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父性联结受产前父亲抑郁和特质焦虑的影响。

Paternal bonding is influenced by prenatal paternal depression and trait-anxiety.

作者信息

Trautmann-Villalba Patricia, Davidova Petra, Kalok Miriam, Essel Corina, Ben Ahmed Fadia, Kingeter Yasmina, Leutritz Anna Linda, Reif Andreas, Bahlmann Franz, Kittel-Schneider Sarah

机构信息

Institute of Peripartal Interventions, Frankfurt, Germany.

Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe University, Frankfurt Am Main, Germany.

出版信息

J Reprod Infant Psychol. 2025 Jan;43(1):136-150. doi: 10.1080/02646838.2023.2223608. Epub 2023 Jun 23.

Abstract

BACKGROUND

Even though the development of an emotional bond to the child involves both parents, studies on the development of paternal bonding and the influencing factors are scarce. This pilot study examines the quality of paternal postnatal bonding in association with paternal depressive and anxiety symptoms before and after birth. Methods: Expecting parents ( = 81) were recruited from maternity services in Frankfurt, Germany. At recruitment and 3 months postpartum (pp) mothers and fathers completed an interview including sociodemographic and pregnancy data. Depressive and anxiety symptoms were screened using the Edinburgh Postnatal Depression Scale and the State-Trait Anxiety Inventory. At 3-month pp, fathers also completed the Postpartum Bonding Questionnaire for the assessment of bonding difficulties. A total of 63 couples, from whom data were available for both time points, were included in the final study group.

RESULTS

Depressive and anxiety symptoms before birth are the best predictors for the quality of paternal bonding pp (Total score R .402  = .001; Impaired bonding R .299  = .019; Rejection and Anger R .353  = .005; Anxiety about care R .457  = .000). Maternal depression and sociodemographic variables were not significantly associated.

LIMITATIONS

High selected small study group.

CONCLUSIONS

Paternal depressive and anxiety symptoms during pregnancy are highly predictive for the quality of bonding as well as for the presence of depressive and anxiety symptoms 3 month pp. It is necessary to identify these symptoms as soon as possible in order to prevent later negative impacts on parental mental health and on child developmental outcomes.

摘要

背景

尽管与孩子建立情感纽带涉及父母双方,但关于父亲纽带关系发展及其影响因素的研究却很少。这项试点研究调查了产后父亲纽带关系的质量,并将其与产前及产后父亲的抑郁和焦虑症状相关联。方法:从德国法兰克福的产科服务机构招募准父母(n = 81)。在招募时以及产后3个月,母亲和父亲完成了一次访谈,内容包括社会人口统计学和怀孕数据。使用爱丁堡产后抑郁量表和状态-特质焦虑问卷筛查抑郁和焦虑症状。在产后3个月,父亲们还完成了产后纽带关系问卷,以评估纽带关系困难情况。最终研究组纳入了63对在两个时间点均有可用数据的夫妇。

结果

产前的抑郁和焦虑症状是产后父亲纽带关系质量的最佳预测指标(总分R =.402,P =.001;纽带关系受损R =.299,P =.019;拒绝和愤怒R =.353,P =.005;护理焦虑R =.457,P =.000)。母亲的抑郁和社会人口统计学变量无显著关联。

局限性

研究组经过高度筛选且规模较小。

结论

孕期父亲的抑郁和焦虑症状对纽带关系质量以及产后3个月抑郁和焦虑症状的出现具有高度预测性。有必要尽早识别这些症状,以防止对父母心理健康和儿童发育结果产生后期负面影响。

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