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父母的个性和育儿经验对即将成为父母的夫妇产后抑郁的预测作用。

Parents' personality and maternal experiences in childcare as predictors of postpartum depression in couples in transition to parenthood.

机构信息

Uniwersytet Gdański, Instytut Psychologii.

Uniwersytet Warmińsko-Mazurski w Olsztynie, Katedra Psychologii Rozwoju i Edukacji.

出版信息

Psychiatr Pol. 2020 Oct 31;54(5):991-1005. doi: 10.12740/PP/OnlineFirst/81092.

Abstract

OBJECTIVES

Analysis of interrelationships between the five global personality dimensions of both parents and mothers' experiences regarding feeding the baby/childcare, as well as determining their role as predictors of postpartum depression.

METHODS

223 first-time expectant couples participated in the study (I stage), and 143 couples from this group were examined about five months after the childbirth (II stage). The following questionnaires were used:the NEO Five-Factor Inventory (NEO-FFI), the Edinburgh Postnatal Depression Scale (EPDS), and the Mother and Baby Scale (MBAS).

RESULTS

EPDS scores were interrelated in couples. Both parents' Neuroticism measured before the childbirth was associated with higher levels of self-assessed and partner's postpartum depression. Mothers'Neuroticism negatively correlated with global confidence regarding childcare and the child's positive alertness during feeding (which was also associated with a higher female Extraversion). Maternal global confidence in childcare negatively correlated with postpartum depression in both partners. Perceived child's alertness and mother's global confidence significantly mediated the relationship between mothers' Neuroticism (and their Extraversion in the case of child's alertness), and theEPDS scorein women. Partners' similarity in Neuroticism was associated with worse functioning of mothers (higher EPDS scores, lack of confidence), whereas similarity in Openness to experience negatively correlated with fathers' EPDS score, and positively with mothers' global confidence.

CONCLUSIONS

Complex associations between postpartum depression scores and personality dimensions of men and women, and mother's experiences indicate the need to include fathers and couples in studies. Offering the possibility to meet with lactation consultants might be an essential element of support system for new parents.

摘要

目的

分析父母双方的五个全球人格维度与母亲喂养婴儿/育儿经历之间的相互关系,并确定它们作为产后抑郁预测因子的作用。

方法

223 对首次怀孕的夫妇参加了这项研究(I 期),其中 143 对夫妇在孩子出生后五个月(II 期)接受了检查。使用了以下问卷:NEO 五因素人格量表(NEO-FFI)、爱丁堡产后抑郁量表(EPDS)和母婴量表(MBAS)。

结果

夫妻之间 EPDS 评分存在相互关系。父母双方在分娩前的神经质与自我评估和伴侣产后抑郁的更高水平相关。母亲的神经质与对育儿的整体信心以及喂养时孩子的积极警觉性呈负相关(这也与女性的外向性更高相关)。母亲对育儿的整体信心与夫妻双方的产后抑郁呈负相关。感知到的孩子的警觉性和母亲的整体信心显著中介了母亲的神经质(在孩子警觉性的情况下,还有母亲的外向性)与女性 EPDS 评分之间的关系。夫妻双方在神经质方面的相似性与母亲的功能障碍(更高的 EPDS 评分、缺乏信心)相关,而开放性经验方面的相似性与父亲的 EPDS 评分呈负相关,与母亲的整体信心呈正相关。

结论

产后抑郁评分与男性和女性人格维度以及母亲经历之间的复杂关系表明,需要将父亲和夫妇纳入研究。为新父母提供与哺乳顾问会面的可能性可能是支持系统的一个重要组成部分。

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