Maternal attachment style and depression associated with childbirth: preliminary results from a European and US cross-cultural study
Maternal attachment style and depression associated with childbirth: preliminary results from a European and US cross-cultural study
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DOI：
10.1192/bjp.184.46.s31
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发表时间：
2004-02-01
影响因子：
10.5
通讯作者：
Henshaw, CA
中科院分区：
文献类型：
--
作者：
Bifulco, A;Figueiredo, B;Henshaw, CA
背景：不安全依恋类型与女性重度抑郁有关，但其与分娩相关抑郁的关系在很大程度上是未知的。一项新的英国设计的测量，依恋风格访谈（ASI），有可能跨文化使用，作为母亲障碍的风险标记。目的建立跨中心的ASI的可靠性，9个月的稳定性，以及它与社会环境和严重或轻微抑郁的关系。方法在9个中心对204名妇女进行产前ASI， 174名妇女在产后6个月随访，并对96名妇女进行了Interrater信度测试。情感性障碍采用dsm - iv的结构化临床访谈进行评估。结果获得了令人满意的互信度，随访时的稳定性相对较高。不安全依恋与较低的社会阶级地位和更消极的社会环境有关。研究发现，回避型依恋类型（愤怒-不屑一顾或孤僻）与产前障碍有关，焦虑型依恋类型（纠缠或恐惧）与产后障碍有关。结论：在欧洲和美国的中心，ASI可以可靠地用于分娩相关风险的测量。它的使用将有助于对与分娩有关的疾病采取理论上有基础的预防行动。利益声明无。
Background Insecure attachment style relates to major depression in women, but its relationship to depression associated with childbirth is largely unknown. A new UK-designed measure, the Attachment Style Interview (ASI), has potential for cross-cultural use as a risk marker for maternal disorder.Aims To establish the reliability of the ASI across centres, its stability over a 9-month period, and its associations with social context and major or minor depression.Method The ASI was used by nine centres antenatally on 204 women, with 174 followed up 6 months postnatally Interrater reliability was tested and the ASI was repeated on a subset of 96 women. Affective disorder was assessed by means of the Structured Clinical Interview for DSM-IVResults Satisfactory interrater reliability was achieved with relatively high stability rates at follow-up. Insecure attachment related to lower social class position and more negative social context. Specific associations of avoidant attachment style (angry-dismissive or withdrawn) with antenatal disorder, and anxious style (enmeshed or fearful) with postnatal disorder were found.Conclusions The ASI can be used reliably in European and US centres as a measure for risk associated with childbirth. Its use will contribute to theoretically underpinned preventive action for disorders associated with childbirth.Declaration of interest None.