Paris Ruth, Bolton Rendelle E, Spielman Eda
Boston University.
Jewish Family and Children's Service of Greater Boston.
Infant Ment Health J. 2011 May;32(3):319-338. doi: 10.1002/imhj.20299.
Psychotherapeutic treatments that focus on improving the relational processes between mothers with postpartum depression (PPD) and their infants, as well as the mother's individual therapeutic needs, have a great potential to positively impact the mother, her infant, and their relationship (K.J. Nylen, T.E. Moran, C.L. Franklin, & M. O'Hara, 2006). Utilizing pilot data from an evaluation of a home-based dyadic therapy for mothers with PPD and their infants, this article reports on a recent academic-community partnership study. The effectiveness of the intervention was examined, specifically regarding changes in mother's mood, parenting experience, and relationship with her infant. In addition, associations were examined among maternal self-report variables measuring change from pre- to posttreatment in PPD, psychological distress, and maternal perceptions of parenting and those variables measuring change in observer ratings of maternal-infant interactions. Results showed improvements in mothers' depression, distress, and perceptions of parenting as well as many ratings of mothers' interactions with their infants. However, only improvements in maternal perceptions of parenting, such as maternal self-esteem and parenting stress, were associated with better mother--infant interactions. Importance of this research for the field of infant mental health as well as clinical implications are discussed.
专注于改善产后抑郁症（PPD）母亲与其婴儿之间的关系过程以及母亲个体治疗需求的心理治疗方法，对母亲、其婴儿及其关系具有积极影响的巨大潜力（K.J. 尼伦、T.E. 莫兰、C.L. 富兰克林和M. 奥哈拉，2006年）。本文利用对PPD母亲及其婴儿的家庭二元治疗评估的试点数据，报告了一项近期的学术 - 社区合作研究。研究考察了干预措施的有效性，特别是母亲情绪、育儿体验以及与婴儿关系的变化。此外，还考察了测量PPD治疗前后变化的母亲自我报告变量、心理困扰以及母亲育儿观念与测量母婴互动观察者评分变化的那些变量之间的关联。结果显示，母亲的抑郁、困扰以及育儿观念有所改善，母亲与婴儿互动的多项评分也有所提高。然而，只有母亲育儿观念的改善，如母亲自尊和育儿压力，与更好的母婴互动相关。本文讨论了该研究对婴儿心理健康领域的重要性以及临床意义。
