早期的家长互动和第一次母亲的产后抑郁症和家长能力
Rachel W E Leong1, Davinder Gill1, Joanna Barlas1
1School of Social and Health Sciences, James Cook University, 149 Sims Drive, Singapore 387380, Singapore.
概括
积极的早期护理人员互动可以保护新母亲免受产后抑郁症的影响,并提高父母的信心. 负面的早期经历增加了抑郁症的风险,并降低了母亲的能力,而抑郁症则调解了这种影响.
科学领域:
- 心理学 心理学 心理学
- 附着理论 附着理论
- 围产期心理健康问题
背景情况:
- 方案疗法整合了认知行为和依恋原则,以了解早期护理人员对成人心理健康的影响.
- 早期互动评估工具存在,但尚未应用于脆弱的产后人口.
- 第一次母亲在产后期面临着独特的挑战.
研究的目的:
- 评估积极和消极的早期育儿互动对第一次母亲的产后心理健康的影响.
- 评估使用方案疗法告知工具对母亲能力感的影响.
- 研究产后抑郁症状的调解作用.
主要方法:
- 在出生后12个月内对220名首次母亲进行了横截面在线调查.
- 使用了积极育儿计划清单 (PPSI) 和年轻育儿清单修订 (YPI-R2).
- 用爱丁堡产后抑郁症量表 (EPDS) 评估抑郁症,用育儿能力感量表 (PSOC) 评估能力;用回归和调解分析.
主要成果:
- 早期的负面互动 (与母亲和父亲) 与更高的产后抑郁症状相关.
- 积极的早期互动 (与母亲) 与较少的产后抑郁症状相关.
- 产后抑郁症状调解了早期育儿互动与母亲能力之间的关系.
结论:
- 积极的早期互动通过减少产后抑郁症状,为首次母亲的情绪调整和能力提供保护作用.
- 早期的负面互动增加了产后抑郁症的风险,并降低了家长的能力.
- 基于方案治疗的工具可以评估这些早期的相互作用影响在产后期.
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