Depressive symptoms in mothers of prematurely born infants
Depressive symptoms in mothers of prematurely born infants
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DOI：
10.1097/01.dbp.0000257517.52459.7a
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发表时间：
2007-02-01
影响因子：
2.4
通讯作者：
Schwartz, Todd A.
中科院分区：
文献类型：
--
作者：
Miles, Margaret Shandor;Holditch-Davis, Diane;Schwartz, Todd A.
目的：这项纵向描述性研究描述了早产儿母亲从出生到27个月矫正年龄的抑郁症状水平，并检查了与抑郁症状相关的因素。这项研究的框架是由生态发展系统的角度和适应早产儿父母的痛苦模型。研究方法：在这个模型中，我们假设母亲对早产儿的生产和养育的情绪困扰受到个人和家庭因素、婴儿健康状况的严重程度以及与疾病有关的压力和担忧的影响。参与者是102名早产儿的母亲，他们在入组时没有呼吸机，并且不依赖主要技术。结果如下：住院期间流行病学研究中心抑郁量表（CES-D）的平均抑郁症状评分较高，超过一半（63%）的母亲得分为2：16，表明有抑郁风险。抑郁评分随着时间的推移而下降，直到6个月，然后相当稳定。未婚母亲、再次住院婴儿的母亲以及在住院期间报告更多母亲角色转变压力和担心孩子健康的母亲在第一年有更多抑郁症状。在住院期间报告更多父母角色转换压力的母亲（比值比[OR] = 1.570，95%置信区间[CI]：1.171-2.104）和更多担心孩子的健康（OR = 2.350，95% CI：1.842-2.998）更有可能经历升高的CES-D评分，使其处于抑郁风险中。此外，再次住院婴儿的母亲随着时间的推移，CES-D评分升高的几率降低（OR = 0.982/周，95%CI：0.968-0.996）。结论：研究结果有影响的支持母亲在住院期间，并在早年养育早产儿。
Objective: This longitudinal, descriptive study described the level of depressive symptoms in mothers of preterm infants from birth through 27 months corrected age and examined factors associated with depressive symptoms. The framework for the study was guided by an ecological developmental systems perspective and an adaptation of the Preterm Parental Distress Model. Methods: in this model, we hypothesize that a mother's emotional distress to the birth and parenting of a prematurely born child is influenced by personal and family factors, severity of the infant's health status, and illness-related stress and worry. Participants were 102 mothers of preterm infants who were off the ventilator and not otherwise dependent on major technology at enrollment. Results: Mean depressive symptoms scores on the Center for Epidemiologic Studies Depression Scale (CES-D) during hospitalization were high and more than half the mothers (63%) had scores of 2:16 indicating risk of depression. Depressive scores declined over time until 6 months and then were fairly stable. Unmarried mothers, mothers of infants who were rehospitalized, and mothers who reported more maternal role alteration stress during hospitalization and worry about the child's health had more depressive symptoms through the first year. Mothers who reported more parental role alteration stress during hospitalization (odds ratio [OR] = 1.570, 95% confidence interval [CI]: 1.171-2.104) and more worry about the child's health (OR = 2.350, 95% CI: 1.842-2.998) were more likely to experience elevated CES-D scores that put them at risk of depression. Also, mothers of rehospitalized infants had decreasing odds of elevated CES-D scores over time (OR = 0.982 per week, 95% CI: 0.968-0.996). Conclusions: Findings have implications for the support of mothers during hospitalization and in the early years of parenting a preterm infant.