Department of Psychology, Chung Shan Medical University, No.110, Sec.1, Jianguo N. Rd., South District, Taichung City, 40201, Taiwan, ROC.
Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, No.110, Sec.1, Jianguo N. Rd., South District, Taichung City, 40201, Taiwan, ROC.
Matern Child Health J. 2023 Jun;27(6):1114-1125. doi: 10.1007/s10995-023-03654-z. Epub 2023 Apr 8.
Parent-Infant Psychotherapy (PIP) aims at improving the interaction between parents and their infants. Group intervention has advantages in facilitating universality, support, and social learning. However, the researches on PIP adoption in a group format are limited. This study aims to explore the outcome of a mother-infant group on bonding and maternal depression.
Eighty-two infant mothers with subjective distress on parenting or depressed mood were recruited to participate in the intervention group (IG). Another sample of one hundred and ninety-four postpartum women was recruited as the control group (CG). Instruments for outcome measure were the Mother-Infant Bonding Scale, Edinburgh Postnatal Depression Scale (EPDS), Beck Depression Inventory-Second Edition (BDI-II), and Social Network Interaction System Questionnaire. Twelve courses of mother-infant groups were conducted for IG women. Each course consisted of twelve 90-min sessions. IG women joined the intervention with their infants and replied to the instruments at baseline, post-intervention, and follow-up. CG women replied to the instruments at similar intervals. Primary data analyses were performed by the intent-to-treat analysis, ANOVA, and GEE.
Relative to CG participants, the IG women experienced significant benefits in most mother-infant bonding scores at both post-intervention and follow-up (ps = .000 - .026). IG women also experienced a greater reduction in follow-up depressive symptoms measured by EPDS (p = .023). However, no significant reduction was noted on BDI-II.
Mother-infant group intervention has preliminary effects on improving bonding and reducing depressive symptoms for women with infants. Further studies are warranted to replicate the results.
父母-婴儿心理疗法（PIP）旨在改善父母与婴儿之间的互动。团体干预在促进普遍性、支持和社会学习方面具有优势。然而，关于以团体形式进行 PIP 的研究有限。本研究旨在探讨母婴团体对母婴联系和产妇抑郁的效果。
招募了 82 名有育儿困扰或抑郁情绪的婴儿母亲参加干预组（IG）。另一个 194 名产后妇女的样本被招募为对照组（CG）。结果测量的工具包括母婴联系量表、爱丁堡产后抑郁量表（EPDS）、贝克抑郁量表第二版（BDI-II）和社会网络互动系统问卷。IG 女性参加了 12 节母婴团体课程。每节课程包括 12 个 90 分钟的课程。IG 女性带着婴儿参加干预，并在基线、干预后和随访时回答工具。CG 女性在相似的时间间隔回答工具。主要数据分析采用意向治疗分析、方差分析和广义估计方程。
与 CG 参与者相比，IG 参与者在母婴联系的大多数评分上在干预后和随访时都有显著的改善（ps = .000-0.026）。IG 参与者在 EPDS 上的抑郁症状在随访时也有更大的减轻（p = .023）。然而，BDI-II 上没有显著的减轻。
母婴团体干预对改善母婴联系和减轻有婴儿的女性的抑郁症状有初步效果。需要进一步的研究来复制这些结果。
