幼儿父母压力预测因素的纵向研究
Longitudinal study on the predictors of parental stress in mothers and fathers of toddlers.
作者信息
Saisto Terhi, Salmela-Aro Katariina, Nurmi Jari-Erik, Halmesmaki Erja
机构信息
Department of Obstetrics and Gynaecology, Helsinki University Central Hospital, Finland.
出版信息
J Psychosom Obstet Gynaecol. 2008 Sep;29(3):213-22. doi: 10.1080/01674820802000467.
AIM
Longitudinal study on the predictors of parental stress in mothers and fathers of toddlers.
BACKGROUND
To study whether anxiety, depression, or marital problems increase the parenting stress in parents of toddlers.
METHODS
At early pregnancy, 2 - 3 months, and 2 - 3 years after delivery, 214 low-risk couples filled in questionnaires on their marital relationship, social support, child's temperament, and self-evaluated competence in routine care-taking. In hierarchical regression analyses, they were used as predictors of parental stress.
RESULTS
Those mothers who in early pregnancy had adequate social support, adaptive social strategies, and high self-esteem, and who had given birth vaginally, enjoyed breastfeeding, and whose spouse supported breastfeeding reported less stress 2 - 3 years later. Pregnancy-related anxiety, depression, general anxiety, neuroticism, and vulnerability in early pregnancy, as well as child's temperament and low self-estimated competence in routine care-taking measured at both 2 - 3 months and 2 - 3 years after childbirth predicted parental stress. Depression and living alone in early pregnancy, and the child-related variables (temperament and care-taking, measured both at 2 - 3 months and 2 - 3 years after childbirth) predicted high parenting stress in fathers of toddlers.
CONCLUSIONS
Parental stress in toddlers' parents was predicted both by the temperament of the child, and by the parents' depression, self-esteem, and anxiety, as well as by lack of support and low self-evaluated competence in routine care-taking.
目的
对幼儿父母中父母压力的预测因素进行纵向研究。
背景
研究焦虑、抑郁或婚姻问题是否会增加幼儿父母的育儿压力。
方法
在怀孕早期、产后2至3个月以及产后2至3年,214对低风险夫妇填写了关于他们婚姻关系、社会支持、孩子气质以及日常照料中自我评估能力的问卷。在分层回归分析中,这些因素被用作父母压力的预测指标。
结果
那些在怀孕早期有足够社会支持、适应性社会策略和高自尊的母亲,以及顺产、享受母乳喂养且配偶支持母乳喂养的母亲,在2至3年后报告的压力较小。怀孕相关焦虑、抑郁、广泛性焦虑、神经质以及怀孕早期的易感性,以及产后2至3个月和2至3年测量的孩子气质和日常照料中自我估计能力较低,均预测了父母压力。怀孕早期的抑郁和独居,以及与孩子相关的变量(产后2至3个月和2至3年测量的气质和照料)预测了幼儿父亲的高育儿压力。
结论
幼儿父母的父母压力可由孩子的气质、父母的抑郁、自尊和焦虑,以及日常照料中缺乏支持和自我评估能力较低来预测。