New mothers' thoughts of harm related to the newborn
New mothers' thoughts of harm related to the newborn
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DOI：
10.1007/s00737-008-0016-7
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发表时间：
2008-07-01
影响因子：
4.5
通讯作者：
Woody, Sheila R.
中科院分区：
文献类型：
--
作者：
Fairbrother, Nichole;Woody, Sheila R.
关于新妈妈对新生儿的侵入性伤害想法的经历，很少有发表的研究。需要关于新生儿伤害的侵入性想法的正常现象学的循证信息，以促进适当的临床决策。本项目的目的是评估产妇对新生儿的伤害想法的现象学、患病率、相关因素和行为后遗症。100名妇女在怀孕期间被招募。参与者在产前和产后4周和12周进行评估，使用问卷调查和半结构化访谈，了解与新生儿相关的有害想法。产后意外伤害婴儿的侵入性想法是普遍的，近一半的样本报告了故意伤害婴儿的不必要的想法。与故意伤害念头相比，意外伤害念头更频繁、更耗时，但不那么令人痛苦。高教养压力和低社会支持可预测故意伤害想法的发生。几乎没有证据表明这些想法和侵略性的父母之间的关联被发现。不想要的侵入性的想法伤害自己的婴儿是一个相对规范的经验在产后早期，特别是与更大的养育压力和低社会支持。
There are few published studies of new mothers' experiences of intrusive thoughts of harm related to the newborn. Evidence-based information about the normal phenomenology of intrusive thoughts of harm related to the newborn is needed to facilitate appropriate clinical decision-making. The objective of this project was to assess the phenomenology, prevalence, correlates, and behavioural sequelae of maternal thoughts of harm related to the newborn. One hundred women were recruited during pregnancy. Participants were assessed prenatally and at 4 and 12 weeks postpartum using questionnaires and a semi-structured interview about unwanted thoughts of harm related to the newborn. Postpartum intrusive thoughts of accidental harm to the infant were universal, and close to half of the sample reported unwanted thoughts of intentionally harming their infant. Compared with intentional harm thoughts, accidental harm thoughts were more frequent and more time consuming, but less distressing. High parenting stress and low social support predicted the occurrence of thoughts of intentional harm. Little evidence of an association between these thoughts and aggressive parenting was found. Unwanted intrusive thoughts of harming one's infant are a relatively normative experience during the early postpartum period, particularly in association with greater parenting stress and low social support.