Boston University School of Social Work, 264 Bay State Road, Boston, MA 02215, USA.
Arch Womens Ment Health. 2009 Oct;12(5):309-21. doi: 10.1007/s00737-009-0105-2.
To date, few studies have examined suicidality in women with postpartum depression. Reports of suicidal ideation in postpartum women have varied (Lindahl et al. Arch Womens Ment Health 8:77-87, 2005), and no known studies have examined the relationship between suicidality and mother-infant interactions. This study utilizes baseline data from a multi-method evaluation of a home-based psychotherapy for women with postpartum depression and their infants to examine the phenomenon of suicidality and its relationship to maternal mood, perceptions, and mother-infant interactions. Overall, women in this clinical sample (n = 32) had wide ranging levels of suicidal thinking. When divided into low and high groups, the mothers with high suicidality experienced greater mood disturbances, cognitive distortions, and severity of postpartum symptomotology. They also had lower maternal self-esteem, more negative perceptions of the mother-infant relationship, and greater parenting stress. During observer-rated mother-infant interactions, women with high suicidality were less sensitive and responsive to their infants' cues, and their infants demonstrated less positive affect and involvement with their mothers. Implications for clinical practice and future research directions are discussed.
迄今为止，很少有研究探讨产后抑郁症女性的自杀倾向。产后女性自杀意念的报告各不相同（Lindahl 等人，Arch Womens Ment Health 8:77-87, 2005），也没有已知的研究探讨自杀倾向与母婴互动之间的关系。本研究利用针对产后抑郁症女性及其婴儿的家庭心理治疗的多方法评估的基线数据，来探讨自杀倾向的现象及其与产妇情绪、认知和母婴互动的关系。总体而言，该临床样本中的女性（n=32）有不同程度的自杀想法。当分为低和高两组时，有高自杀倾向的母亲经历了更大的情绪波动、认知扭曲和产后症状的严重程度。她们的自尊心也较低，对母婴关系的看法更负面，育儿压力也更大。在观察到的母婴互动中，有高自杀倾向的女性对婴儿的暗示反应不敏感，婴儿的积极情绪和与母亲的参与度也较低。讨论了对临床实践和未来研究方向的影响。
