Tambelli Renata, Cerniglia Luca, Cimino Silvia, Ballarotto Giulia
Department of Dynamic and Clinical Psychology, Sapienza University of Rome Italy.
Department of Psychology, International Telematic University UNINETTUNO Rome, Italy.
Front Psychol. 2015 Aug 11;6:1210. doi: 10.3389/fpsyg.2015.01210. eCollection 2015.
Several studies have shown a connection between mothers with postnatal depression (PND) and emotional-behavioral problems in their children. Mothers' psychopathology may impair interactional patterns with children and these outcomes can be influenced by father's psychopathological symptoms. The primary aim of the study was to assess over time parent-infant interaction in families where mothers have experienced PND and have received psychological treatment during the child's first year of life considering the severity of parents' psychopathological symptoms and children's temperament.
Three groups of families were involved: families with mothers with PND wherein both parents followed a psychological treatment (TxMF); families with mothers affected by PND wherein only the mother followed the treatment (TxM) and control families wherein the mothers did not have a psychopathological diagnosis and did not receive any treatment (Con). The families were assessed at two time points through Symptom Check-List-90-Revised (SCL-90-R), Questionari Italiani Temperamento (QUIT) and the video-recorded procedure observing mealtime Scala di Valutazione Interazioni Alimentari (SVIA).
Parents in the TxMF group had significantly lower SVIA scores (i.e., less maladaptive) at T2. TxMF group scored lower at T2 at SCL-90-R, whereas TxM showed no significant differences between T1 and T2. Involvement of fathers in the treatment was important to improve the psychopathological symptoms of both parents and the quality of interactions with their children.
多项研究表明，患有产后抑郁症（PND）的母亲与孩子的情绪行为问题之间存在关联。母亲的精神病理学可能会损害与孩子的互动模式，而这些结果可能会受到父亲精神病理症状的影响。本研究的主要目的是，随着时间推移，评估母亲患有产后抑郁症且在孩子一岁时接受过心理治疗的家庭中的亲子互动情况，同时考虑父母精神病理症状的严重程度和孩子的气质类型。
研究涉及三组家庭：母亲患有产后抑郁症且父母双方都接受心理治疗的家庭（TxMF）；母亲患有产后抑郁症且只有母亲接受治疗的家庭（TxM）；以及母亲没有精神病理诊断且未接受任何治疗的对照家庭（Con）。通过症状自评量表90修订版（SCL-90-R）、意大利气质问卷（QUIT）以及观察用餐时间的视频记录程序——食物互动评估量表（SVIA），在两个时间点对这些家庭进行评估。
TxMF组的父母在T2时的SVIA得分显著较低（即适应不良情况较少）。TxMF组在T2时的SCL-90-R得分较低，而TxM组在T1和T2之间没有显著差异。父亲参与治疗对于改善父母双方的精神病理症状以及与孩子互动的质量很重要。
