Women's perceptions of partner support and conflict in the development of postpartum depressive symptoms
Women's perceptions of partner support and conflict in the development of postpartum depressive symptoms
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DOI：
10.1111/j.1365-2648.2006.04059.x
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发表时间：
2006-12-01
影响因子：
3.8
通讯作者：
Ross, Lori
中科院分区：
文献类型：
--
作者：
Dennis, Cindy-Lee;Ross, Lori
瞄准本文报告了一项研究，探讨母亲的冲突和关系的看法和产后特定的支持，从合作伙伴的抑郁症状的发展，在第一个8周postpartum.Background.虽然一个女人的质量与她的合作伙伴的关系已与产后抑郁症的风险，很少有研究探讨哪些元素的合作伙伴的具体支持和冲突是产妇心理健康的决定因素。自管理措施的合作伙伴的支持（社会规定清单，产后合作伙伴支持量表），合作伙伴的冲突（质量的关系清单），和抑郁症（爱丁堡产后抑郁量表）邮寄产后人口为基础的样本396母亲在2001年4月至2002年1月。在产后1周和4周时，研究了符合可能抑郁标准（爱丁堡产后抑郁量表> 9）的妇女和产后8周时不符合可能抑郁标准的妇女在伴侣支持和冲突方面的差异。产后8周有抑郁症状的女性对特定关系和产后特定伴侣支持的感知显着降低，而关系冲突的水平显着高于无抑郁症状的女性。多元回归分析显示，三个变量，感知的社会融合，伴侣鼓励获得帮助时，需要时，和合作伙伴同意与婴儿护理，显着解释爱丁堡产后抑郁量表得分的方差。产妇的社会融合的看法和合作伙伴提供的问题为重点的信息支持和积极的反馈是重要的，在确定产妇的心理健康。因此，在产前期间，医疗保健专业人员应该教夫妇适当的方式提供反馈和沟通的期望，特别是那些与婴儿护理策略。应强调评价和情感支持的重要性，以培养母亲的接受感和被照顾感。还应鼓励伴侣积极参与家务劳动和婴儿护理活动，以保护母亲不至于不堪重负。
Aim. This paper reports a study examining the influence of maternal perceptions of conflict and relationship- and postpartum-specific support from the partner on the development of depressive symptoms in the first 8-weeks postpartum.Background. Although the quality of a woman's relationship with her partner has been associated with risk for postpartum depression, few studies have examined which elements of partner-specific support and conflict are determinants of maternal mental health.Methods. Self-administered measures of partner support (Social Provisions Checklist, Postpartum Partner Support Scale), partner conflict (Quality of Relationships Inventory), and depression (Edinburgh Postnatal Depression Scale) were mailed postnatally to a population-based sample of 396 mothers between April 2001 to January 2002. Differences in partner support and conflict at 1 and 4-weeks postpartum were examined between those women who met criteria for probable depression (Edinburgh Postnatal Depression Scale > 9) and those who did not meet criteria for probable depression at 8-weeks postpartum.Findings. Women with depressive symptoms at 8-weeks postpartum had significantly lower perceptions of relationship-specific and postpartum-specific partner support and significantly higher levels of relationship conflict than women with no depressive symptoms. Multiple regression analyses revealed that three variables, perceived social integration, partner encouragement to obtain help when needed, and partner agreed with infant care, significantly explained the variance in Edinburgh Postnatal Depression Scale scores.Conclusions. Maternal perceptions of social integration and partner provision of problem-focused informational support and positive feedback are important in determining maternal mental health. Therefore, in the antenatal period healthcare professionals should teach couples appropriate ways to provide feedback and communicate expectations, especially those relating to infant care strategies. The importance of appraisal and emotional support should be highlighted in order to foster maternal feelings of acceptance and being cared for. Partners should also be encouraged to participate actively in household tasks and infant care activities to protect the mother from becoming overwhelmed.