TRANSITION TO PARENTHOOD AND MENTAL HEALTH IN FIRST-TIME PARENTS
TRANSITION TO PARENTHOOD AND MENTAL HEALTH IN FIRST-TIME PARENTS
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DOI：
10.1002/imhj.21443
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发表时间：
2014-05-01
影响因子：
2.4
通讯作者：
Ayers, Susan
中科院分区：
文献类型：
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作者：
Parfitt, Ylva;Ayers, Susan
本研究旨在详细研究初为人父母者向父母身份的转变和心理健康状况，并探讨父母性别和产后心理健康状况在这种转变中的任何差异。出生后5个月，对46名女性和40名男性进行了半结构化临床访谈（伯明翰产妇心理健康访谈）。父母在产前和产后的焦虑，抑郁，产后创伤后应激障碍（PTSD），以及一系列的调整和关系变量进行了评估。四分之一的男性和女性表示在怀孕期间感到焦虑，出生后女性和男性分别降至21%和8%。怀孕和产后抑郁症的发病率大致相同，11%的女性和8%的男性报告抑郁症。5%的父母经历过产后PTSD。产后心理健康问题与产后睡眠不足（OR = 7.5）、分娩并发症（OR = 5.1）、产后伴侣支持缺乏（OR = 8.0）、父母无价值感（OR = 8.3）和对婴儿的愤怒（OR = 4.4）显著相关。这些变量几乎没有性别差异。因此，这项研究强调了加强夫妻关系和避免产后睡眠剥夺的干预措施的重要性，并解决父母对父母不值得的感觉和对婴儿的愤怒感。
This study aimed to examine the transition to parenthood and mental health in first-time parents in detail and explore any differences in this transition in the context of parental gender and postpartum mental health. Semistructured clinical interviews (Birmingham Interview for Maternal Mental Health) were carried out with 46 women and 40 men, 5 months after birth. Parents were assessed on pre- and postpartum anxiety, depression, and postpartum posttraumatic stress disorder (PTSD), and a range of adjustment and relationship variables. One fourth of the men and women reported anxiety in pregnancy, reducing to 21% of women and 8% of men after birth. Pregnancy and postpartum depression rates were roughly equal, with 11% of women and 8% of men reporting depression. Postpartum PTSD was experienced by 5% of parents. Postpartum mental health problems were significantly associated with postpartum sleep deprivation (odds ratio [OR] = 7.5), complications in labor (OR = 5.1), lack of postpartum partner support (OR = 8.0), feelings of parental unworthiness (OR = 8.3), and anger toward the infant (OR = 4.4). Few gender differences were found for these variables. This study thus highlights the importance of focusing interventions on strengthening the couple's relationship and avoiding postnatal sleep deprivation, and to address parents' feelings of parental unworthiness and feelings of anger toward their baby.