Righetti-Veltema Marion, Bousquet Arnaud, Manzano Juan
Service médico-pédagogique, 16-18 Bd Saint-Georges, 1211 Genève 8, Switzerland.
Eur Child Adolesc Psychiatry. 2003 Apr;12(2):75-83. doi: 10.1007/s00787-003-0311-9.
Postpartum depression (PPD) is known to have important negative effects on mother, infant and mother-child relationship.
We present a case-control study of 35 mothers and their 18-month-old infants. These mothers suffered from postpartum depressive symptoms (PDS) when the infants were three months old, as rated with the Edinburgh Postnatal Depression Scale (EPDS, Cox 1987). A control group of 35 mothers without postpartum depressive symptoms (NPDS) with their 18-month-old infants was also evaluated. The infants were assessed using the Infant Behavior Record of the Bayley Scales of Infant Development, the Strange Situation and an object concept task.
15 months later, the PDS mothers were less affectionate and more anxious than the NPDS mothers. The PDS dyads demonstrated less verbal interaction and less playing interaction. 18-month-old infants of PDS mothers performed less well on object concept tasks, and were more often insecurely attached to their mothers. Only some results were linked to the mothers' depressive state (D-mothers) diagnosed at 18 months (e. g. responsiveness to persons).
The important negative effects observed at 18 months on mother and infant of maternal PDS at 3 months confirm the need for early identification and therapeutic or preventive interventions.
产后抑郁症（PPD）已知会对母亲、婴儿及母婴关系产生重要负面影响。
我们开展了一项针对35位母亲及其18个月大婴儿的病例对照研究。这些母亲在婴儿三个月大时，经爱丁堡产后抑郁量表（EPDS，Cox 1987）评定，患有产后抑郁症状（PDS）。还评估了一个由35位无产后抑郁症状（NPDS）的母亲及其18个月大婴儿组成的对照组。使用贝利婴儿发展量表的婴儿行为记录、陌生情境和一个客体概念任务对婴儿进行评估。
15个月后，患有PDS的母亲比未患PDS的母亲更缺乏温情且更焦虑。患有PDS的母婴二元组表现出较少的言语互动和玩耍互动。患有PDS的母亲的18个月大婴儿在客体概念任务上表现较差，且更常对母亲形成不安全依恋。只有一些结果与18个月时诊断出的母亲抑郁状态（抑郁母亲）有关（例如对人的反应性）。
3个月时母亲的PDS在18个月时对母婴产生的重要负面影响证实了早期识别以及治疗或预防干预的必要性。
