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产后早期父亲的情感联结及其预测因素:波兰队列的横断面研究

Paternal Postpartum Bonding and Its Predictors in the Early Postpartum Period: Cross-Sectional Study in a Polish Cohort.

作者信息

Bieleninik Łucja, Lutkiewicz Karolina, Jurek Paweł, Bidzan Mariola

机构信息

Department of Clinical and Health Psychology, Faculty of Social Sciences, Institute of Psychology, University of Gdańsk, Gdańsk, Poland.

GAMUT-The Grieg Academy Music Therapy Research Centre, NORCE Norwegian Research Centre, Bergen, Norway.

出版信息

Front Psychol. 2021 Apr 9;12:628650. doi: 10.3389/fpsyg.2021.628650. eCollection 2021.

Abstract

: Parental postpartum bonding has been studied by many researchers focusing on maternal bonding. The objective of this study was to examine the psychological and socio-demographic predictors of paternal postpartum bonding in the early postpartum period. : In this cross-sectional study, 131 couples (fathers median age of 32.37 years, = 4.59; mothers median age of 30.23 years, = 3.90) of newborns from full-term pregnancies were recruited from November 2019 until March 2020. The primary outcome was paternal postpartum bonding as measured by the Postpartum Bonding Questionnaire (PBQ). Secondary outcomes included: maternal and paternal anxiety [with the Generalized Anxiety Disorder (GAD) Assessment]; maternal and paternal stress [with the Parental Stress Scale (PSS)]; maternal depressive symptoms [with the Edinburgh Postpartum Depression Scale (EPDS)]; and maternal and paternal socio-demographic variables as fathers' presence at childbirth, education level, age, and parental experience. : Paternal postpartum bonding was significantly correlated with paternal anxiety (moderate strength), maternal stress (strong correlation), and maternal postpartum bonding. No significant correlations between paternal postpartum bonding, maternal depression symptoms, and maternal anxiety were found. The mediating role of paternal stress in paternal postpartum bonding was proven. Paternal anxiety strengthens paternal stress ( = 0.98). Further, a high level of paternal stress disrupts paternal postpartum bonding ( = 0.41). Results of regression analyses have revelated that maternal infant bonding ( < 0.01) and paternal stress ( < 0.01) are the only predictors of parental postpartum bonding across all included variables. None of investigated socio-demographic variables were associated with paternal postpartum bonding. : Notwithstanding limitations, the current findings add to a growing body of literature on paternal postpartum bonding. The results have shown that paternal mental health is related to parental postpartum bonding directly after delivery. ClinicalTrials.gov Identifier: NCT04118751.

摘要

许多研究人员围绕母亲的产后情感联结展开了对父母产后情感联结的研究。本研究的目的是调查产后早期父亲产后情感联结的心理和社会人口学预测因素。

在这项横断面研究中,从2019年11月至2020年3月招募了131对足月妊娠新生儿的夫妇(父亲中位年龄32.37岁,标准差=4.59;母亲中位年龄30.23岁,标准差=3.90)。主要结局是通过产后情感联结问卷(PBQ)测量的父亲产后情感联结。次要结局包括:母亲和父亲的焦虑(采用广泛性焦虑障碍(GAD)评估);母亲和父亲的压力(采用父母压力量表(PSS));母亲的抑郁症状(采用爱丁堡产后抑郁量表(EPDS));以及母亲和父亲的社会人口学变量,如父亲是否陪产、教育水平、年龄和育儿经验。

父亲产后情感联结与父亲焦虑(中等强度)、母亲压力(强相关)和母亲产后情感联结显著相关。未发现父亲产后情感联结与母亲抑郁症状和母亲焦虑之间存在显著相关性。证实了父亲压力在父亲产后情感联结中的中介作用。父亲焦虑会增强父亲压力(β=0.98)。此外,高水平的父亲压力会破坏父亲产后情感联结(β=0.41)。回归分析结果表明,母亲与婴儿的情感联结(P<0.01)和父亲压力(P<0.01)是所有纳入变量中父母产后情感联结的唯一预测因素。所调查的社会人口学变量均与父亲产后情感联结无关。

尽管存在局限性,但当前研究结果为关于父亲产后情感联结的文献增添了内容。结果表明,父亲的心理健康在分娩后直接与父母产后情感联结相关。ClinicalTrials.gov标识符:NCT04118751。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c19/8062924/27088bf410f6/fpsyg-12-628650-g001.jpg

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