Kleinman Chava, Reizer Abira
a School of Social Work , Ariel University , Ariel , Israel.
Health Care Women Int. 2018 Jan;39(1):79-94. doi: 10.1080/07399332.2017.1369080. Epub 2017 Oct 16.
Drawing on Bowlby's (1982) caregiving theoretical framework, this is the first preliminary examination of caregiving to postpartum depression (PPD) as well as the potential mediators to the psychological manifestations of caregiving in PPD. One hundred and fifty Israeli mothers completed four scales assessing PPD, parenting self-efficacy, caregiving representations and marital satisfaction, within 6 months after giving birth. Researchers indicated a significant association between deactivated caregiving and PPD that was mediated by lower levels of parental self-efficacy and lower marital satisfaction. The associations between caregiving hyperactivation and PPD were nonsignificant. Theoretical and practical implications for clinical practice and postpartum risk factor models are discussed.
借鉴鲍尔比(1982年)的照料理论框架,这是对产后抑郁症(PPD)照料以及PPD照料心理表现潜在中介因素的首次初步研究。150名以色列母亲在产后6个月内完成了四项量表评估,这些量表分别涉及PPD、育儿自我效能感、照料表征和婚姻满意度。研究人员指出,消极的照料方式与PPD之间存在显著关联,这种关联由较低水平的父母自我效能感和较低的婚姻满意度介导。照料过度激活与PPD之间的关联不显著。本文还讨论了对临床实践和产后风险因素模型的理论及实践意义。