Perceived and observed mother-child interaction at time of hospitalization and release in postpartum depression and psychosis

Perceived and observed mother-child interaction at time of hospitalization and release in postpartum depression and psychosis
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DOI:
10.1007/s00737-008-0217-0
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发表时间:
2008-02-01
影响因子:
4.5
通讯作者:
van den Berg, M. P.
van den Berg, M. P.
中科院分区:
医学2区
文献类型:
--
作者:
Noorlander, Y.;Bergink, V.;van den Berg, M. P.

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前言:一项先导性研究将产后抑郁或精神病患者的母婴亲和感与护理人员在住院和出院时母婴互动的观察进行了比较。方法:本研究包括25对精神病科住院的母婴。用产后亲和力问卷评定母婴亲和感,用Bethlem母婴互动量表评价母婴互动情况。结果:产后抑郁症患者入院时和出院时与子女的亲和感均显着高于产后精神病患者。与患有产后精神病的妇女相比,产后抑郁妇女的经历与护理人员在出院时的观察显著相关。结论:侧重于母亲与孩子建立纽带的经验的治疗对患有产后抑郁症的母亲特别有益。
Introduction: A pilot study was conducted which compared perceived mother-infant bonding in women admitted with postpartum depression or psychosis, with observations of mother-infant interaction by the nursing staff at both the time of hospitalization and that of release.Method: 25 mother-infant pairs admitted to a psychiatric unit were included in this study. The Postpartum Bonding Questionnaire was used to assess the perceived mother-infant bond and the observation of mother-infant interaction was assessed with the Bethlem Mother-Infant Interaction Scale.Results: At the time of both hospitalization and release postpartum depressed women experienced the bond with their child significantly more negative than women with postpartum psychosis. In contrast to women with postpartum psychosis, the experience of postpartum depressed women was significantly correlated with the observations of the nursing staff at time of release.Conclusion: Treatment that focuses on a mother's experience of the bond with her child could be especially beneficial for mothers with postpartum depression.