Mother-infant bonding disorders in patients with postnatal depression: The Postpartum Bonding Questionnaire in clinical practice
Mother-infant bonding disorders in patients with postnatal depression: The Postpartum Bonding Questionnaire in clinical practice
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DOI：
10.1007/s00737-006-0150-z
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发表时间：
2006-09-01
影响因子：
4.5
通讯作者：
Klier, C. M.
中科院分区：
文献类型：
--
作者：
Klier, C. M.
母婴关系障碍包括令人痛苦的缺乏母性感觉、易怒、敌意和攻击性冲动、病态想法和彻底拒绝。这些症状在转诊寻求精神科帮助的母亲中相当常见，并且在被诊断患有产后抑郁症的母亲中，有 29% 存在（Brockington 等人，2001 年）。对于产后抑郁症，产后亲密问卷（PBQ）最好与爱丁堡产后抑郁量表（EPDS）一起使用，以评估两个变量的治疗过程：抑郁症和母亲与孩子相处的困难（Klier＆Muzik，2004）。来自临床实践的两个案例小插图来说明这一过程。使用 PBQ 可以让临床医生筛查母婴关系障碍并评估该障碍的严重程度。在 PBQ 得分较高的情况下，关注人际关系问题并评估这些问题在抑郁症恢复后是否仍然存在是至关重要的。
Mother-infant bonding disorders include a distressing lack of maternal feeling, irritability, hostility and aggressive impulses, pathological ideas and outright rejection. They are quite common in mothers referred for psychiatric help and are present in 29% of mothers diagnosed with postnatal depression (Brockington et al, 2001). In cases of postpartum depression The Postpartum Bonding Questionnaire (PBQ) is best used together with The Edinburgh Postnatal Depression Scale (EPDS) to evaluate the treatment process for both variables: depression and difficulties of the mother to relate to her child (Klier & Muzik, 2004). Two cases vignettes from clinical practice are presented to illustrate this procedure.The use of the PBQ allows the clinician to screen for mother-infant relationship disorders and to assess the severity of the disorder. In the case of high scores on the PBQ it is crucial to attend to the relationship problems and assess if they are still present beyond the recovery from depression.