Do postpartum anxiety and breastfeeding self-efficacy and bonding at early postpartum predict postpartum depression and the breastfeeding method?
Do postpartum anxiety and breastfeeding self-efficacy and bonding at early postpartum predict postpartum depression and the breastfeeding method?
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DOI：
10.1002/imhj.21866
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发表时间：
2020-06-23
影响因子：
2.4
通讯作者：
Tanii, Hisashi
中科院分区：
文献类型：
--
作者：
Minamida, Tomoko;Iseki, Atsuko;Tanii, Hisashi
我们调查了产后焦虑（PPA）和母乳喂养自我效能和产后早期的结合是否可以用来预测产后抑郁症和母乳喂养方法，并试图确定产后抑郁症的相关因素。在510名符合条件的妇女中，185名（36%）在所有三种情况下（分娩后1天、3天和1个月）返回了问卷。在三个阶段观察母亲的状态-特质焦虑量表（STAI）、母乳喂养自我效能量表简表（BFSES-SF）和产后亲子关系问卷（PBQ）的进展情况。重复测量方差分析显示，产后抑郁症（PPD）的高风险的母亲是那些没有表现出增加的BFSES-SF评分在产后早期，和母亲的结合障碍迅速恶化。Logistic回归分析的结果显示，就业作为产后抑郁症的相关因素的显着差异。与常规相比，兼职状态导致产后抑郁的可能性是4.4倍，失业状态导致产后抑郁的可能性是2.3倍。为了早期发现产后抑郁症，有必要确定（1）BFSES-SF评分没有增加的母亲，（2）情感障碍迅速恶化的母亲，（3）兼职或失业的母亲作为产后抑郁症的特征。
We investigated whether postpartum anxiety (PPA) and breastfeeding self-efficacy and bonding at the early postpartum period can be used to predict postpartum depression and the breastfeeding method, and we sought to identify factors related to postpartum depression. Of the 510 eligible women, 185 (36%) returned the questionnaire on all three occasions (1 day, 3 days, and 1 month after childbirth). The mothers' progress on the State-Trait Anxiety Inventory (STAI), Breastfeeding Self-Efficacy Scale Short Form (BFSES-SF), and Postnatal Bonding Questionnaire (PBQ) was observed over three periods. A repeated-measures ANOVA revealed that the mothers at high risk of developing postpartum depression (PPD) were those who did not show an increase in BFSES-SF score at early postpartum, and mothers whose bonding disorders have deteriorated rapidly. The results of the logistic regression analysis revealed a significant difference in employment as a factor related to postpartum depression. Compared to Regular, Part-time status was 4.4 times more likely and Unemployed status was 2.3 times more likely to cause postpartum depression. For the early detection of PPD, it is necessary to identify (1) mothers who do not show an increase in the BFSES-SF score, (2) mothers whose bonding disorders have deteriorated rapidly, and (3) part-time or unemployed mothers as characteristic of postpartum depression.