Wang Shing-Yaw, Chen Chung-Hey
Department of Psychiatry, Kaohsiung Medical University, Kaohsiung, Taiwan.
J Psychosom Res. 2006 Mar;60(3):303-7. doi: 10.1016/j.jpsychores.2005.08.012.
The purpose of this study was to compare the differences in stress, social support, self-esteem, and depression in fathers and mothers during the postpartum period.
Eighty-three postnatal Taiwanese couples participated in the study. Four structured questionnaires were used to analyze the differences between fathers and mothers.
For the first-time couples, fathers perceived lower social support than mothers, but the couples experienced similar depression level. Experienced mothers compared to fathers reported significantly higher stress, lower self-esteem, and higher depression. There were differential gender-based predictors of depression where mothers' depressive outcomes were related to high stress and low social support and fathers' depression were related to low self-esteem and low social support.
These findings confirm the predominance among females of postpartum depression in experienced couples in an East Asian setting. Preventive interventions might include antenatal guidance for parenting, counseling of gender role stress, and development of support groups for postnatal couples in making a smoother transition.
本研究旨在比较产后父亲和母亲在压力、社会支持、自尊和抑郁方面的差异。
83对台湾产后夫妻参与了本研究。使用四份结构化问卷来分析父亲和母亲之间的差异。
对于初为人父母的夫妻，父亲感受到的社会支持比母亲低，但夫妻双方的抑郁水平相似。与父亲相比，有经验的母亲报告的压力显著更高、自尊更低且抑郁程度更高。抑郁存在基于性别的不同预测因素，母亲的抑郁结果与高压力和低社会支持有关，而父亲的抑郁与低自尊和低社会支持有关。
这些发现证实了在东亚背景下有经验的夫妻中产后抑郁在女性中占主导地位。预防性干预措施可能包括产前育儿指导、性别角色压力咨询以及为产后夫妻建立支持小组以使其更顺利地过渡。
