Senecky Yehuda, Agassi Hanoch, Inbar Dov, Horesh Netta, Diamond Gary, Bergman Yoav S, Apter Alan
Child Development and Rehabilitation Institute, Schneider Children's Medical Center of Israel, Petah Tiqwa, Israel.
J Affect Disord. 2009 May;115(1-2):62-8. doi: 10.1016/j.jad.2008.09.002. Epub 2008 Oct 23.
To evaluate the rate of depressive symptomatology and possible underlying factors in adoptive mothers during the transition to motherhood.
Cohort survey.
General Community.
Thirty-nine adoptive mothers of reproductive age registered with international adoption agencies.
All women completed the Edinburgh Postnatal Depression Scale (EPDS), the Beck Depression Inventory (BDI), and the Brief Symptom Inventory (BSI) before and 6 weeks after the adoption.
Responses were compared between the study group and published findings for biological mothers in the general population, and within the study group, before and after adoption.
Symptoms of depression were found in 15.4% of the study group. This rate was similar to that for postpartum depression in the general population, and lower than the rate recorded in the study group before adoption (25.6%). All women with symptoms of depression after the adoption had also shown evidence of depressive features before the adoption. Similar findings were noted for other psychopathologies as well.
Adopting a child does not cause new-onset, reactive depression among adoptive mothers. It may even lead to a decrease in depressive features, perhaps in response to relief from other adjustment difficulties.
评估领养母亲在过渡到母亲角色期间的抑郁症状发生率及可能的潜在因素。
队列研究。
普通社区。
在国际领养机构登记的39名育龄领养母亲。
所有女性在领养前及领养后6周完成爱丁堡产后抑郁量表（EPDS）、贝克抑郁量表（BDI）和简明症状量表（BSI）。
将研究组的反应与普通人群中亲生母亲的已发表研究结果进行比较，并在研究组内比较领养前后的情况。
研究组中15.4%的女性有抑郁症状。该发生率与普通人群中产后抑郁的发生率相似，且低于领养前研究组记录的发生率（25.6%）。领养后有抑郁症状的所有女性在领养前也有抑郁特征的迹象。其他精神病理学方面也有类似发现。
领养孩子不会在领养母亲中引发新发的反应性抑郁。甚至可能导致抑郁特征的减少，这或许是对其他适应困难缓解的反应。
