加拿大母亲产后愤怒的相关因素：一项横断面调查。
Correlates of Canadian mothers' anger during the postpartum period: a cross-sectional survey.
机构信息
School of Nursing, University of Victoria, 3800 Finnerty Road, HSD Building, Room A402a, Victoria, British Columbia, V8P 5C2, Canada.
Institute of Aging and Lifelong Health, University of Victoria, Victoria, Canada.
出版信息
BMC Pregnancy Childbirth. 2022 Feb 28;22(1):163. doi: 10.1186/s12884-022-04479-4.
BACKGROUND
Although some women experience anger as a mood problem after childbirth, postpartum anger has been neglected by researchers. Mothers' and infants' poor sleep quality during the postpartum period has been associated with mothers' depressive symptoms; however, links between mothers' sleep quality and postpartum anger are unclear. This study aimed to determine proportions of women with intense anger, depressive symptoms, and comorbid intense anger and depressive symptoms, and to examine mothers' and infants' sleep quality as correlates of postpartum anger.
METHODS
This cross-sectional survey study was advertised as an examination of mothers' and babies' sleep. Women, with healthy infants between 6 and 12 months of age, were recruited using community venues. The survey contained validated measures of sleep quality for mothers and infants, and fatigue, social support, anger, depressive symptoms, and cognitions about infant sleep.
RESULTS
278 women participated in the study. Thirty-one percent of women (n = 85) reported intense anger (≥ 90th percentile on State Anger Scale) while 26% (n = 73) of mothers indicated probable depression (>12 on Edinburgh Postnatal Depression Scale). Over half of the participants rated their sleep as poor (n = 144, 51.8%). Using robust regression analysis, income (β = -0.11, p < 0.05), parity (β = 0.2, p < 0.01), depressive symptoms (β = 0.22, p < 0.01), and mothers' sleep quality (β = 0.10, p < 0.05), and anger about infant sleep (β = 0.25, p < 0.01) were significant predictors of mothers' anger.
CONCLUSIONS
Mothers' sleep quality and anger about infant sleep are associated with their state anger. Clinicians can educate families about sleep pattern changes during the perinatal time frame and assess women's mood and perceptions of their and their infants' sleep quality in the first postpartum year. They can also offer evidence-based strategies for improving parent-infant sleep. Such health promotion initiatives could reduce mothers' anger and support healthy sleep.
背景
尽管有些女性在产后会出现愤怒等情绪问题，但产后愤怒一直被研究人员所忽视。母亲和婴儿在产后期间睡眠质量差与母亲的抑郁症状有关；然而，母亲睡眠质量与产后愤怒之间的联系尚不清楚。本研究旨在确定出现强烈愤怒、抑郁症状和两者并存的母亲的比例，并探讨母亲和婴儿的睡眠质量与产后愤怒的关系。
方法
本横断面调查研究以检查母亲和婴儿的睡眠情况为广告。通过社区场所招募健康婴儿 6 至 12 个月大的母亲。该调查包含针对母亲和婴儿睡眠质量的验证性测量工具，以及疲劳、社会支持、愤怒、抑郁症状和对婴儿睡眠的认知。
结果
共有 278 名女性参与了这项研究。31%的女性（n=85）报告强烈愤怒（状态愤怒量表≥90 百分位数），而 26%的母亲（n=73）则表示可能患有抑郁症（爱丁堡产后抑郁量表>12）。超过一半的参与者（n=144，51.8%）认为自己的睡眠质量较差。使用稳健回归分析，收入（β=-0.11，p<0.05）、产次（β=0.2，p<0.01）、抑郁症状（β=0.22，p<0.01）、母亲睡眠质量（β=0.10，p<0.05）和对婴儿睡眠的愤怒（β=0.25，p<0.01）是母亲愤怒的显著预测因素。
结论
母亲的睡眠质量和对婴儿睡眠的愤怒与她们的状态愤怒有关。临床医生可以在围产期向家庭传授有关睡眠模式变化的知识，并在产后第一年评估女性的情绪以及她们对自己和婴儿睡眠质量的看法。他们还可以提供改善父母与婴儿睡眠的循证策略。这种健康促进措施可以减少母亲的愤怒并支持健康睡眠。
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