Huizink A C, Menting B, De Moor M H M, Verhage M L, Kunseler F C, Schuengel C, Oosterman M
Department of Clinical Developmental Psychology, Vrije Universiteit Amsterdam, Van der Boechorststraat 1, 1081 BT, Amsterdam, The Netherlands.
Section of Clinical Child and Family Studies, Department of Educational and Family Studies, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Arch Womens Ment Health. 2017 Oct;20(5):663-672. doi: 10.1007/s00737-017-0746-5. Epub 2017 Jun 21.
The objective of this study was to explore how maternal mood during pregnancy, i.e., general anxiety, pregnancy-specific anxiety, and depression predicted parenting stress 3 months after giving birth, thereby shaping the child's early postnatal environmental circumstances. To this end, data were used from 1073 women participating in the Dutch longitudinal cohort Generations, which studies first-time pregnant mothers during pregnancy and across the transition to parenthood. Women filled out the State Trait Anxiety Inventory (STAI), Pregnancy-Related Anxiety Questionnaire-revised (PRAQ-R), and Beck Depression Index (BDI) three times during pregnancy: at 12, 22, and 32 weeks gestational age. Three months postpartum, a parenting stress questionnaire was filled out yielding seven different parenting constructs. Latent scores were computed for each of the repeatedly measured maternal mood variables with Mplus and parenting stress constructs were simultaneously regressed on these latent scores. Results showed that trait anxiety and pregnancy-specific anxiety were uniquely related to almost all parenting stress constructs, taking depression into account. Early prevention and intervention to reduce maternal anxiety in pregnancy could hold the key for a more advantageous trajectory of early postnatal parenting.
本研究的目的是探讨孕期母亲的情绪，即一般性焦虑、与妊娠相关的焦虑和抑郁，如何预测产后3个月的育儿压力，从而塑造孩子出生后的早期环境状况。为此，研究使用了参与荷兰纵向队列研究“世代”的1073名女性的数据，该研究对首次怀孕的母亲在孕期及向为人父母转变的过程中进行跟踪研究。女性在孕期的12周、22周和32周时，三次填写状态特质焦虑量表（STAI）、修订后的与妊娠相关焦虑问卷（PRAQ-R）和贝克抑郁量表（BDI）。产后3个月，填写一份育儿压力问卷，得出七种不同的育儿结构。使用Mplus软件为每个重复测量的母亲情绪变量计算潜在分数，并将育儿压力结构同时回归到这些潜在分数上。结果表明，考虑到抑郁因素，特质焦虑和与妊娠相关的焦虑与几乎所有育儿压力结构都存在独特的关联。早期预防和干预以减少孕期母亲的焦虑，可能是产后早期育儿更有利发展轨迹的关键。
