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[准父母的精神症状与产后抑郁及婴儿腹绞痛之间的关系:一项多中心随访研究]

[Relationship between the Psychiatric Symptoms in Expecting Parents and Postpartum Depression and Infantile Colic: A Multicenter Follow up Study].

作者信息

Çak H Tuna, Karabekiroğlu Koray, Çengel Kültür Ebru, Tarakçıoğlu Mahmut Cem, Kaya Rahime, Say Gökçe Nur, Görker Işık, Sapmaz Dicle, Karabekiroğlu Aytül, Çakın Memik Nursu, Yüce Murat, Köse Sezen, Özbaran Burcu, Foto Özdemir Dilşad, Akın Sarı Burcu, Özkoç Erol Serpil, Evinç Gülin, Cengiz Hakan, Varol Füsun

出版信息

Turk Psikiyatri Derg. 2015 Summer;26(2):87-98.

Abstract

OBJECTIVE

The aim of this study is to evaluate the relationship between postpartum depression (PPD), infantile colic (IC) and different psychosocial variables, psychiatric symptoms, attachment style and perceived social support in expecting parents.

METHOD

Two hundred forty five expecting mothers and 150 expecting fathers were first interviewed between the 22-34 weeks of pregnancy. Sociodemografic data form, Adult Attachment Style Scale (AASS), State Anxiety Inventory (SAI), Edinburgh Postnatal Depression Scale (EPDS), Multidimensional Scale of Perceived Social Support (MSPSS) and Brief Symptom Inventory (BSI) were filled out by each expecting parent. Second interview was conducted between the postpartum 4-24 weeks. Data form consisting health, nutrition, sleep and crying problems of the infant and EPDS and SAI were filled out by mothers and SAI by fathers.

RESULTS

One in every four mothers had PPD symptoms above the threshold on EPDS. Maternal and paternal insecure attachment style, maternal psychiatric symptoms and postpartum anxiety level were found to be the predictors of PPD. One in every five infants had IC and maternal education level, hostility score and PPD symptoms along with paternal insecure attachment style and psychiatric symptoms were the main predictors of IC.

CONCLUSION

Results about PPD and IC regarding maternal variables are consistent with the literature. In addition, paternal insecure attachment style is found to be an important risk factor for both PPD and IC. Fathers should also be included in further studies exploring PPD or IC.

摘要

目的

本研究旨在评估产后抑郁症(PPD)、婴儿腹绞痛(IC)与准父母的不同社会心理变量、精神症状、依恋风格及感知到的社会支持之间的关系。

方法

245名准妈妈和150名准爸爸在孕期22至34周时首次接受访谈。每位准父母填写社会人口统计学数据表格、成人依恋风格量表(AASS)、状态焦虑量表(SAI)、爱丁堡产后抑郁量表(EPDS)、多维感知社会支持量表(MSPSS)和简明症状量表(BSI)。第二次访谈在产后4至24周进行。母亲填写包含婴儿健康、营养、睡眠和哭闹问题的数据表格以及EPDS和SAI,父亲填写SAI。

结果

四分之一的母亲在EPDS上的症状高于阈值,存在产后抑郁症状。母亲和父亲的不安全依恋风格、母亲的精神症状和产后焦虑水平被发现是产后抑郁症的预测因素。五分之一的婴儿有腹绞痛,母亲的教育水平、敌意得分和产后抑郁症状以及父亲的不安全依恋风格和精神症状是婴儿腹绞痛的主要预测因素。

结论

关于产后抑郁和婴儿腹绞痛的母亲变量结果与文献一致。此外,父亲的不安全依恋风格被发现是产后抑郁和婴儿腹绞痛的重要危险因素。在进一步探索产后抑郁或婴儿腹绞痛的研究中也应纳入父亲。

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