Maternal psychological growth following childbirth

Maternal psychological growth following childbirth
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DOI:
10.1007/s00737-020-01053-9
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发表时间:
2020-07-23
影响因子:
4.5
通讯作者:
Dekel, Sharon
Dekel, Sharon
中科院分区:
医学2区
文献类型:
--
作者:
Berman, Zohar;Thiel, Freya;Dekel, Sharon

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尽管母亲产后心理健康已得到广泛研究,但对于促进产后心理成长的因素却知之甚少。本研究旨在检查产后妇女整体心理成长和生长领域的各种产前、出生和产后相关性,并在产后头几个月内进行评估。 428 名女性样本完成了有关心理成长、心理健康、母性依恋和分娩特征的自我报告测量。我们发现,大多数女性在分娩后心理得到了成长,而那些在分娩时经历过压力的女性则对生命的感激程度最高。在回归分析中,考虑到其他因素,产后因素与整体生长和生长域显着相关。分娩越被认为是母亲身份的核心,母亲对孩子的依恋越好,孩子的成长水平就越高。增长也与对分娩创伤后应激障碍的认可呈负相关。背景因素,如母亲年龄、教育程度和先前的心理健康状况,与特定的生长领域相关,尽管关联很小,并且与整体生长没有关联。产后因素对于产后头几个月的心理成长非常重要。在临床护理中,特别是在创伤性分娩后,需要注意分娩后的生长机会。
Although maternal postpartum mental health has been extensively studied, rather little is known regarding the factors that may facilitate psychological growth following childbirth. The present study set forth to examine various pre-birth, birth, and post-birth correlates of overall psychological growth and growth domains in postpartum women, assessed within the first months following childbirth. A sample of 428 women completed self-report measures pertaining to psychological growth, mental health, maternal attachment, and childbirth characteristics. We found that the majority of women reported psychological growth following childbirth, with those experiencing stressors in childbirth reporting the highest levels of appreciation for life. In regression analyses, postpartum factors were significantly associated with overall growth and growth domains, taking into account other factors. The more the childbirth was perceived as central to the mothers' identity and the better the maternal attachment was to the child, the higher levels of growth. Growth was also negatively related to endorsement of childbirth PTSD. Background factors, such as maternal age, education, and prior mental health, were associated with specific growth domains, although the association was small and there was no association with overall growth. Post-birth factors are important in ensuing psychological growth in the first months following birth. Attention to opportunities of growth following childbirth is warranted in clinical care, in particular following traumatic childbirth.