Edhborg M, Lundh W, Seimyr L, Widström A M
Department of Woman and Child Health, Karolinska Institutet, Stockholm, Sweden.
Arch Womens Ment Health. 2003 Aug;6(3):211-6. doi: 10.1007/s00737-003-0020-x.
The aim of this study was to examine parent-child interactions 15-18 months postpartum, in families where the mother either showed depressive symptoms two months postpartum or did not. Maternal mood was assessed with the Edinburgh Postnatal Depression Scale (EPDS). Eleven women scoring >12 (signs of depressive mood) and 14 women scoring <10 (no signs of depressive mood) on the EPDS and their partners were videotaped in parent-child interactions, assessed by the Parent Child Early Relational Assessment (PCERA). Our results indicate that children of high EPDS-scoring mothers showed less persistence in play with, and less joy in reunion after separation from, their mothers than children of low EPDS-scoring mothers. In contrast, most fathers in families where the mothers scored high on the EPDS seemed to establish joyful relationships with their children and secure child-father attachment 15-18 months postpartum, as if the father "compensated" for the mothers' depressive symptoms.
本研究的目的是，在产后两个月母亲出现或未出现抑郁症状的家庭中，考察产后15至18个月时的亲子互动情况。采用爱丁堡产后抑郁量表（EPDS）评估母亲的情绪。11名在EPDS上得分>12（有抑郁情绪迹象）的女性及其伴侣，以及14名得分<10（无抑郁情绪迹象）的女性及其伴侣，在亲子互动中被录像，互动情况由亲子早期关系评估（PCERA）进行评估。我们的研究结果表明，与EPDS得分低的母亲的孩子相比，EPDS得分高的母亲的孩子在与母亲玩耍时坚持性较差，与母亲分离后重聚时的喜悦感也较少。相比之下，在母亲EPDS得分高的家庭中，大多数父亲似乎在产后15至18个月时与孩子建立了愉悦的关系，并确保了孩子与父亲的依恋关系，就好像父亲“弥补”了母亲的抑郁症状。
