Sabuncuoğlu Osman, Berkem Meral
Turk Psikiyatri Derg. 2006 Winter;17(4):252-8.
The present study aimed to investigate the association between depressive symptoms and attachment style in postpartum women in a non-western setting.
This study was carried out at the local health care centers in April 2004 among Turkish mothers within 2 to 18 months postpartum. A sociodemographic data sheet and the Turkish versions of Edinburgh Postnatal Depression Scale (EPDS) and Adult Attachment Style Questionnaire (AAQ) were administered to 80 mothers.
On the EPDS, 30 % of the sample (n=24) displayed symptoms of depression with a cut-off score of >/=11. Postpartum depressive symptoms (EPDS >/= 11) were found to be associated with insecure attachment style (X2=4.42, p=0.035; X2=10.81, p=0.001 for Part 1 and Part 2 of AAQ, respectively).
Maternal insecure attachment behavior, stimulated by the close relationship with the infant may contribute to the factors that may give rise to symptoms of depression. The present study, performed in a non-western country, confirms the results of the previous western studies suggesting a relationship between insecure attachment style and postpartum depression (PPD). Clinicians should pay particular attention to vulnerable women regarding their attachment style for early identification and treatment of PPD, either in western or non-western societies.
本研究旨在调查非西方背景下产后女性抑郁症状与依恋风格之间的关联。
2004年4月,在当地医疗保健中心对产后2至18个月的土耳其母亲开展了本研究。向80名母亲发放了社会人口统计学数据表以及爱丁堡产后抑郁量表(EPDS)和成人依恋风格问卷(AAQ)的土耳其语版本。
在EPDS上,样本中有30%(n = 24)的母亲抑郁症状得分≥11分。产后抑郁症状(EPDS≥11)与不安全依恋风格相关(AAQ第1部分和第2部分的X²分别为4.42,p = 0.035;X²为10.81,p = 0.001)。
与婴儿的亲密关系所激发的母亲不安全依恋行为,可能是导致抑郁症状的因素之一。本研究在一个非西方国家开展,证实了先前西方研究的结果,即不安全依恋风格与产后抑郁症(PPD)之间存在关联。无论是在西方还是非西方社会,临床医生都应特别关注脆弱女性的依恋风格,以便早期识别和治疗PPD。