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高危出生的婴儿:对母亲产后适应的影响。

Infants born at risk: consequences for maternal post-partum adjustment.

作者信息

Bennett D E, Slade P

机构信息

Department of Clinical Psychology, Manchester Royal Infirmary, UK.

出版信息

Br J Med Psychol. 1991 Jun;64(2):159-72. doi: 10.1111/j.2044-8341.1991.tb01653.x.

Abstract

The role of infant risk and social support as predictors of post-partum adjustment was investigated. Fifty-three mothers whose infants reflected the range of neonatal conditions were interviewed six weeks after discharge of their infant from hospital. They were assessed on measures of emotional distress, depressive symptoms, social support and perceptions of, and concerns about, their infant and themselves. The results indicated that mothers of higher risk infants reported higher levels of emotional distress and depressive symptomatology, more concerns about themselves and their baby, more difficulty in expressing affection towards their baby and greater dissatisfaction with their social support. Using multiple regression techniques, depressive symptoms were predicted by neonatal risk and dissatisfaction with social support from family and friends, while emotional distress was predicted by neonatal risk and dissatisfaction with social support from the infant's father. The study underlines the need to place more emphasis on infant variables as factors in maternal post-partum adjustment.

摘要

研究了婴儿风险和社会支持作为产后调适预测因素的作用。53名母亲在其婴儿出院六周后接受了访谈,这些婴儿反映了新生儿状况的范围。对她们进行了情绪困扰、抑郁症状、社会支持以及对自己和婴儿的认知与担忧等方面的评估。结果表明,高危婴儿的母亲报告了更高水平的情绪困扰和抑郁症状,对自己和宝宝更为担忧,在向宝宝表达爱意方面困难更大,对社会支持的满意度更低。运用多元回归技术,抑郁症状由新生儿风险以及对家人和朋友社会支持的不满所预测,而情绪困扰则由新生儿风险以及对婴儿父亲社会支持的不满所预测。该研究强调需要更加重视婴儿变量作为产妇产后调适的因素。

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