Murray Lynne, Cooper Peter, Fearon Pasco
Community Pract. 2014 Nov;87(11):34-8.
Postnatal depression [PND] is associated with impairments in the mother-child relationship, and these impairments are themselves associated with adverse child outcomes. Thus, compared to the children of non-depressed mothers, children of mothers with PND are more likely to be insecurely attached, and to have externalising behaviour problems and poor cognitive development. Each of these three child outcomes is predicted by a particular pattern of difficulty in parenting: insecure attachment is related to maternal insensitivity, particularly in relation to infant distress and emotional vulnerability; externalising problems are particularly common in the context of hostile parenting; and poor cognitive development is related to parental difficulties in noticing infant signs of interest and supporting their engagement with the environment. This article sets out procedures for how parenting could be assessed in ways that are sensitive to the domain-specific associations between parenting and child outcome, while remaining sensitive to the child's developmental stage. This set of assessments requires field testing.
产后抑郁症（PND）与母婴关系受损有关，而这些损害本身又与儿童的不良后果相关。因此，与非抑郁母亲的孩子相比，患有产后抑郁症母亲的孩子更有可能出现不安全依恋，出现外化行为问题和认知发展不良。这三种儿童结局中的每一种都由特定的育儿困难模式所预测：不安全依恋与母亲的不敏感有关，特别是在婴儿痛苦和情感脆弱方面；外化问题在敌意育儿的背景下尤为常见；认知发展不良与父母在注意到婴儿兴趣迹象和支持他们与环境互动方面的困难有关。本文阐述了如何以对育儿与儿童结局之间特定领域关联敏感的方式评估育儿，同时对儿童的发育阶段保持敏感。这一系列评估需要进行实地测试。
