Goodman Janice H
MGH Institute of Health Professions, Boston.
Infant Ment Health J. 2008 Nov;29(6):624-643. doi: 10.1002/imhj.20199.
Maternal postpartum depression (PPD) has been shown to negatively influence mother-infant interaction; however, little research has explored how fathers and father-infant interaction are affected when a mother is depressed. This study examined the influence of maternal PPD on fathers and identified maternal and paternal factors associated with father-infant interaction in families with depressed as compared with nondepressed mothers. A convenience sample of 128 mother-father-infant triads, approximately half of which included women with significant symptoms of PPD at screening, were recruited from a screening sample of 790 postpartum women. Mothers and fathers completed measures of depression, marital satisfaction, and parenting stress at 2 to 3 months' postpartum and were each videotaped interacting with their infants. Results indicate that maternal PPD is associated with increased paternal depression and higher paternal parenting stress. Partners of depressed women demonstrated less optimal interaction with their infants, indicating that fathers do not compensate for the negative effects of maternal depression on the child. Although mother-infant interaction did not influence father-infant interaction, how the mother felt about her relationship with the infant did, even more so than maternal depression. The links between maternal PPD, fathers, and father-infant interaction indicate a need for further understanding of the reciprocal influences between mothers, fathers, and infants.
产妇产后抑郁症（PPD）已被证明会对母婴互动产生负面影响；然而，很少有研究探讨母亲抑郁时父亲及父子互动会受到怎样的影响。本研究考察了产妇产后抑郁症对父亲的影响，并确定了与抑郁母亲家庭和非抑郁母亲家庭中父子互动相关的母婴因素。从790名产后女性的筛查样本中招募了128个母婴父亲三元组的便利样本，其中约一半在筛查时包括有明显产后抑郁症症状的女性。母亲和父亲在产后2至3个月完成了抑郁、婚姻满意度和育儿压力的测量，并各自与婴儿互动的过程被录像。结果表明，产妇产后抑郁症与父亲抑郁加剧和更高的父亲育儿压力有关。抑郁女性的伴侣与婴儿的互动表现欠佳，这表明父亲无法弥补母亲抑郁对孩子的负面影响。虽然母婴互动并未影响父子互动，但母亲对自己与婴儿关系的感受却有影响，甚至比产妇抑郁症的影响更大。产妇产后抑郁症、父亲和父子互动之间的联系表明，有必要进一步了解母亲、父亲和婴儿之间的相互影响。
