Perceived family functioning within Chinese pregnant women and husband dyads: Levels, consistency, and correlates.

Abstract

Introduction: Understanding differences in perceived family functioning between pregnant women and their partners can protect and promote women’s health. The purpose of this study was to examine consistency and differences in perceived family functioning within pregnant woman–partner dyads in China and explore correlates of effective family functioning. Method: From 2020 to 2021, 175 pregnant women and husband dyads (100% Han nationality, Mage = 30.3 [4.5] years) were recruited from the women’s psychological clinic of Changsha Hospital for Maternal & Child Health Care using convenience sampling. We assessed family functioning and depression and anxiety symptoms. We examined consistency and differences in perceived family functioning between pregnant women and their husbands. Results: Most pregnant women (76.6%) and husbands (71.4%) perceived their family functioning as effective. Pregnant women and their husbands shared poor consistency in family functioning, with an intraclass correlation of 0.25 and most weighted kappa coefficients of individual items <0.2. Participants reporting effective family functioning had higher education levels and lower depression and anxiety scores. Discussion: Most pregnant women and their partners perceived effective family functioning, but showed poor consistency. Higher education and milder symptoms of depression and anxiety were associated with effective family functioning both in pregnant women and their partners. For primary healthcare system workers, differences in perceptions of family functioning should be fully taken into account when conducting family based integrated care for pregnant women.

Psychometric evaluation of the Chinese version of the fear of pregnancy scale: a translation and validation study

“…Experts involved in the consultation came from various fields, including obstetrics, psychology, and nursing, and possessed extensive clinical, educational, and research experience, ensuring the content validity of the scale. Considering the experts' opinions and after discussion by the research team, five revisions were made to the original scale in two aspects: (I) Modifications of expression: (a) Pregnant women generally prefer moderate attention from their husbands, but excessive concern can cause discomfort and stress (41). The original description was ambiguous, so Item 10 'Husband is overly attentive to me' was changed to 'Husband is overly attentive to me (e.g., excessive inquiry about feelings, over-regulation of actions and freedom, unnecessary care, etc.)'…”