Krembil Neuroscience Centre, Toronto Western Hospital, 399 Bathurst Street, Toronto, ON, Canada, M5T 2S8.
Arch Womens Ment Health. 2013 Oct;16(5):381-9. doi: 10.1007/s00737-013-0354-y. Epub 2013 Apr 21.
Some mothers experience neutral or negative feelings toward their new infant. This study examined the association between symptoms of postnatal depression and mother-infant bonding and the persistence of these feelings over the first year. Bonding was assessed using the Mother-Infant Bonding Scale (MIBQ), at four times postnatal, "early weeks" (1-4 weeks), 9 weeks, 16 weeks and 1 year, in 50 depressed, Edinburgh Postnatal Depression scale (EPDS) ≥13 at 4 weeks post natal, and 29 non-depressed mothers. A significant association between the EPDS score at 4 weeks and bonding score at 1-4 weeks, 9 weeks, and at 1 year postnatal, χ(2)(1) = 9.85, p < 0.01, 5.44, p < 0.05 and 5.21, p < 0.05, respectively, was found, with a trend at 16 weeks. There was a strong association between bonding in the early weeks and all later time points χ(2)(1) = 17.26, p < 0.001, 7.89, p < 0.01 and 13.69, p < 0.001, respectively. Regression showed early bonding rather than early depression was the major predictor of bonding at 1 year. Women who are depressed postnatally can fail to bond well with their baby and this can persist for a year. Early identification and intervention for poor bonding is indicated.
一些母亲对她们的新生儿会产生中性或负面的感觉。本研究调查了产后抑郁症状与母婴联系以及这些感觉在第一年的持续时间之间的关系。使用母婴联系量表（MIBQ）在产后 4 周、“早期周”（1-4 周）、9 周、16 周和 1 年 4 次评估母婴联系，50 名抑郁的母亲，产后 4 周时 Edinburgh 产后抑郁量表（EPDS）≥13，29 名非抑郁的母亲。在产后 4 周时 EPDS 评分与 1-4 周、9 周和 1 年时的联系评分之间存在显著相关性， χ(2)(1) = 9.85，p < 0.01，5.44，p < 0.05 和 5.21，p < 0.05，分别，在 16 周时有趋势。早期联系与所有后续时间点之间存在强烈相关性， χ(2)(1) = 17.26，p < 0.001，7.89，p < 0.01 和 13.69，p < 0.001，分别。回归显示，早期联系而不是早期抑郁是 1 年后联系的主要预测因素。产后抑郁的女性可能无法与婴儿建立良好的联系，并且这种情况可能会持续一年。表明需要早期识别和干预不良联系。
