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患有多发性硬化症的母亲产后情绪困扰

Postpartum emotional distress in mothers with multiple sclerosis.

作者信息

Gulick Elsie E, Kim Sun

机构信息

Rutgers, the State University of New Jersey, College of Nursing, 180 University Avenue, Newark, NJ 07102, USA.

出版信息

J Obstet Gynecol Neonatal Nurs. 2004 Nov-Dec;33(6):729-38. doi: 10.1177/0884217504270666.

Abstract

OBJECTIVE

To determine the impact of multiple sclerosis (MS)-related symptoms and both received social support and perceived deficits in social support on emotional distress in mothers with MS at 1, 3, and 6 months postpartum.

DESIGN

Longitudinal correlation descriptive study.

SETTING

Community-residing women in North America.

PARTICIPANTS

Convenience sample of 174 postpartum mothers with MS.

METHOD

Mothers completed the MS-Related Symptom Scale and Postpartum Support Questionnaire at 1, 3, and 6 months postpartum. Bivariate correlations and hierarchical regression analyses determined relationships between the dependent variable, emotional distress, and independent variables: participant characteristics, MS-related symptoms, and social support.

RESULTS

The authors found moderately strong positive correlations between MS-related symptoms and emotional distress at each assessment. Significant negative correlations existed between received social support and emotional distress at 1 month but not at 3 and 6 months. Significant positive correlations existed between MS-related symptoms and social support deficits at each assessment. Explained variance in emotional distress across the three assessments ranged between 2% and 4% for participant characteristics, 49% and 60% for MS-related symptoms, 2% and 7% for social support, and 57% and 66% for total variance.

CONCLUSION

MS-related symptoms created considerable emotional distress in mothers that was minimally alleviated by the support given them. In fact, many needed more support than they received.

摘要

目的

确定多发性硬化症(MS)相关症状、所获得的社会支持以及社会支持感知不足对产后1个月、3个月和6个月的MS母亲情绪困扰的影响。

设计

纵向相关性描述性研究。

地点

北美社区居住女性。

参与者

174名产后MS母亲的便利样本。

方法

母亲们在产后1个月、3个月和6个月完成MS相关症状量表和产后支持问卷。双变量相关性和分层回归分析确定了因变量情绪困扰与自变量(参与者特征、MS相关症状和社会支持)之间的关系。

结果

作者发现在每次评估中,MS相关症状与情绪困扰之间存在中度较强的正相关。在1个月时,所获得的社会支持与情绪困扰之间存在显著负相关,但在3个月和6个月时不存在。在每次评估中,MS相关症状与社会支持不足之间存在显著正相关。在三次评估中,参与者特征对情绪困扰的解释方差在2%至4%之间,MS相关症状为49%至60%,社会支持为2%至7%,总方差为57%至66%。

结论

MS相关症状给母亲们带来了相当大的情绪困扰,而给予她们的支持只能在最小程度上缓解这种困扰。事实上,许多母亲需要的支持比她们所获得的更多。

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