前瞻性研究回忆中的父母养育方式与围产期抑郁的关系：土耳其城乡的队列研究。
Prospective associations between recalled parental bonding and perinatal depression: a cohort study in urban and rural Turkey.
机构信息
Department of Psychiatry, Ankara University Faculty of Medicine, Dikimevi, Ankara, 06100, Turkey.
King's College London (Institute of Psychiatry, Psychology and Neuroscience), London, UK.
出版信息
Soc Psychiatry Psychiatr Epidemiol. 2018 Apr;53(4):385-392. doi: 10.1007/s00127-018-1484-3. Epub 2018 Jan 10.
PURPOSE
Recalled experiences of parental bonding may be important in the aetiology of perinatal depression. We hypothesized that lower recalled parental bonding would be associated with perinatal depression.
METHOD
In a cohort study of perinatal depression in Turkey, 677 women were recruited in their third trimester. Parental Bonding Inventory (PBI) scores at baseline were investigated as predictors of depression on the Edinburgh Postnatal Depression Scale (EPDS) at 4, 14 and 21 months after childbirth in mothers without depression at baseline.
RESULTS
Poor parental bonding scores, apart from paternal control and overprotection, were independently associated with antenatal depression. Incident postnatal depression at 4 months was predicted by parental overprotection, at 14 months by parental care and overprotection, and at 21 months by paternal control and overprotection.
CONCLUSIONS
Less satisfactory parenting recalled in the antenatal period was an independent predictor of postnatal depression; however, the different bonding subscales varied as predictors according to the timing of the depression assessment after childbirth.
目的
父母养育方式的回忆经历可能在围产期抑郁症的发病机制中很重要。我们假设，较低的回忆父母养育方式与围产期抑郁症有关。
方法
在土耳其的一项围产期抑郁症队列研究中，招募了 677 名孕妇在孕晚期。在基线时，使用父母养育方式问卷（PBI）评估分数，作为在基线时无抑郁症的母亲在产后 4、14 和 21 个月时使用爱丁堡产后抑郁量表（EPDS）评估抑郁的预测因子。
结果
除了父亲的控制和过度保护外，较差的父母养育方式评分与产前抑郁独立相关。产后 4 个月的新发产后抑郁症可由父母过度保护预测，产后 14 个月的产后抑郁症可由父母关爱和过度保护预测，产后 21 个月的产后抑郁症可由父亲的控制和过度保护预测。
结论
在产前期间回忆起的不太满意的养育方式是产后抑郁症的独立预测因子；然而，根据产后抑郁症评估的时间，不同的养育方式子量表作为预测因子有所不同。
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