1 Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
2 Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
J Womens Health (Larchmt). 2019 Feb;28(2):194-202. doi: 10.1089/jwh.2017.6889. Epub 2018 Oct 10.
Research shows that individuals can improve mental health by increasing experiences of positive emotions. However, the role of positive emotions in perinatal mental health has not been investigated. This study explored the extent to which positive emotions during infant feeding are associated with maternal depression and anxiety during the first year postpartum.
One hundred and sixty-four women drawn from a longitudinal cohort of mother-infant dyads were followed from the third trimester through 12 months postpartum. We measured positive emotions during infant feeding at 2 months using the mean subscale score of the modified Differential Emotions Scale. Depression and anxiety symptoms were assessed with the Beck Depression Inventory-II and State Trait Anxiety Inventory-State subscale at months 2, 6, and 12. Generalized linear mixed models were used to estimate crude and multivariable associations.
Among women with no clinical depression during pregnancy, higher positive emotions during infant feeding at 2 months were associated with significantly fewer depression symptoms at 2, 6, and 12 months and with lower odds of clinically significant depression symptoms at 2 and 6 months. In contrast to depression outcomes, women with clinical anxiety during pregnancy who experienced higher positive emotions had significantly fewer anxiety symptoms at 2, 6, and 12 months and lower odds of clinically significant anxiety at 2 and 6 months.
Positive emotions during infant feeding are associated with depression and anxiety outcomes during the first year postpartum and may be a modifiable protective factor for maternal mental health.
研究表明，个体可以通过增加积极情绪体验来改善心理健康。然而，积极情绪在围产期心理健康中的作用尚未得到研究。本研究探讨了婴儿喂养期间的积极情绪与产后第一年母亲抑郁和焦虑的程度之间的关系。
从母婴纵向队列中抽取了 164 名女性，从妊娠晚期随访至产后 12 个月。我们在 2 个月时使用改良差异情绪量表的平均子量表评分来测量婴儿喂养期间的积极情绪。在 2、6 和 12 个月时使用贝克抑郁量表 II 和状态特质焦虑量表状态子量表评估抑郁和焦虑症状。使用广义线性混合模型估计粗关联和多变量关联。
在妊娠期间无临床抑郁的女性中，2 个月时婴儿喂养期间的积极情绪较高与 2、6 和 12 个月时的抑郁症状明显减少以及 2 和 6 个月时临床显著抑郁症状的几率降低相关。与抑郁结果相反，在妊娠期间患有临床焦虑的女性中，体验到更高的积极情绪与 2、6 和 12 个月时的焦虑症状明显减少以及 2 和 6 个月时临床显著焦虑的几率降低相关。
婴儿喂养期间的积极情绪与产后第一年的抑郁和焦虑结果相关，并且可能是母亲心理健康的可改变保护因素。
