Matthies Lina Maria, Wallwiener Stephanie, Müller Mitho, Doster Anne, Plewniok Katharina, Feller Sandra, Sohn Christof, Wallwiener Markus, Reck Corinna
University of Heidelberg, Department of Obstetrics and Gynecology, Im Neuenheimer Feld 440, 69120 Heidelberg, Germany.
University of Heidelberg, Department of Obstetrics and Gynecology, Im Neuenheimer Feld 440, 69120 Heidelberg, Germany.
Infant Behav Dev. 2017 Nov;49:228-237. doi: 10.1016/j.infbeh.2017.09.011. Epub 2017 Oct 5.
Maternal self-confidence has become an essential concept in understanding early disturbances in the mother-child relationship. Recent research suggests that maternal self-confidence may be associated with maternal mental health and infant development. The current study investigated the dynamics of maternal self-confidence during the first four months postpartum and the predictive ability of maternal symptoms of depression, anxiety, and early regulatory problems in infants. Questionnaires assessing symptoms of depression (Edinburgh Postnatal Depression Scale), anxiety (State-Trait Anxiety Inventory), and early regulatory problems (Questionnaire for crying, sleeping and feeding) were completed in a sample of 130 women at three different time points (third trimester (T1), first week postpartum (T2), and 4 months postpartum (T3). Maternal self-confidence increased significantly over time. High maternal trait anxiety and early infant regulatory problems negatively contributed to the prediction of maternal self-confidence, explaining 31.8% of the variance (R=.583, F=15.950, p<.001). Our results emphasize the transactional association between maternal self-confidence, regulatory problems in infants, and maternal mental distress. There is an urgent need for appropriate programs to reduce maternal anxiety and to promote maternal self-confidence in order to prevent early regulatory problems in infants.
母亲的自信心已成为理解母婴关系早期紊乱的一个重要概念。最近的研究表明，母亲的自信心可能与母亲的心理健康和婴儿发育有关。本研究调查了产后头四个月母亲自信心的动态变化，以及母亲抑郁、焦虑症状和婴儿早期调节问题的预测能力。对130名女性在三个不同时间点（孕晚期（T1）、产后第一周（T2）和产后4个月（T3））完成了评估抑郁症状（爱丁堡产后抑郁量表）、焦虑症状（状态-特质焦虑量表）和早期调节问题（哭闹、睡眠和喂养问卷）的问卷调查。母亲的自信心随时间显著增加。母亲的高特质焦虑和婴儿早期调节问题对母亲自信心的预测有负面影响，解释了31.8%的方差（R=.583，F=15.950，p<.001）。我们的研究结果强调了母亲自信心、婴儿调节问题和母亲心理困扰之间的相互作用关系。迫切需要适当的项目来减轻母亲的焦虑并增强母亲的自信心，以预防婴儿的早期调节问题。
