Ammerman Robert T, Putnam Frank W, Chard Kathleen M, Stevens Jack, Van Ginkel Judith B
Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, and University of Cincinnati College of Medicine.
Psychol Trauma. 2012 Mar;4(2). doi: 10.1037/a0023062.
Recent research has suggested that mothers participating in home visitation programs have a high incidence of mental health problems, particularly depression. Posttraumatic stress disorder (PTSD) is a common comorbidity with depression, yet its prevalence among home visiting populations and implications for parenting and maternal functioning have not been examined. This study contrasted depressed mothers with ( = 35) and without PTSD ( = 55) who were enrolled in a home visitation program. Results indicated that depressed mothers with comorbid PTSD were more likely to have experienced childhood sexual abuse, had greater severity of depressive symptoms, increased social isolation, and lower overall functioning than their counterparts without PTSD. Among PTSD mothers, greater severity of PTSD symptoms, in particular avoidance and emotional numbness, were associated with increased maternal psychopathology and parenting deficits even after controlling for depression severity. These findings add to the literature documenting the negative impacts of PTSD on maternal functioning and parenting. Implications for screening and treatment in the context of home visitation are discussed.
近期研究表明，参与家访项目的母亲心理健康问题发生率较高，尤其是抑郁症。创伤后应激障碍（PTSD）是抑郁症常见的共病情况，但其在家访人群中的患病率以及对养育子女和母亲功能的影响尚未得到研究。本研究对比了参与家访项目的35名患有PTSD的抑郁母亲和55名未患PTSD的抑郁母亲。结果表明，与未患PTSD的母亲相比，患有共病PTSD的抑郁母亲更有可能经历过童年性虐待，抑郁症状更严重，社交隔离程度更高，整体功能更低。在患有PTSD的母亲中，即使在控制了抑郁严重程度之后，PTSD症状的更严重程度，尤其是回避和情感麻木，与母亲精神病理学的增加和养育子女方面的缺陷有关。这些发现进一步补充了文献中关于PTSD对母亲功能和养育子女产生负面影响的记录。本文还讨论了在家访背景下进行筛查和治疗的意义。
