Effect of home-based peer support on maternal-infant interactions among women with postpartum depression: A randomized, controlled trial
Effect of home-based peer support on maternal-infant interactions among women with postpartum depression: A randomized, controlled trial
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DOI：
10.1111/j.1447-0349.2010.00736.x
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发表时间：
2011-10-01
影响因子：
5.6
通讯作者：
Watson, Barry
中科院分区：
文献类型：
--
作者：
Letourneau, Nicole;Stewart, Miriam;Watson, Barry
大约 15% 的新妈妈患有产后抑郁症，这是产后产后发病的最常见原因。产后抑郁症可能会损害母婴互动，导致患有抑郁症的母亲的后代发育不良。本研究的目的是测试家庭同伴支持的有效性，其中包括对有产后抑郁症状的母亲及其婴儿进行母婴互动教学。患有产后抑郁症的母亲被随机分配到对照组（n = 33）或干预组（n = 27）。干预组的母亲接受了为期 12 周的家庭同伴支持，其中包括母婴互动教学；同伴都是从产后抑郁症中恢复过来的母亲。并接受了提供支持的培训。数据收集自所有母亲的基线以及随机分组后 6 周和 12 周。与假设的关系方向相反，结果有利于对照组。母婴互动的两项指标之一观察到两组之间存在显着差异。其他几项指标也有利于对照组，包括母亲的抑郁症状和社会支持评分。在母亲或婴儿的婴儿智商评分或每日唾液皮质醇水平方面没有观察到显着的治疗效果。研究结果表明，患有产后抑郁症的母亲不太接受由同伴进行的母婴互动教学，最好由专业护士来进行。
Approximately 15% of new mothers experience postpartum depression, representing the most common source of maternal morbidity post-delivery. Postpartum depression may impair maternal-infant interactions, contributing to poor developmental outcomes in the offspring of mothers with depression. The purpose of this study was to test the effectiveness of home-based peer support that included maternal-infant interaction teaching for mothers with symptoms of postpartum depression and their infants. Mothers with postpartum depression were randomly assigned to control (n = 33) or intervention groups (n = 27). Intervention group mothers received 12 weeks of home-based peer support that included maternal-infant interaction teaching; peers were mothers who had recovered from postpartum depression. and were trained to provide support. Data were collected from all mothers at baseline, as well as 6 and 12 weeks' post-randomization. Contrary to the hypothesized direction of relationships, results favoured the control group. A significant difference between the groups was observed for one of the two measures of maternal-infant interactions. Several other measures favoured the control group, including mothers' depressive symptoms and social support scores. No significant treatment effects were observed in infant IQ scores or diurnal salivary cortisol levels in mothers or infants. The findings suggest that maternal-infant interaction teaching by peers is not well received by mothers with postpartum depression and might be more optimally delivered by professional nurses.