Newborn Services, University of Queensland, Mater Mothers' Hospital, South Brisbane, Queensland, Australia.
Early Hum Dev. 2012 Jan;88(1):45-9. doi: 10.1016/j.earlhumdev.2011.06.014. Epub 2011 Jul 22.
Mothers of preterm infants during the first year of life may experience stresses greater that those found in mothers of term infants. The aim of the study was to determine the levels of parenting stress and psychological well-being in mothers of very preterm babies in comparison to a control group of term mothers.
One hundred and five mothers who delivered 124 babies at ≤30weeks gestation were recruited together with 105 mothers who delivered 120 babies at term. At 4months of age (corrected for prematurity for the preterm babies), the mothers completed the Parenting Stress Index Short Form, the Edinburgh Postnatal Depression Scale (EPDS), the Dyadic Adjustment Scale (DAS) and the Short Temperament Scale for Infants (STSI). The preterm and term groups were compared.
Questionnaires were returned from 86 of the preterm mothers and 97 of the term mothers. The mean Total Stress score for the preterm and term groups was 67.0 and 63.79 respectively (P=0.32) with 17% of the preterm and 9% of the term group having high scores (P=0.135). There were no differences of the EPDS and the DAS between the groups. The temperament of the preterm infants was similar to the term infants. For both groups, scores on the EPDS, DAS and the STSI were independent predictors of Total Stress scores on multiple regression analysis.
Parenting stress in mothers of preterm infants during early infancy does not appear to be greater than that in mothers of infants born at term. For both groups of mothers, depression symptoms, marital satisfaction and infant temperament were independent risk factors for high levels of parenting stress.
早产儿母亲在生命的第一年可能经历比足月儿母亲更大的压力。本研究的目的是确定极低出生体重儿母亲与足月母亲相比，其育儿压力和心理健康水平。
共招募了 105 名分娩孕周≤30 周的早产儿母亲及其 105 名分娩孕周≥37 周的足月母亲。在早产儿（早产纠正后）4 个月龄时，母亲们完成了育儿压力指数短表、爱丁堡产后抑郁量表（EPDS）、夫妻适应量表（DAS）和婴儿气质短量表（STSI）。比较了早产儿组和足月组。
有 86 名早产儿母亲和 97 名足月母亲返回了问卷。早产儿组和足月组的总压力评分均值分别为 67.0 和 63.79（P=0.32），早产儿组和足月组中分别有 17%和 9%的高评分（P=0.135）。两组间 EPDS 和 DAS 无差异。早产儿婴儿的气质与足月儿婴儿相似。对于两组，EPDS、DAS 和 STSI 的评分在多元回归分析中是总压力评分的独立预测因子。
在婴儿早期，早产儿母亲的育儿压力似乎并不大于足月儿母亲。对于两组母亲，抑郁症状、婚姻满意度和婴儿气质是高水平育儿压力的独立危险因素。
