D'Anna-Hernandez Kimberly L, Zerbe Gary O, Hunter Sharon K, Ross Randal G
Department of Psychiatry, University of Colorado Denver , Aurora, CO, USA.
Department of Biostatistics & Informatics, Colorado School of Public Health, University of Colorado Denver , Aurora, CO, USA.
Ment Illn. 2013 Feb 11;5(1):e1. doi: 10.4081/mi.2013.e1.
Understanding parental psychopathology interaction is important in preventing negative family outcomes. This study investigated the effect of paternal psychiatric history on maternal depressive symptom trajectory from birth to 12 months postpartum. Maternal Edinburgh Postpartum Depression screens were collected at 1, 6 and 12 months and fathers' psychiatric diagnoses were assessed with the Structured Clinical Interview for DSM-IV from 64 families. There was not a significant difference in the trajectory of maternal depressive symptoms between mothers with partners with history of or a current psychiatric condition or those without a condition. However, mothers with partners with substance abuse history had higher levels of depressive symptoms relative to those affected by mood/anxiety disorders or those without a disorder. Our results call for a closer look at paternal history of substance abuse when treating postpartum maternal depression.
了解父母的精神病理学相互作用对于预防负面家庭结果很重要。本研究调查了父亲精神病史对产后12个月内母亲抑郁症状轨迹的影响。在产后1个月、6个月和12个月收集母亲的爱丁堡产后抑郁筛查结果，并使用《精神障碍诊断与统计手册》第四版的结构化临床访谈对64个家庭的父亲进行精神疾病诊断评估。伴侣有精神疾病病史或当前患有精神疾病的母亲与没有此类情况的母亲相比，其抑郁症状轨迹没有显著差异。然而，伴侣有药物滥用史的母亲比那些受情绪/焦虑障碍影响的母亲或没有精神疾病的母亲有更高水平的抑郁症状。我们的研究结果呼吁在治疗产后母亲抑郁症时，更密切地关注父亲的药物滥用史。
