Antenatal depression and maternal-fetal attachment
Antenatal depression and maternal-fetal attachment
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DOI：
10.1159/000075189
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发表时间：
2003-01-01
期刊：
影响因子：
3.6
通讯作者：
Inoko, K
中科院分区：
文献类型：
--
作者：
Honjo, S;Arai, S;Inoko, K
背景：近年来，随着关注范围的扩大，人们开始关注与母婴关系有关的产妇心理健康，即不仅考虑到产褥期，而且考虑到怀孕阶段。这适用于那些揭示了产后和怀孕后期抑郁与母亲依恋之间联系的研究。然而，这项研究旨在评估孕早期和孕中期的母胎关系，是第一个在这些早期阶段解决这个问题的研究。抽样与方法：对1998年9月至2001年6月在名古屋大学附属医院就诊的216名妊娠3 ~ 6个月的孕妇进行抑郁自评量表（ZSDS）、产前母亲依恋量表（AMAS）及周边因素问卷调查。结果：与怀孕后期的报告相反，在胎儿运动感知之前，没有观察到母亲抑郁与母胎依恋之间的直接关联。结论：然而，教育程度、就业形式、怀孕计划和经前情绪变化被发现与ZSDS评分相关（平均值：41.9），而就业形式、对怀孕的感受和支持来源被提取为与AMAS相关的因素，这些因素在围产期和产后抑郁与母胎依恋之间的后续关联方面很有意义。版权所有(C) 2003 S. Karger AG，巴塞尔。
Background: In recent years, attention has been turned to maternal mental health in relation to the mother-child relationship accompanying a widening in focus, i.e. taking into account not only the puerperium, but also the stage of pregnancy. This applies to studies that have revealed a connection between depression and maternal attachment in the postpartum period and late pregnancy. This study, however, was designed to evaluate the maternal-fetal relationship in the first and second trimesters, being the first one to address this issue in these early stages. Sampling and Methods: Zung's Self-Rating Depression Scale (ZSDS), the original Antenatal Maternal Attachment Scale (AMAS), and a questionnaire addressing peripheral factors were given to 216 pregnant women (3-6 months of gestation) who visited the Nagoya University Hospital between September 1998 and June 2001. Results: Contrary to reports on the latter stages of pregnancy, no direct association was observed between depression in mothers and maternal-fetal attachment before fetal movement was perceived. Conclusion: However, education, form of employment, planning of pregnancy, and premenstrual mood changes were found to be associated with the ZSDS score ( mean: 41.9), while form of employment, feelings regarding pregnancy, and sources of support were extracted as factors associated with the AMAS, which are of interest in terms of the subsequent association between depression and maternal-fetal attachment in the peri- and postnatal periods. Copyright (C) 2003 S. Karger AG, Basel.