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Peer-reviewedCC BY-NC-NDHealth science reports

Investigating the Relationship Between Self-Compassion and Marital Satisfaction in Pregnant Women With Depression: A Cross-Sectional Study.

  • Bita Ashabi1,2
  • Arezoo Haseli3
  • Shahab Rezaeian4
  • Ehsan Mahmoodi1
  • Mastaneh Kamravamanesh5
5 affiliations
  1. 1Research Committee of the School of Nursing and Midwifery Kermanshah University of Medical Sciences Kermanshah Iran.
  2. 2School of Nursing and Midwifery Hamadan University of Medical Sciences Hamadan Iran.
  3. 3Department of Midwifery Education, School of Nursing and Midwifery, Family Health and Population Growth Research Center, Health Policy and Promotion Research Institute Kermanshah University of Medical Sciences Kermanshah Iran.
  4. 4Department of Epidemiology School of Health, Infectious Diseases Research Center, Health Policy and Promotion Institute, Imam Reza Hospital, Kermanshah University of Medical Sciences Kermanshah Iran.
  5. 5Department of Reproductive Health, School of Nursing and Midwifery, Clinical Research Development Center, Motazedi Hospital Kermanshah University of Medical Sciences Kermanshah Iran.
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Abstract

Antenatal depression is a prevalent mental health concern that can adversely affect marital relationships. Self-compassion has emerged as a potential protective factor in improving psychological health and interpersonal relationships. This cross-sectional study aimed to investigate the relationship between self-compassion and marital satisfaction in pregnant women with depression. In this cross-sectional analytical study, 240 pregnant women with depression were selected through convenience sampling from healthcare centers in Kermanshah, Iran. Depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS) with a cutoff score > 12, and all participants met DSM-5 criteria for depressive symptoms. Participants completed the Self-Compassion Scale-Long Form, Hudson's Marital Satisfaction Inventory, and a demographic questionnaire. The cross-sectional design and convenience sampling limit the generalizability of findings. The mean age was 27.68 years (SD = 4.63). Logistic regression revealed that a one-unit increase in total self-compassion score was associated with a 10% increase in the odds of being in the satisfied group (OR = 1.10; 95% CI: 1.07-1.12; p < 0.001). "Common human experience" showed the strongest association (OR = 1.64; 95% CI: 1.43-1.87; p < 0.001). Positive components-self-kindness (r = 0.552), common humanity (r = 0.561), and well-being (r = 0.519)-had significant positive correlations with marital satisfaction, while negative components-self-judgment (r = -0.462), isolation (r = -0.506), and over-identification (r = -0.446)-showed significant negative correlations (all p < 0.001). Self-compassion, particularly its positive components, is significantly associated with higher marital satisfaction in depressed pregnant women. Self-compassion-based interventions may be a promising strategy to improve marital relationship quality and maternal mental health during pregnancy.

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Cite

BibTeXRIS
BibTeX
@article{ashabi2026investigating,
  title = {{Investigating the Relationship Between Self-Compassion and Marital Satisfaction in Pregnant Women With Depression: A Cross-Sectional Study.}},
  author = {Bita Ashabi and Arezoo Haseli and Shahab Rezaeian and Ehsan Mahmoodi and Mastaneh Kamravamanesh},
  journal = {Health science reports},
  year = {2026},
  month = oct,
  doi = {10.1002/hsr2.73439},
  url = {https://europepmc.org/article/MED/42953067},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Investigating the Relationship Between Self-Compassion and Marital Satisfaction in Pregnant Women With Depression: A Cross-Sectional Study.
AU  - Bita Ashabi
AU  - Arezoo Haseli
AU  - Shahab Rezaeian
AU  - Ehsan Mahmoodi
AU  - Mastaneh Kamravamanesh
PY  - 2026
DA  - 2026/10/28
JO  - Health science reports
DO  - 10.1002/hsr2.73439
UR  - https://europepmc.org/article/MED/42953067
AB  - Antenatal depression is a prevalent mental health concern that can adversely affect marital relationships. Self-compassion has emerged as a potential protective factor in improving psychological health and interpersonal relationships. This cross-sectional study aimed to investigate the relationship between self-compassion and marital satisfaction in pregnant women with depression. In this cross-sectional analytical study, 240 pregnant women with depression were selected through convenience sampling from healthcare centers in Kermanshah, Iran. Depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS) with a cutoff score > 12, and all participants met DSM-5 criteria for depressive symptoms. Participants completed the Self-Compassion Scale-Long Form, Hudson's Marital Satisfaction Inventory, and a demographic questionnaire. The cross-sectional design and convenience sampling limit the generalizability of findings. The mean age was 27.68 years (SD = 4.63). Logistic regression revealed that a one-unit increase in total self-compassion score was associated with a 10% increase in the odds of being in the satisfied group (OR = 1.10; 95% CI: 1.07-1.12; p < 0.001). "Common human experience" showed the strongest association (OR = 1.64; 95% CI: 1.43-1.87; p < 0.001). Positive components-self-kindness (r = 0.552), common humanity (r = 0.561), and well-being (r = 0.519)-had significant positive correlations with marital satisfaction, while negative components-self-judgment (r = -0.462), isolation (r = -0.506), and over-identification (r = -0.446)-showed significant negative correlations (all p < 0.001). Self-compassion, particularly its positive components, is significantly associated with higher marital satisfaction in depressed pregnant women. Self-compassion-based interventions may be a promising strategy to improve marital relationship quality and maternal mental health during pregnancy.
SN  - 2398-8835
ER  -