Discipline of Psychiatry, Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
School of Health and Biomedical Sciences, Royal Melbourne Institute of Technology, Melbourne, Australia.
Arch Womens Ment Health. 2019 Dec;22(6):799-807. doi: 10.1007/s00737-019-00963-7. Epub 2019 Apr 23.
Perinatal mental health problems, particularly depression, are prevalent and have been a central focus of prevention initiatives. The greater proportion of ongoing annual perinatal mental health economic cost burdens relate to children. A key linking mechanism is mother-infant relationship quality. Perinatal depression symptoms are typically transient. However, personality style, including interpersonal sensitivity, is a more stable construct and predicts proneness to depression and common mental disorders. Building on our previous work, the objective of the present study is to examine the association between specific dimensions of prenatal interpersonal sensitivity and postpartum mother-infant relationship quality in the context of prenatal depression symptoms. We analysed data from the Avon Longitudinal Study of Parents and Children (ALSPAC). Interpersonal sensitivity and depression symptoms were measured at 18 weeks gestation. In a randomly selected 10% subsample of the ALSPAC cohort, mother-infant interaction was measured through standard observation at 12 months postpartum. For the subsample that had complete data at all time points (n = 812), multiple regression models examined prenatal interpersonal sensitivity dimensions predicting postpartum mother-infant relationship quality, accounting for depression symptoms. Two dimensions of maternal interpersonal sensitivity modestly predicted mother-infant relationship quality at 12 months postpartum and remained robust when we controlled for depression symptoms. The interpersonal sensitivity subscales were significantly associated with prenatal depression symptoms but more consistently and robustly predicted postnatal mother-infant interaction quality. The inclusion of personality measures may strengthen prenatal mental health assessment to identify vulnerability to suboptimal mother-infant relationship quality.
围产期心理健康问题，特别是抑郁，十分普遍，一直是预防措施的重点。持续的围产期心理健康经济成本负担更大比例与儿童有关。一个关键的联系机制是母婴关系质量。围产期抑郁症状通常是短暂的。然而，人格风格，包括人际敏感性，是一个更稳定的结构，预测易患抑郁和常见精神障碍。基于我们之前的工作，本研究的目的是在产前抑郁症状的背景下，研究产前人际敏感性的特定维度与产后母婴关系质量之间的关系。我们分析了阿冯纵向研究父母和孩子（ALSPAC）的数据。人际敏感性和抑郁症状在 18 周妊娠时测量。在 ALSPAC 队列的 10%随机抽样中，通过标准观察在产后 12 个月测量母婴互动。对于在所有时间点都有完整数据的子样本（n=812），多元回归模型检查了产前人际敏感性维度对产后母婴关系质量的预测作用，同时考虑了抑郁症状。母亲人际敏感性的两个维度适度预测了产后 12 个月的母婴关系质量，并且在控制抑郁症状时仍然稳健。人际敏感性分量表与产前抑郁症状显著相关，但与产后母婴互动质量的相关性更一致和稳健。人格测量的纳入可能会加强产前心理健康评估，以识别对母婴关系质量不佳的易感性。
