Impact of postpartum depressive and anxiety symptoms on mothers' emotional tie to their infants 2-3 months postpartum: a population-based study from rural Bangladesh
Impact of postpartum depressive and anxiety symptoms on mothers' emotional tie to their infants 2-3 months postpartum: a population-based study from rural Bangladesh
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DOI：
10.1007/s00737-011-0221-7
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发表时间：
2011-08-01
影响因子：
4.5
通讯作者：
Kabir, Zarina Nahar
中科院分区：
文献类型：
--
作者：
Edhborg, Maigun;Nasreen, Hashima-E;Kabir, Zarina Nahar
本研究的目的是调查抑郁和焦虑症状对产后2-3个月的母亲与婴儿的联系的影响，以及母亲在怀孕期间与婴儿的联系和母亲在童年时期与自己的照顾者的联系对产后2-3个月的母亲联系的影响。这项研究源于在孟加拉国农村进行的一项以社区为基础的队列研究。经过培训的工作人员在妊娠晚期、分娩时和产后2-3个月收集数据并进行问卷调查。母亲的抑郁和焦虑症状进行了评估，爱丁堡产后抑郁量表和状态焦虑量表和母亲的情感与婴儿的产后债券问卷。结果表明，11%的妇女报告有抑郁症状，35%有焦虑症状，3.4%既有抑郁症状又有焦虑症状，51%既无抑郁症状也无焦虑症状。与精神健康和焦虑的母亲相比，有抑郁症状的母亲年龄更大，更穷，识字的人更少，报告了更多的亲密伴侣暴力行为，并且在产后2-3个月与婴儿的情感联系更低。大约11%的母亲报告了轻度的结合障碍，其中近三分之一的人表现出抑郁症状。抑郁症状和生女孩与母亲对婴儿的情感联系呈负相关，而母亲焦虑症状和怀孕期间与胎儿的高度联系与母亲产后2-3个月与婴儿的情感联系呈正相关。
The purpose of this study was to investigate the impact of depressive and anxiety symptoms on maternal bonding to the infant 2-3 months postpartum and the influence of the mother's bonding to the infant during pregnancy and to her own caregiver during her childhood on maternal bonding 2-3 months postpartum. This study originated from a community-based cohort study carried out in rural Bangladesh. Trained staff collected data and administrated the questionnaires during the third trimester of pregnancy, at childbirth and 2-3 months postpartum. Maternal depressive and anxiety symptoms were assessed with the Edinburgh Postnatal Depression Scale and the State Anxiety Inventory and the mother's emotional bonding to the infant with the Postpartum Bonding Questionnaire. The results showed that 11% of the women reported depressive symptoms, 35% anxiety symptoms, 3.4% both depressive and anxiety symptoms and 51% neither depressive nor anxiety symptoms. Mothers with depressive symptoms were older, were poorer, fewer were literate, reported more intimate partner violence and showed lower emotional bonding to their infants 2-3 months postpartum compared to mentally well and anxious mothers. Approximately 11% of the mothers reported mild bonding disturbances and nearly one third of them showed depressive symptoms. Depressive symptoms and giving birth to a girl were negatively associated to a mother's emotional bonding to her infant, while maternal anxiety symptoms and high bonding to the foetus during pregnancy were positively associated to the mother's emotional bonding to the infant 2-3 months postpartum.