Takeishi Yoko, Nakamura Yasuka, Yoshida Mikako, Kawajiri Maiko, Atogami Fumi, Yoshizawa Toyoko
Department of Women's Health Nursing & Midwifery, Tohoku University Graduate School of Medicine, Miyagi 9808575, Japan.
Department of Nursing, Kurume University, Fukuoka 8300011, Japan.
Healthcare (Basel). 2021 Mar 28;9(4):375. doi: 10.3390/healthcare9040375.
Maternal mental illnesses during early postpartum may be caused by lack of the coparenting relationship parents share and cooperate regarding child-rearing. This study clarifies the association of the coparenting relationship and negative mental health of mothers at one and three months after childbirth. This study conducted a secondary analysis of data from an intervention study wherein 24 mothers rearing their first child with a cohabitant (husband/partner) participated. Maternal mental health was evaluated using the Edinburgh Postnatal Depression Scale to determine postpartum depressive symptoms and the Mother-to-Infant Bonding Scale to assess negative bonding. Mothers' average age was 31.5 ± 4.2 years old. All mothers were not working during the research period. The prevalence of postpartum depression and bonding disorder were approximately 13% and 21%, respectively. A better coparenting relationship was associated with lower postpartum depressive symptoms at both one month ( = -0.617, = 0.002) and three months ( = -0.709, < 0.01) postpartum. In contrast, no association was found between a coparenting relationship and negative bonding. The results indicate that the coparenting relationship may possibly prevent maternal depression during the early postpartum period.
产后早期的产妇精神疾病可能是由于父母在育儿方面缺乏共同养育关系和合作导致的。本研究阐明了共同养育关系与产后1个月和3个月时母亲心理健康状况不佳之间的关联。本研究对一项干预研究的数据进行了二次分析，该干预研究中有24位与同居者（丈夫/伴侣）育有第一个孩子的母亲参与。使用爱丁堡产后抑郁量表评估产妇心理健康状况以确定产后抑郁症状，并使用母婴联结量表评估负面联结。母亲的平均年龄为31.5±4.2岁。在研究期间，所有母亲均未工作。产后抑郁症和联结障碍的患病率分别约为13%和21%。更好的共同养育关系与产后1个月（r=-0.617，p=0.002）和3个月（r=-0.709，p<0.01）时较低的产后抑郁症状相关。相比之下，未发现共同养育关系与负面联结之间存在关联。结果表明，共同养育关系可能有助于预防产后早期的产妇抑郁。
