Parenting and mother-infant interactions in the context of maternal postpartum obsessive-compulsive disorder: Effects of obsessional symptoms and mood
Parenting and mother-infant interactions in the context of maternal postpartum obsessive-compulsive disorder: Effects of obsessional symptoms and mood
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DOI：
10.1016/j.infbeh.2016.04.003
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发表时间：
2016-08-01
影响因子：
2.1
通讯作者：
Acheson, Rachel
中科院分区：
文献类型：
--
作者：
Challacombe, Fiona L.;Salkovskis, Paul M.;Acheson, Rachel
背景：产妇精神疾病与对婴儿和儿童的负面影响有关。越来越多的关注已经支付给特定的围产期疾病的影响，养育和互动的一个重要的影响机制。强迫症对患者和周围的人来说可能是一种使人衰弱的疾病。虽然强迫症是一种常见的围产期疾病，没有以前的研究特点的母亲与OCD.Methods：37名母亲产后强迫症和6个月大的婴儿详细的育儿和母婴互动进行了比较，与37个社区控制二人组的各种措施的心理困扰和养育。观察到的母婴互动independently assessed.Results：强迫症和强迫症的报告，在这两组，虽然他们没有造成干扰的控制组。患有强迫症的母亲平均每天被症状困扰9.6小时。与健康的同龄人相比，患有强迫症的母亲更不自信，报告更多的婚姻困扰和更少的社会支持，并且不太可能母乳喂养。婴儿气质等级没有差异。与强迫症的母亲被评为不太敏感的相互作用比对照组，部分归因于并发depression.Conclusions的水平：产妇产后强迫症是一种疾病，可以影响经验的养育和母婴互动，虽然这可能不是由强迫症症状。需要进行纵向研究，以评估随着婴儿的发育，母亲困难的轨迹和影响。(C)2016 Elsevier Inc. All rights reserved.
Background: Maternal mental illness is associated with negative effects on the infant and child. Increased attention has been paid to the effects of specific perinatal disorders on parenting and interactions as an important mechanism of influence. OCD can be a debilitating disorder for the sufferer and those around them. Although OCD is a common perinatal illness, no previous studies have characterized parenting and mother infant interactions in detail for mothers with OCD.Methods: 37 mothers with postpartum OCD and a 6 month old infant were compared with 37 community control dyads on a variety of measures of psychological distress and parenting. Observed mother-infant interactions were assessed independently.Results: Obsessions and compulsions were reported in both groups, although they did not cause interference in the control group. Mothers with OCD were troubled by their symptoms for a mean of 9.6 hours/day. Mothers with OCD were less confident, reported more marital distress and less social support than healthy peers and were less likely to be breastfeeding. Infant temperament ratings did not differ. Mothers with OCD were rated as less sensitive in interactions than the comparison group, partly attributable to levels of concurrent depression.Conclusions: Maternal postpartum OCD is a disorder that can affect experiences of parenting and mother-infant interactions although this may not be driven by OCD symptoms. Longitudinal studies are required to assess the trajectory and impact of maternal difficulties as the infant develops. (C) 2016 Elsevier Inc. All rights reserved.