Mothander Pia Risholm, Moe Rigmor Grette
Department of Psychology, Stockholm University, Stockholm, Sweden.
Nord J Psychiatry. 2010 Oct;64(5):310-6. doi: 10.3109/08039480903528138.
The parental functioning and its influence upon infant mental health development have been extensively studied but there are few clinical studies investigating less severe psychiatric problems among mothers and fathers in the same family.
This study focuses on the emotional well-being of mothers and fathers who bring their infants to an Infant Mental Health Clinic.
The studied sample is comprised of 63 families with 0-47-month-old infants where the mothers completed the Center for Epidemiological Study-Depression Scale (CES-D), including 43 families in which the CES-D was completed by both parents. In 44 families, the mothers also filled in the Swedish Parental Stress Questionnaire (SPSQ), including 32 where the SPSQ was completed by both parents. The children were independently classified with the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (DC 0-3).
Altogether, 54% of the mothers and 11% of the fathers reported depressive symptoms above the CES-D clinical cut-off. Self-rated depressive symptoms and parental stress were strongly related. The mothers' self-rated depressive symptoms were associated with the severity of their infant's problems, but the association was not specific to the DC 0-3 Axis I classification. The mothers' stress level was marginally related to DC 0-3 Axis II relationship classification.
The results indicate that the inclusion of systematic parental self-ratings in infant mental health assessments could add clinical information facilitating the planning of family oriented interventions.
父母的功能及其对婴儿心理健康发展的影响已得到广泛研究，但很少有临床研究调查同一家庭中父母较轻的精神问题。
本研究关注带婴儿到婴儿心理健康诊所的父母的情绪健康。
研究样本包括63个有0至47个月大婴儿的家庭，其中母亲完成了流行病学研究中心抑郁量表（CES-D），包括43个父母双方都完成CES-D的家庭。在44个家庭中，母亲还填写了瑞典父母压力问卷（SPSQ），包括32个父母双方都完成SPSQ的家庭。儿童根据《婴儿和幼儿心理健康与发育障碍诊断分类》（DC 0-3）进行独立分类。
总体而言，54%的母亲和11%的父亲报告有高于CES-D临床临界值的抑郁症状。自评抑郁症状与父母压力密切相关。母亲的自评抑郁症状与婴儿问题的严重程度相关，但这种关联并不特定于DC 0-3轴I分类。母亲的压力水平与DC 0-3轴II关系分类略有相关。
结果表明，在婴儿心理健康评估中纳入系统的父母自评可以增加临床信息，有助于规划以家庭为导向的干预措施。
