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评估早产母亲经历的多维方面。

Evaluating multidimensional facets of the maternal experience after preterm birth.

机构信息

School of Psychological Sciences, College of Health and Medicine, University of Tasmania, Launceston, TAS, Australia.

School of Psychology, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, QLD, Australia.

出版信息

J Perinatol. 2024 May;44(5):635-642. doi: 10.1038/s41372-024-01865-y. Epub 2024 Jan 18.

Abstract

OBJECTIVE

Describe self-relating (self-criticism, self-compassion) and parenting competence (satisfaction, self-efficacy) in mothers of children born preterm, and their associations with child characteristics, maternal sociodemographics at childbirth, and maternal concurrent well-being.

STUDY DESIGN

The sample comprised 1926 biological mothers of 3- to18-year-old children born preterm with self-ratings on the standardized Forms of Self-Criticising/Attacking & Self-Reassuring Scale, Self-Compassion Scale, and Parenting Sense of Competence Scale.

RESULTS

Mothers of children in early childhood reported significantly (p < 0.05) lower self-compassion than in middle childhood and adolescence. They also reported significantly lower parenting satisfaction than mothers of adolescents and higher self-efficacy than their middle childhood counterparts. Maternal psychosocial well-being was most strongly associated with self-compassion, parenting satisfaction, and self-efficacy after accounting for maternal psychopathology, child gestation, and child age.

CONCLUSION

Longer-term associations of preterm birth with maternal self-relating and parenting competence emphasize broadening the scope of neonatal follow-up services, extending beyond child neurodevelopmental surveillance and postpartum psychopathology screening.

摘要

目的

描述早产儿母亲的自我关联(自我批评、自我同情)和育儿能力(满意度、自我效能感),并探讨其与儿童特征、母亲分娩时的社会人口统计学特征以及母亲同期幸福感的关系。

研究设计

该样本包括 1926 名 3 至 18 岁早产儿的亲生母亲,她们对标准化的自我批判/攻击和自我安慰量表、自我同情量表和育儿能力感量表进行了自评。

结果

与青少年相比,幼儿期母亲的自我同情显著(p<0.05)较低,而与青少年相比,母亲的育儿满意度较低,与幼儿期相比,母亲的自我效能感较高。在考虑到母亲的心理病理学、胎儿期和儿童年龄后,母亲的社会心理幸福感与自我同情、育儿满意度和自我效能感的关联最为密切。

结论

早产与母亲的自我关联和育儿能力的长期关联强调扩大新生儿随访服务的范围,超越儿童神经发育监测和产后精神病理学筛查。

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