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母亲产前、产后抑郁与婴儿气质和绞痛的关系:纵向前瞻性研究。

Relation between Mother's , Prenatal and Postpartum Depression, and Infant's Temperament and Colic: A Longitudinal Prospective Approach.

机构信息

The Research Institute of Nursing Science, College of Nursing, Seoul National University, Seoul 03080, Korea.

Department of Nursing, Kyung-In Women's University, Incheon 21041, Korea.

出版信息

Int J Environ Res Public Health. 2020 Oct 21;17(20):7691. doi: 10.3390/ijerph17207691.

Abstract

This longitudinal cohort correlational study aimed to confirm the relation among or traditional prenatal practice, prenatal depression, postpartum depression, maternal-fetal interaction, and infant temperament and colic using a prospective design. We recruited 212 women 16-20 weeks pregnant from July 2017 to September 2018; they were followed up until six months postpartum. Data from 97 participants were used in the final analysis. We used the Edinburgh Postnatal Depression Scale, Cranley's Maternal-Fetal Attachment Scale, and What My Baby Is Like as measurement tools. We observed a significant correlation between prenatal maternal depression in the first to third trimesters and 6-8 weeks and six months postpartum. In addition, infant temperament at six months old showed a significant negative correlation with prenatal and postpartum depression: the higher the prenatal and postpartum depression level, the more difficult the infant's temperament. practice was significantly related to maternal-fetal attachment ( = 0.45-0.68, < 0.001). Difficult infants showed more colic episodes than any other type of infant (χ = 18.18, < 0.001). Prenatal and postnatal maternal depression affected infants' temperament and colic episodes. The management of mothers' mental health before and after pregnancy is important for infants' and mothers' health.

摘要

这项纵向队列相关性研究旨在通过前瞻性设计,确认传统产前护理、产前抑郁、产后抑郁、母婴互动以及婴儿气质和绞痛之间的关系。我们招募了 212 名 16-20 周的孕妇,随访至产后 6 个月。最终有 97 名参与者的数据纳入最终分析。我们使用爱丁堡产后抑郁量表、克兰利母婴依恋量表和《婴儿是什么样的》作为测量工具。我们观察到,孕妇在妊娠第一至第三季度的抑郁程度与产后 6-8 周和 6 个月时的抑郁程度显著相关。此外,婴儿在 6 个月时的气质与产前和产后抑郁呈显著负相关:产前和产后抑郁程度越高,婴儿的气质越难。传统产前护理与母婴依恋呈显著相关( = 0.45-0.68, < 0.001)。与其他类型的婴儿相比,困难型婴儿出现绞痛发作的次数更多(χ = 18.18, < 0.001)。产前和产后的母亲抑郁会影响婴儿的气质和绞痛发作。管理母亲在怀孕前后的心理健康对于婴儿和母亲的健康都很重要。

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本文引用的文献

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Int J Environ Res Public Health. 2020 Apr 12;17(8):2644. doi: 10.3390/ijerph17082644.
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Postpartum Depression: When the Stakes Are the Highest.产后抑郁症:关乎重大之时
J Psychosoc Nurs Ment Health Serv. 2019 Nov 1;57(11):9-14. doi: 10.3928/02793695-20191016-03.
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Perinatal depression and infant mental health.围产期抑郁与婴儿心理健康。
Arch Psychiatr Nurs. 2019 Jun;33(3):217-224. doi: 10.1016/j.apnu.2019.01.010. Epub 2019 Jan 25.
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Review of Prenatal Maternal Mental Health and the Development of Infant Temperament.产前母亲心理健康与婴儿气质发展综述
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