PTSD in Depressed Mothers in Home Visitation
PTSD in Depressed Mothers in Home Visitation
复制标题
DOI：
10.1037/a0023062
复制
发表时间：
2012-03-01
影响因子：
6.3
通讯作者：
Van Ginkel, Judith B.
中科院分区：
文献类型：
--
作者：
Ammerman, Robert T.;Putnam, Frank W.;Van Ginkel, Judith B.
最近的研究表明，参加家访计划的母亲有很高的心理健康问题，特别是抑郁症。创伤后应激障碍（PTSD）是抑郁症的常见合并症，但其在家访人群中的患病率及其对父母和母亲功能的影响尚未得到研究。这项研究对比了抑郁症的母亲（n = 35）和没有创伤后应激障碍（n = 55）谁参加了家访计划。结果表明，抑郁症的母亲与共病PTSD更有可能经历过童年的性虐待，有更严重的抑郁症状，增加社会孤立，和较低的整体功能比他们的同行没有PTSD。在PTSD母亲中，即使在控制了抑郁严重程度后，PTSD症状的严重程度，特别是回避和情感麻木，与母亲精神病理学和养育缺陷的增加有关。这些发现补充了文献记录PTSD对母亲功能和养育子女的负面影响。在家访的背景下，筛选和治疗的影响进行了讨论。
Recent research has suggested that mothers participating in home visitation programs have a high incidence of mental health problems, particularly depression. Posttraumatic stress disorder (PTSD) is a common comorbidity with depression, yet its prevalence among home visiting populations and implications for parenting and maternal functioning have not been examined. This study contrasted depressed mothers with (n = 35) and without PTSD (n = 55) who were enrolled in a home visitation program. Results indicated that depressed mothers with comorbid PTSD were more likely to have experienced childhood sexual abuse, had greater severity of depressive symptoms, increased social isolation, and lower overall functioning than their counterparts without PTSD. Among PTSD mothers, greater severity of PTSD symptoms, in particular avoidance and emotional numbness, were associated with increased maternal psychopathology and parenting deficits even after controlling for depression severity. These findings add to the literature documenting the negative impacts of PTSD on maternal functioning and parenting. Implications for screening and treatment in the context of home visitation are discussed.