Post-partum depression and the mother-infant relationship in a South African peri-urban settlement

Post-partum depression and the mother-infant relationship in a South African peri-urban settlement
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DOI:
10.1192/bjp.175.6.554
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发表时间:
1999-12-01
影响因子:
10.5
通讯作者:
Molteno, C
Molteno, C
中科院分区:
医学1区
文献类型:
--
作者:
Cooper, PJ;Tomlinson, M;Molteno, C

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背景产后抑郁症在发展中国家很少受到研究关注,其与母婴关系障碍的关系尚不清楚。目的确定南非城市郊区Khayelitsha产后抑郁症和母婴关系障碍的患病率。方法对147名分娩前两个月的妇女进行精神状态评估,结果DSM-IV抑郁症的时点患病率为34.7%。产妇抑郁症与不良的情感和实际的支持,从合作伙伴它也与不敏感的参与与infants.Conclusions产后抑郁症在Khayelitsha的发病率约为3倍,发现在英国产后样本,这些抑郁症与干扰的母婴关系。
Background Post-partum depression in the developing world has received little research attention, and its association with disturbances in the mother-infant relationship is unknown.Aims To determine the prevalence of post-partum depression and associated disturbances in the mother-infant relationship in Khayelitsha, a South African peri-urban settlement.Method The mental state of 147 women who had delivered two months previously was assessed, and the quality of their engagement with their infants was determined.Results The point prevalence of DSM-IV major depression was found to be 34.7%. Maternal depression was associated with poor emotional and practical support from the partner It was also associated with insensitive engagement with the infants.Conclusions The rate of post-partum depression in Khayelitsha was around three times that found in British post-partum samples, and these depressions were strongly associated with disturbances in the mother-infant relationship.