First-time mothers' confidence mood and stress in the first months postpartum. A cohort study
First-time mothers' confidence mood and stress in the first months postpartum. A cohort study
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DOI：
10.1016/j.srhc.2018.06.003
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发表时间：
2018-10-01
影响因子：
1.8
通讯作者：
Kronborg, Hanne
中科院分区：
文献类型：
--
作者：
Kristensen, Ingeborg Hedegaard;Simonsen, Marianne;Kronborg, Hanne
目的：描述产后2个月和6个月首次母亲的信心、情绪和压力，探讨产后2个月和6个月时单独或联合使用的测量母亲信心、母亲情绪的工具对产后6个月首次母亲信心、情绪和压力的预测作用。设计：队列包括513名首次母亲产后2个月和6个月的自填式问卷：Karitane育儿信任量表(KPCS)、爱丁堡产后抑郁量表(EPDS)和父母应激量表(PSS)。结果：初孕母亲的自信心得分低于临界值(KPCS<；40)的比例从25%下降到14%(p<；0.001)，抑郁症状从临界值(EPDS&>=8)的16%下降到12%(p<；0.001)，作为母亲的父母压力从平均值32.88下降到30.98(p<；0.001)。产后2个月的KPCS量表对产后6个月的母亲自信(R-2=0.38)和父母压力(R-2=0.26)的预测力最强。结论：这一结果支持这样一种假设，即对于第一次为人母的母亲来说，为人父母是一个复杂的时期，其特征是缺乏自信、抑郁和高压力，对大多数母亲来说，这些都会随着时间的推移而改善。产后2个月的KPCS是所用措施的最强预测因子。需要进一步的研究来确定挣扎的父母，特别是卫生专业人员，他们的角色是在出生后的第一个时期支持父母为人父母。
Objectives: The aims were to describe first-time mothers' confidence, mood and stress 2 and 6 months postpartum and to investigate the extent to which the tools measuring maternal confidence and maternal mood used alone or together at 2 months postpartum predict first-time maternal confidence, mood and stress 6 months postpartum,Design: A cohort including 513 first-time mothers' self-reported questionnaires concerning three scales: The Karitane Parenting Confidence Scale (KPCS), the Edinburgh Postnatal Depression Scale (EPDS), and the Parental Stress Scale (PSS) collected 2 and 6 months postpartum. Descriptive statistic, simple and multiple linear regression analysis were used.Results: First-time mothers' with confidence scores below the clinical cut-off (KPCS < 40) fell significantly from 25% to 14% (p < 0.001), symptoms of depression above the clinical cut-off (EPDS >= 8) fell significantly from 16% to 12% (p < 0.001), and parental stress as a mother fell significantly from a mean of 32.88 to 30.98 (p < 0.001). The KPCS assessed at 2 months postpartum was the strongest predictor for both maternal confidence (R-2 = 0.38) and parental stress (R-2 = 0.26) 6 months postpartum.Conclusion: The results support the assumption that parenthood is a complicated period for first-time mothers characterised by low confidence, symptoms of depression and high stress which improve over time for the majority of mothers. The KPCS at 2 months postpartum was the strongest predictor of the measures used. Further research is needed to identify parents who are struggling, especially for health professionals' whose role is to support parents in their parenthood the first period after birth.