Emory University.
Infant Ment Health J. 2014 Sep-Oct;35(5):495-508. doi: 10.1002/imhj.21469. Epub 2014 Aug 25.
Both concurrent and prospective associations between maternal depression and father involvement were tested to evaluate support for the spillover model (higher depressive symptom levels associated with lower father involvement) and the compensatory/buffering model (higher depressive symptom levels associated with higher father involvement). Participants in this longitudinal study were women at risk for perinatal depression in association with their histories of mood or anxiety disorders, their husbands/partners, and their infants at 3, 6, and 12 months of age. Maternal depressive symptoms were measured with depression rating scales at multiple times over the infants' first year. Paternal involvement was measured with a questionnaire (relative perceived responsibility) and a time diary (accessibility and engagement) inquiring about a recent weekday and a recent weekend, completed in a telephone interview, at infant ages 3, 6, and 12 months. Findings consistently supported the compensatory/buffering model for depression in the first 6 months' postpartum, along with an indication of spillover regarding maternal depressive symptoms that persist into the second half of the infants' first year. Findings are discussed in terms of implications for clinical practice and policy as well as suggestions for future research.
本研究旨在检验产后前 6 个月内母亲抑郁与父亲投入之间的并发和前瞻性关联，以评估溢出模型（抑郁症状水平较高与父亲投入较低相关）和补偿/缓冲模型（抑郁症状水平较高与父亲投入较高相关）的支持程度。该纵向研究的参与者为存在心境或焦虑障碍病史的、处于围产期抑郁风险中的女性及其丈夫/伴侣，以及她们婴儿在 3、6 和 12 个月时的情况。在婴儿出生后的第一年，使用抑郁量表多次测量母亲的抑郁症状。父亲的投入通过问卷（相对感知责任）和时间日记（可及性和参与度）进行测量，询问最近一个工作日和最近一个周末的情况，在婴儿 3、6 和 12 个月时通过电话访谈完成。研究结果一致支持产后前 6 个月内抑郁的补偿/缓冲模型，同时表明母亲的抑郁症状会溢出到婴儿出生后的第二年下半年。研究结果从临床实践和政策的角度进行了讨论，并提出了未来研究的建议。
