Séjourné N, Beaumé M, Vaslot V, Chabrol H
Centre d'étude et de recherches en psychopathologie, université de Toulouse-le-Mirail, 5, allée Antonio-Machado, 31058 Toulouse cedex 9, France.
Gynecol Obstet Fertil. 2012 Jun;40(6):360-4. doi: 10.1016/j.gyobfe.2011.08.033. Epub 2012 Feb 16.
The aim of this study was to explore the role of the paternity leave in the appearance of the maternal postpartum depression.
Fifty-one couples took part in the whole study. Between the second and the fifth day after the childbirth, the mother completed the Edinburgh Postnatal Depression Scale (EPDS), which measures the symptoms of depression and the Multidimensional Scale of Perceived Social Support (MSPSS) which measures the social support the mother has become. The father completed the EPDS. Two months and then the second time four months after the childbirth, the mother received the EPDS, the MSPSS, and questionnaires measuring the temperament of the baby, the maternal skills, the feeling of being a mother and the quality of life postpartum. In order to evaluate the paternal involvement, the father completed the EPDS and questions about paternal skills and involvement.
The paternity leave seemed not to have any consequences on the results at the EPDS or other questionnaires. However, lack of paternal involvement was a significant predictor of the intensity of the depressive symptoms of the mothers.
It is not the presence of the father wich seems important to take into account for detection and the traitement of postpatum depression but his participation in the care of the baby.
本研究旨在探讨陪产假在产妇产后抑郁出现过程中的作用。
51对夫妇参与了整个研究。在分娩后的第二天至第五天，母亲完成爱丁堡产后抑郁量表（EPDS），该量表用于测量抑郁症状，以及多维感知社会支持量表（MSPSS），该量表用于测量母亲所获得的社会支持。父亲完成EPDS。在分娩后两个月，然后在四个月时，母亲再次接受EPDS、MSPSS，以及测量婴儿气质、母亲技能、母亲感受和产后生活质量的问卷。为了评估父亲的参与情况，父亲完成EPDS以及关于父亲技能和参与情况的问题。
陪产假似乎对EPDS或其他问卷的结果没有任何影响。然而，父亲参与度低是母亲抑郁症状严重程度的一个重要预测因素。
对于产后抑郁的检测和治疗，重要的似乎不是父亲是否在场，而是他对婴儿护理的参与。
