Psychological well-being (life satisfaction and flourishing) during the perinatal period has implications for both maternal and child health. However, few studies have investigated the extent to which psychological well-being changes from preconception to postpartum periods, particularly among diverse samples of women. Using prospectively collected data from an ongoing longitudinal study, we investigated changes in two dimensions of psychological well-being from preconception to postpartum among 173 Black and White American women. Results showed that changes in life satisfaction (i.e., global quality of life) and flourishing (e.g., self-acceptance, sense of purpose) over the perinatal period were moderated by race. For life satisfaction, White women reported an increase from preconception to pregnancy with increased life satisfaction levels remaining stable from pregnancy to postpartum. However, Black women reported no changes in life satisfaction across these timepoints. In contrast, both Black and White women reported an increase in flourishing levels across the perinatal period, although the timing of these changes differed. Findings highlight a need for greater clinical and empirical attention to the way in which psychological well-being changes during the perinatal period to optimize health and inform strengths-based intervention targets.

围产期的心理健康（生活满意度和繁荣）对母婴健康都有影响。然而，很少有研究调查心理健康从孕前到产后的变化程度时期，特别是在不同的女性样本中。我们使用从正在进行的纵向研究中前瞻性收集的数据，调查了 173 名美国黑人和白人女性从孕前到产后心理健康的两个维度的变化。结果表明，围产期生活满意度（即总体生活质量）和繁荣（例如，自我接纳、目标感）的变化受到种族的影响。对于生活满意度，白人女性报告说，从孕前到怀孕期间，生活满意度有所提高，从怀孕到产后，生活满意度水平保持稳定。然而，黑人女性报告在这些时间点的生活满意度没有变化。相比之下，黑人和白人女性都报告说在整个围产期的繁荣水平都有所提高，尽管这些变化的时间有所不同。研究结果强调需要更多的临床和经验关注围产期心理健康变化的方式，以优化健康并告知基于优势的干预目标。