Depression Among a Sample of First-Time Adolescent and Adult Mothers
Depression Among a Sample of First-Time Adolescent and Adult Mothers
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DOI：
10.1111/j.1744-6171.2009.00199.x
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发表时间：
2009-11-01
影响因子：
1.5
通讯作者：
Jacobs, Bette
中科院分区：
文献类型：
--
作者：
Lanzi, Robin;Bert, Shannon;Jacobs, Bette
问题：在第一次母亲的样本中，抑郁症的发生率、相关性和后果知之甚少。方法：对第一次母亲所生的第一个孩子的前3年进行了四个地点的前瞻性研究，包括青少年(N=396)、低收入(N=169)和高资源成人(N=117)。母亲们在产前和产后6个月接受了贝克抑郁量表的测试。在8个月时对母亲和婴儿的行为进行了测量。FINDINGS：青春期母亲在产前和6个月内抑郁的发生率高于资源较低和资源较高的成年母亲，在这两个时间点上，明显比资源较低和资源较高的成年母亲有更多的青春期母亲持续抑郁。此外，青春期母亲在婴儿出生后明显比资源较低或较高的成年母亲更有可能变得抑郁。抑郁与父母教养方式和婴儿行为呈负相关。随着抑郁的加重，母亲在母亲的温暖和敏感、应急反应和一般言语上的得分较低；儿童在向母亲寻求温暖方面得分较低。结论：研究结果表明，需要咨询和以护士为基础的干预和预防服务，旨在为怀孕的青少年做好母亲的准备。(C)2009年威利期刊公司。
PROBLEM: Little is known about the rates, correlates, and consequences of depression among a sample of first-time mothers.METHODS: Four-site prospective study of the first 3 years of life among first children born to first-time mothers, including adolescent (N = 396), lower(N = 169), and higher-resource adult (N = 117). Mothers were administered the Beck Depression Inventory prenatally and 6 months postpartum. Measures of maternal and infant behaviors were taken at 8 months.FINDINGS: Adolescent mothers displayed higher prenatal and 6-month rates of depression than lower-and higher-resource adult mothers, with significantly more adolescent mothers "consistently" depressed at the two time points than lower-and higher-resource adult mothers. Further, adolescent mothers were significantly more likely to become depressed after their babies were born than lower-or higher-resource adult mothers. Depression was negatively related to parenting practices and babies' behavior. As depression increased, mothers scored less favorably in maternal warmth and sensitivity, contingent responsiveness, and general verbalness; children scored less favorably in warmth seeking toward their mothers.CONCLUSION: Findings signify the need for counseling and nurse-based intervention and prevention services geared at preparing pregnant adolescents for motherhood. (C) 2009 Wiley Periodicals, Inc.