Maternal depressive symptoms in the postnatal period are associated with long-term impairment of mother-child bonding
Maternal depressive symptoms in the postnatal period are associated with long-term impairment of mother-child bonding
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DOI：
10.1007/s00737-006-0149-5
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发表时间：
2006-09-01
影响因子：
4.5
通讯作者：
Resch, F.
中科院分区：
文献类型：
--
作者：
Moehler, E.;Brunner, R.;Resch, F.
背景资料：产后抑郁症已被证明对儿童的认知和情感发展的长期后果，然而，母亲和儿童病理学之间的联系尚未明确identified.Objective：本研究旨在探讨母亲的抑郁症状是否会损害母亲与婴儿和幼儿的联系。从当地产科单位招募了101名新生儿母亲，并使用症状自评量表进行精神病理学检查，分别于产后2周、6周、4个月、14个月采用爱丁堡产后抑郁量表（EPDS）和产后亲密度问卷调查。2周时母亲出现抑郁症状，出生后6周和4个月，但不是在14个月的婴儿年龄被发现与母亲对婴儿和儿童的低质量的联系密切相关，从两周到四个月。出生后14个月。即使是轻微的和未被承认的母亲抑郁症状有显着的影响，对母亲的bonding.Conclusions，如果他们发生在头四个月的生命：这给了理由增加关注的母亲-婴儿二对在出生后的头几个月，可以被视为一个高度敏感的时期，为发展的母亲-孩子的关系。这些发现值得进一步研究，并鼓励制定预防计划，重点关注婴儿和幼儿心理健康，强调在最初的关键月份提供保护和支持。
Background: Postnatal Depression has demonstrated long-term consequences on child cognitive and emotional development, however, the link between maternal and child pathology has not been clearly identified.Objective: This study examined whether maternal bonding to the infant and young child is impaired by maternal depressive symptoms.Methods: 101 mothers of newborn infants were recruited from local obstetric units and examined for psychopathology using Symptom Checklist, the Edinburgh Postnatal Depression Scale (EPDS) and the Postpartum Bonding Questionnaire at two weeks, six weeks, four months and fourteen months postpartum.Results: Maternal depressive symptoms at 2 weeks, 6 weeks and four months postnatally but not at fourteen months of infant's age were found to be strongly associated with lower quality of maternal bonding to the infant and child from two weeks until fourteen months of postnatal age. Even mild and unrecognized maternal depressive symptoms had a significant impact on maternal bonding, if they occurred during the first four months of life.Conclusions: This gives reason for increased concern for mother-infant dyads in the first few months after birth that could be regarded as a highly sensitive period for the development of the mother-child relationship. The findings warrant further studies and inspire the development of preventive programs focussing on infant and early childhood mental health by emphasizing protection and support during the first critical months.