依赖中介模型
Authors Zhao J, An C, Liu S, Shen Q, He T, Hu S, Lei J, Liu D
Received 4 July 2025
Accepted for publication 17 October 2025
Published 4 November 2025 Volume 2025:17 Pages 4075—4090
DOI https://doi.org/10.2147/IJWH.S547870
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Professor Elie Al-Chaer
Jinxin Zhao,1– 3 Chunyan An,3 Sihui Liu,3 Quan Shen,1,2 Tan He,1,2 Sijie Hu,1,2 Jun Lei,1 Dan Liu4
1Department of Obstetrics and Gynecology, The Third Xiangya Hospital of Central South University, Changsha, Hunan, People’s Republic of China; 2Xiangya School of Nursing, Central South University, Changsha, Hunan, People’s Republic of China; 3Department of Obstetrics and Gynecology, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, Ningxia, People’s Republic of China; 4Department of Nursing, The Third Xiangya Hospital of Central South University, Changsha, Hunan, People’s Republic of China
Correspondence: Jun Lei, Department of Obstetrics and Gynecology, The Third Xiangya Hospital of Central South University, 138 Tongzipo Road, Yuelu District, Changsha, Hunan, 410013, People’s Republic of China, Email leijunbao@csu.edu.cn Dan Liu, Department of Nursing, The Third Xiangya Hospital of Central South University, 138 Tongzipo Road, Yuelu District, Changsha, Hunan, 410013, People’s Republic of China, Email catherine05172024@126.com
Purpose: The current study aims to analyze the relationships between perceived stress, adult attachment (attachment avoidance and attachment anxiety), and dyadic coping among Chinese couples during pregnancy. Additionally, it seeks to explore the mediating effects of adult attachment on these relationships.
Methods: A total of 701 heterosexual pregnant couples participated in this cross-sectional study, which was conducted at three tertiary hospitals in central and western China from September 2023 to July 2024. Participants’ mean age was 29.56± 4.15 years for pregnant women and 31.11± 4.33 years for their partners. They completed the Perceived Stress Scale, the Dyadic Coping Inventory, and the Experiences in Close Relationships Scale-Chinese Short Version. The actor-partner interdependence mediation model was employed to analyze the data derived from the dyadic relationships.
Results: The dyadic coping scores were recorded as 117.42± 16.63 for pregnant women and 117.75± 16.12 for their partners. The analysis revealed that individuals’ perceived stress was both directly and indirectly associated with their dyadic coping, as a mediator role of adult attachment (attachment avoidance and attachment anxiety). Furthermore, partners’ attachment avoidance was identified as a complete mediator of the partner effect. Partners’ attachment anxiety played a complete partner mediating role in the relationship between perceived stress on dyadic coping for pregnant women and their partners.
Conclusion: The present study examined the relationship between perceived stress, adult attachment (attachment avoidance and attachment anxiety), and dyadic coping. The findings indicate that interventions should consider the couple as a unit and take into account their adult attachment during pregnancy. Healthcare professionals may aim to reduce adult attachment insecurity in pregnant couples and enhance their dyadic coping abilities to improve psychological well-being.
Keywords: perceived stress, attachment avoidance, attachment anxiety, dyadic coping, the actor-partner interdependence model
1Department of Obstetrics and Gynecology, The Third Xiangya Hospital of Central South University, Changsha, Hunan, People’s Republic of China; 2Xiangya School of Nursing, Central South University, Changsha, Hunan, People’s Republic of China; 3Department of Obstetrics and Gynecology, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, Ningxia, People’s Republic of China; 4Department of Nursing, The Third Xiangya Hospital of Central South University, Changsha, Hunan, People’s Republic of China
Correspondence: Jun Lei, Department of Obstetrics and Gynecology, The Third Xiangya Hospital of Central South University, 138 Tongzipo Road, Yuelu District, Changsha, Hunan, 410013, People’s Republic of China, Email leijunbao@csu.edu.cn Dan Liu, Department of Nursing, The Third Xiangya Hospital of Central South University, 138 Tongzipo Road, Yuelu District, Changsha, Hunan, 410013, People’s Republic of China, Email catherine05172024@126.com
Purpose: The current study aims to analyze the relationships between perceived stress, adult attachment (attachment avoidance and attachment anxiety), and dyadic coping among Chinese couples during pregnancy. Additionally, it seeks to explore the mediating effects of adult attachment on these relationships.
Methods: A total of 701 heterosexual pregnant couples participated in this cross-sectional study, which was conducted at three tertiary hospitals in central and western China from September 2023 to July 2024. Participants’ mean age was 29.56± 4.15 years for pregnant women and 31.11± 4.33 years for their partners. They completed the Perceived Stress Scale, the Dyadic Coping Inventory, and the Experiences in Close Relationships Scale-Chinese Short Version. The actor-partner interdependence mediation model was employed to analyze the data derived from the dyadic relationships.
Results: The dyadic coping scores were recorded as 117.42± 16.63 for pregnant women and 117.75± 16.12 for their partners. The analysis revealed that individuals’ perceived stress was both directly and indirectly associated with their dyadic coping, as a mediator role of adult attachment (attachment avoidance and attachment anxiety). Furthermore, partners’ attachment avoidance was identified as a complete mediator of the partner effect. Partners’ attachment anxiety played a complete partner mediating role in the relationship between perceived stress on dyadic coping for pregnant women and their partners.
Conclusion: The present study examined the relationship between perceived stress, adult attachment (attachment avoidance and attachment anxiety), and dyadic coping. The findings indicate that interventions should consider the couple as a unit and take into account their adult attachment during pregnancy. Healthcare professionals may aim to reduce adult attachment insecurity in pregnant couples and enhance their dyadic coping abilities to improve psychological well-being.
Keywords: perceived stress, attachment avoidance, attachment anxiety, dyadic coping, the actor-partner interdependence model