How to Find Maternal Depression and Relationship Disorders between Mothers and Children Early in a Community

如何在社区早期发现母亲抑郁症和母亲与孩子之间的关系障碍

• 批准号: 14570321
• 负责人: MORIOKA Yukiko
• 金额: $ 1.47万
• 依托单位: Yamagata University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2002
• 资助国家: 日本
• 起止时间: 2002 至 2004
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14570321/
• 关键词: maternal depression; relationships disturbance; emotional availability; mother-infant interaction; infant psychiatry; infant mental health; Strange Situation Procedure; 産後うつ; 抑うつ; 不安; 母子関係性障害; 早期発見; 母子観察; stranger situation法; 追跡調査; JIFP; 表

The objective of the present study is to provide useful basic information for the infant mental health professionals including midwives, public health nurses, child psychiatrists and clinical psychologists trying to provide concrete supports to mothers in child bearing. We recruited the subjects of pregnant women in a general hospital in a city located in the northern area of Japan. We administered longitudinal mental health surveys to the subjects in third trimester of pregnancy, one month after birth, four months after birth and on year after birth. Furthermore, we conducted home visit survey including video-recording to the subjects four months and one year after birth to evaluate mother-infant interactions and maternal emotional availability. The subjects of the home visit surveys were 63 mothers and their children. In the home visit surveys, we structured the setting of separation and reunion of mothers and infants referring to the procedure of the Strange Situation (Ainsworth, M. … More ). The evaluation of the video-recorded behaviors of the mothers and infants was conducted by nine infant mental health professionals using the modified Emotional Availability Scale. The original version of the Emotional Availability Scale was developed by Biringen, Z, Robison J.L. and Emde R.N. We modified the scale to adapt our research.We compared the mother-infant interactions and maternal emotional availability between the continuously depressed group (CDG) (n=12) and the non continuously depressed group (NCDG) (n=51). The mothers of the CDG were judged to be depressed both one month and four months after birth. As a result, the emotional expression of the mothers of CDG was significantly more negative and depressed than that of the mothers of NCDG. The quantity of talking of the mothers of CDG to their infants was significantly less and the communication of them was significantly less smooth. The emotional expression of the infants of CDG was also significantly more negative and depressed than that of the infants of NCDG. The infants of CDG presented significantly more frequent recurving than the infants of NCDG. From these results, it was suggested that the continuously depressed mother had many problems of their interaction with their children and their emotional availability to their children. Less

本研究的目的是为婴儿心理健康专业人员提供有用的基本信息，包括助产士，公共卫生护士，儿童精神科医生和临床心理学家，试图为母亲提供具体的支持，在生育。我们在日本北方地区的一个城市的综合医院招募孕妇作为研究对象。我们对受试者在妊娠晚期、出生后一个月、出生后四个月和出生后一年进行了纵向心理健康调查。此外，我们还对出生后4个月和1年的受试者进行了家访调查，包括录像，以评估母婴互动和母亲的情感可用性。家访调查的对象是63名母亲及其子女。在家访调查中，我们参照陌生情境的程序，构建了母婴分离和团聚的情境（Ainsworth，M。 ...更多信息 ).由9名婴儿心理卫生专业人员使用修订的情绪可用性量表对母亲和婴儿的视频记录行为进行评估。情绪可用性量表的最初版本是由Biringen，Z，Robison J.L.和Emde R.N.我们对量表进行了修改，比较了持续性抑郁组（n=12）和非持续性抑郁组（n=51）的母婴互动和母亲情绪可用性。CDG的母亲在出生后一个月和四个月被判定为抑郁。结果表明，CDG组母亲的情绪表达比NCDG组母亲的情绪表达更消极、更抑郁。CDG组母亲与婴儿的谈话量明显减少，沟通不顺畅。CDG组婴儿的情绪表达也明显比NCDG组婴儿的消极和抑郁。CDG组患儿复发率明显高于NCDG组。从这些结果，这表明，持续抑郁的母亲有许多问题，他们与他们的孩子和他们的情绪可用性，他们的孩子。少

项目成果

産後のうつ状態と母子相互作用についての縦断的研究

产后抑郁症与母婴互动的纵向研究

• 发表时间: 2004
• 期刊: 母性衛生 44巻1号
• 作者: 佐藤 文;森岡由起子;生地新 他
• 通讯作者: 生地新 他