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母亲抑郁与早产儿的母婴互动有关。

Maternal depression is associated with mother-infant interaction in preterm infants.

作者信息

Korja Riikka, Savonlahti Elina, Ahlqvist-Björkroth Sari, Stolt Suvi, Haataja Leena, Lapinleimu Helena, Piha Jorma, Lehtonen Liisa

机构信息

Department of Child Psychiatry, Turku University Hospital, Turku, Finland.

出版信息

Acta Paediatr. 2008 Jun;97(6):724-30. doi: 10.1111/j.1651-2227.2008.00733.x. Epub 2008 Mar 28.

Abstract

AIM

The purpose of this study was to assess the prevalence and the background factors of maternal depressive symptoms and their relation to the quality of mother-infant interaction in a group of preterm infants and their mothers.

METHODS

The signs of maternal depression were evaluated in 125 mothers of very preterm infants (birth weight < or = 1500 g or < 32 gestational weeks) at 6 months of infant's corrected age using Edinburgh Postnatal Depression Scale (EPDS). The association between maternal depressive symptoms and the quality of mother-infant interaction as assessed by the parent child early relational assessment method (PCERA) method was studied at 6 and 12 months of corrected age in 32 preterm infants who were their mothers' firstborn infants and singletons.

RESULTS

The prevalence of depression assessed by EPDS in mothers of very preterm infants was 12.6%. Most interestingly, the number of postnatal signs of depression associated negatively with the quality of the maternal interaction behaviour with their preterm infants.

CONCLUSIONS

This study suggests that maternal depression may be a risk factor in the development of the mother-infant relationship between preterm infants and their mothers. Therefore, it would be important to identify signs of depression in mothers of preterm infants to offer early support.

摘要

目的

本研究旨在评估一组早产儿及其母亲中母亲抑郁症状的患病率、背景因素及其与母婴互动质量的关系。

方法

使用爱丁堡产后抑郁量表(EPDS)对125名极早产儿(出生体重≤1500克或孕周<32周)的母亲在婴儿矫正年龄6个月时的抑郁迹象进行评估。采用亲子早期关系评估方法(PCERA),对32名母亲的头胎单胎早产儿在矫正年龄6个月和12个月时,研究母亲抑郁症状与母婴互动质量之间的关联。

结果

通过EPDS评估,极早产儿母亲的抑郁症患病率为12.6%。最有趣的是,产后抑郁迹象的数量与母亲与早产儿互动行为的质量呈负相关。

结论

本研究表明,母亲抑郁可能是早产儿与其母亲之间母婴关系发展的一个危险因素。因此,识别早产儿母亲的抑郁迹象以提供早期支持很重要。

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