Britton John R
Department of Neonatology, Kaiser Permanente, Denver, Colorado 80218, USA.
Women Health. 2011 Jan;51(1):55-71. doi: 10.1080/03630242.2011.540741.
Although difficult infant temperament has been associated with maternal postpartum anxiety and depressed mood in later infancy, the emergence of this association in the early postpartum period has not been explored. In a survey study of 296 mothers of healthy term newborns during the first postpartum month, the relationship of infant temperament with maternal anxiety and depressed mood was explored. Maternal ratings of infant temperament were measured by the Early Infancy Temperament Questionnaire. Postpartum anxiety was measured by the State Scale of the State-Trait Anxiety Inventory and depressed mood by the Beck Depression Inventory. The State Scale and Beck Depression Inventory correlated positively with ratings of infant activity, rhythmicity, approach, distractibility, and overall temperamental difficulty. In addition, the State Scale correlated positively with ratings of adaptability and intensity. In regression analyses, controlling for other factors, ratings of overall temperamental difficulty were independently associated with both State Scale and Beck Depression Inventory scores. Associations of difficult infant temperament with maternal postpartum anxiety and depressive symptoms emerge early in the postpartum period. These associations are independent of other known contributors to postpartum mood.
尽管难养型婴儿气质与母亲产后焦虑及婴儿后期的抑郁情绪有关，但产后早期这种关联的出现情况尚未得到探究。在一项针对296名足月健康新生儿母亲在产后第一个月进行的调查研究中，探讨了婴儿气质与母亲焦虑及抑郁情绪之间的关系。婴儿气质由母亲通过《早期婴儿气质问卷》进行评定。产后焦虑通过《状态-特质焦虑量表》的状态分量表进行测量，抑郁情绪则通过《贝克抑郁量表》进行测量。状态分量表和贝克抑郁量表与婴儿活动、节律性、趋近性、易分心程度及总体气质难度的评定呈正相关。此外，状态分量表与适应性和强度的评定也呈正相关。在回归分析中，在控制其他因素的情况下，总体气质难度的评定与状态分量表和贝克抑郁量表的得分均独立相关。难养型婴儿气质与母亲产后焦虑及抑郁症状之间的关联在产后早期就已出现。这些关联独立于其他已知的产后情绪影响因素。
