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产后心理健康与育儿:父母愤怒的重要性。

Postnatal mental health and parenting: The importance of parental anger.

作者信息

Parfitt Ylva, Ayers Susan

机构信息

University of Sussex.

出版信息

Infant Ment Health J. 2012 Jul;33(4):400-410. doi: 10.1002/imhj.21318. Epub 2012 May 22.

Abstract

Parents' postnatal mental health and subjective perceptions of their baby are likely to influence the quality of their relationship with their baby. To date, this has largely been examined in mothers; therefore, this study aimed to also explore this in both parents. Semistructured clinical interviews [The Birmingham Interview for Maternal Mental Health (BIMMH); Brockingon, Chandra et al., 2006] were carried out with 85 first-time parents. The BMMHI identifies disorders of anxiety, depression, PTSD, and parental anger. Sections of the BMMHI also elicit qualitative accounts of parenthood. These were transcribed and analyzed using thematic analysis. Differences in the frequency of themes were examined for parents with or without mental health disorders or parental anger. Themes are reported for (a) baby characteristics, needs, and development; (b) parents' emotions, responses, coping strategies, and general parenthood; and (c) parent and baby relationship. Results indicated that both the presence of parental mental health problems and, more notably, parental anger were associated with more negative accounts of the self, the baby, and parenthood. This study provides insight into first-time parents' perceptions of early parenthood. Results especially highlight the need to consider parental experiences of anger in more detail for assessment and interventions in the early postpartum period.

摘要

父母产后的心理健康及其对婴儿的主观认知可能会影响他们与婴儿关系的质量。迄今为止,这方面的研究主要集中在母亲身上;因此,本研究旨在探讨父母双方在这方面的情况。我们对85位初为人父母者进行了半结构化临床访谈[《伯明翰产妇心理健康访谈》(BIMMH);Brockingon、Chandra等人,2006年]。BIMMH可识别焦虑、抑郁、创伤后应激障碍和父母愤怒等障碍。BIMMH的部分内容还会引出关于为人父母的定性描述。这些内容被转录并采用主题分析法进行分析。我们考察了有或没有心理健康障碍或父母愤怒情绪的父母在主题出现频率上的差异。报告的主题包括:(a)婴儿的特征、需求和发育情况;(b)父母的情绪、反应、应对策略和为人父母的总体情况;(c)父母与婴儿的关系。结果表明,父母存在心理健康问题,尤其是父母愤怒情绪,与对自我、婴儿和为人父母情况的更负面描述有关。本研究深入了解了初为人父母者对早期为人父母阶段的认知。研究结果特别强调,在产后早期进行评估和干预时,需要更详细地考虑父母的愤怒经历。

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