Muzik Maria, Umarji Rujuta, Sexton Minden B, Davis Margaret T
Department of Psychiatry, University of Michigan, Rachel Upjohn Building, 4250 Plymouth Rd, Ann Arbor, MI, 48109, USA.
Center for Human Growth and Development, University of Michigan, Ann Arbor, USA.
Matern Child Health J. 2017 May;21(5):1018-1025. doi: 10.1007/s10995-016-2197-4.
This study examines the main and moderating effects of childhood abuse or neglect severity, income, and family social support on the presence of postpartum depressive symptoms (PDS).
Participants included 183 postpartum mothers who endorsed a history of childhood maltreatment (CM) and enrolled in a longitudinal study of mother and child outcomes. Participants completed questionnaires to assess CM severity, associated societal and maternal characteristics, and depressive symptom severity.
The results confirm previously identified links between CM severity and PDS. Further, hierarchical linear regression analyses indicate the interaction of household income and interpersonal support from the family attenuates the relationship between CM severity and PDS. The final model accounted for 29% of the variance of PDS scores, a large effect size.
This study is the first to demonstrate interrelationships between income and social support on resilience to postpartum psychopathology in childhood trauma-surviving women. Social support appeared to protect against PDS for all mothers in this study while income only conferred a protective effect when accompanied by family support. For clinicians, this implies the need to focus on improving family and other relationships, especially for at-risk mothers.
本研究考察童年期虐待或忽视的严重程度、收入以及家庭社会支持对产后抑郁症状（PDS）出现的主效应和调节效应。
参与者包括183名有童年期虐待史（CM）的产后母亲，她们参与了一项关于母婴结局的纵向研究。参与者完成问卷以评估CM的严重程度、相关的社会和母亲特征以及抑郁症状的严重程度。
结果证实了先前确定的CM严重程度与PDS之间的联系。此外，分层线性回归分析表明家庭收入与来自家庭的人际支持之间的相互作用减弱了CM严重程度与PDS之间的关系。最终模型解释了PDS分数变异的29%，效应量较大。
本研究首次证明了收入和社会支持在童年创伤幸存女性对产后精神病理学的复原力方面的相互关系。在本研究中，社会支持似乎对所有母亲都能预防PDS，而收入只有在有家庭支持相伴时才具有保护作用。对于临床医生而言，这意味着需要专注于改善家庭及其他关系，尤其是对有风险的母亲。
