Dennis Cindy-Lee, Letourneau Nicole
Faculty of Nursing, University of Toronto, Toronto, ON, M5T 1P8, Canada.
Soc Psychiatry Psychiatr Epidemiol. 2007 May;42(5):389-95. doi: 10.1007/s00127-007-0172-5. Epub 2007 Mar 29.
A lack of social support has consistently been demonstrated to be an important modifiable risk factor for postpartum depression. As such, a greater understanding of specific support variables may assist health professionals in the development of effective preventive interventions. The purpose of this paper was two-fold: (1) to determine if women discriminated between global and relationship-specific perceptions of support, and (2) to examine the influence of global and relationship-specific perceptions of support in the immediate postpartum period on the development of depressive symptomatology at 8 weeks postpartum.
As part of a longitudinal study, a diverse sample of 594 mothers completed questionnaires that included the Edinburgh Postnatal Depression Scale (EPDS) and global and relationship-specific (e.g., partner, mother, and other women with children) measures of support.
Mothers clearly discriminated between global and relationship-specific perceptions of support and those with depressive symptomatology at 8 weeks had significantly lower perceptions of both global and relationship-specific support at 1-week postpartum. Using discriminant function analysis, four variables, reliable reliance from partner, nurturance from partner, attachment to other women with children, and EPDS score at 1-week postpartum, differentiated between mothers who experienced depressive symptomatology at 8 weeks and those who did not.
Relationship-specific interventions may be beneficial if they include strategies that target a positive partner relationship through preceptions of reliable alliance and feeling needed and provide opportunites for interaction with other mothers. Maternal mood at 1 week postpartum was the largest predictor of depressive symptomatology at 8 weeks.
一直以来，缺乏社会支持被证明是产后抑郁一个重要的可改变风险因素。因此，更深入了解特定的支持变量可能有助于健康专业人员制定有效的预防干预措施。本文的目的有两个：（1）确定女性是否能区分整体支持和特定关系支持的认知，（2）研究产后即刻的整体支持和特定关系支持认知对产后8周抑郁症状发展的影响。
作为一项纵向研究的一部分，594名母亲的多样化样本完成了问卷，其中包括爱丁堡产后抑郁量表（EPDS）以及整体支持和特定关系（如伴侣、母亲和其他有孩子的女性）支持的测量。
母亲们能清楚区分整体支持和特定关系支持的认知，产后8周有抑郁症状的母亲在产后1周时对整体支持和特定关系支持的认知显著更低。使用判别函数分析，四个变量，即来自伴侣的可靠依赖、来自伴侣的关爱、与其他有孩子的女性的依恋以及产后1周的EPDS得分，区分了产后8周出现抑郁症状的母亲和未出现抑郁症状的母亲。
如果特定关系干预措施包括通过可靠联盟和被需要的认知来建立积极伴侣关系的策略，并为与其他母亲互动提供机会，可能会有益处。产后1周时的母亲情绪是产后8周抑郁症状的最大预测因素。
