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分娩经历与父母在第一年的压力相关,但与儿童依恋无关。

Childbirth Experience Associated With Maternal and Paternal Stress During the First Year, but Not Child Attachment.

作者信息

Holopainen Annaleena, Verhage Marije L, Oosterman Mirjam

机构信息

Clinical Child and Family Studies, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.

Amsterdam Public Health Research Institute, VU Medical Centre, Amsterdam, Netherlands.

出版信息

Front Psychiatry. 2020 Sep 8;11:562394. doi: 10.3389/fpsyt.2020.562394. eCollection 2020.

Abstract

Women, as well as their partners, can experience childbirth in many different ways. A negative childbirth experience may have adverse effects on the entire family, resulting, for instance, in parental stress symptoms and a weakened parent-child relationship. Parental stress, without sufficient resources to compensate for it, may also in and of itself negatively influence the parent-child relationship. This study contributes to the current knowledge of the psychological effects of childbirth experience by using longitudinal data collected with both self-reports and observational measures, as well as multiple informants (i.e., mothers and partners). The aim of this study was to investigate whether 1) women's retrospective birth experiences were related to maternal and paternal parenting stress, 2) birth experience was indirectly associated with child attachment via maternal stress, and 3) birth experience was directly related to child attachment. Data were collected from a mixed sample of community and at-risk primipara women ( = 1,364), as well as from their partners and children. Retrospective childbirth experience was measured 3 months postpartum with a latent factor consisting of five items asking about the feelings that women have about their childbirth. Parental stress was measured at 3 months postpartum for partners and 3 and 12 months postpartum for mothers using the adult domain of the parental stress index (PSI). Finally, parent-child attachment is observed in a subsample of 223 women and children at 12 months postpartum with the Strange Situation Procedure (SSP). Results show that women's birth experience was significantly related to both mothers' and their partners' parenting stress. However, birth experience was not related to child attachment, neither directly nor indirectly via maternal stress. These findings emphasize the long-lasting impact that childbirth may have on both parents. Future research is still needed to further investigate which protective factors may weaken the association between birth experience and parental stress.

摘要

女性及其伴侣可能会以多种不同方式经历分娩。负面的分娩经历可能会对整个家庭产生不利影响,例如导致父母出现压力症状以及亲子关系弱化。如果没有足够的资源来应对,父母的压力本身也可能会对亲子关系产生负面影响。本研究通过使用自我报告和观察测量收集的纵向数据以及多位信息提供者(即母亲和伴侣),为当前关于分娩经历心理影响的知识做出了贡献。本研究的目的是调查:1)女性对分娩经历的回顾是否与母亲和父亲的育儿压力有关;2)分娩经历是否通过母亲的压力与孩子的依恋间接相关;3)分娩经历是否与孩子的依恋直接相关。数据收集自社区初产妇和高危初产妇的混合样本((n = 1364)),以及她们的伴侣和孩子。产后3个月通过一个由五个项目组成的潜在因素来测量回顾性分娩经历,这些项目询问女性对自己分娩的感受。使用父母压力指数(PSI)的成人领域量表,在产后3个月对伴侣测量育儿压力,在产后3个月和12个月对母亲测量育儿压力。最后,在223名女性和孩子的子样本中,于产后12个月通过陌生情境程序(SSP)观察亲子依恋情况。结果表明,女性的分娩经历与母亲及其伴侣的育儿压力均显著相关。然而,分娩经历与孩子的依恋无关,无论是直接相关还是通过母亲的压力间接相关。这些发现强调了分娩可能对父母双方产生的长期影响。未来仍需要进一步研究哪些保护因素可能会削弱分娩经历与父母压力之间的关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d0/7504903/1ead862faa9b/fpsyt-11-562394-g001.jpg

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