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COVID-19 大流行期间产后抑郁症对母婴早期关系的影响:认知与现实。

The Impact of Postpartum Depression on the Early Mother-Infant Relationship during the COVID-19 Pandemic: Perception versus Reality.

机构信息

Jane and Terry Semel Institute for Neuroscience and Human Behavior at UCLA, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA.

出版信息

Int J Environ Res Public Health. 2024 Jan 31;21(2):164. doi: 10.3390/ijerph21020164.

Abstract

Postpartum depression (PPD) can interfere with the establishment of affective bonds between infant and mother, which is important for the cognitive, social-emotional, and physical development of the child. Rates of PPD have increased during the COVID-19 pandemic, likely due to the added stress and limited support available to new parents. The present study examined whether parenting-related stress, perceived bonding impairments, the quality of observed mother-infant interactions, and salivary oxytocin levels differ between depressed and non-depressed mothers, along with differential impacts of COVID-19 on depressed mothers. Participants included 70 mothers (45 depressed, 25 controls) with infants aged 2-6 months. All data were collected remotely to ease participant burden during the pandemic. Depression was associated with experiences of heightened parenting-related stress and bonding difficulties. These differences were not observed during mother-infant interactions or in salivary oxytocin levels. Differences in COVID-19-related experiences were minimal, though depressed mothers rated slightly higher stress associated with returning to work and financial impacts of the pandemic. Findings highlight the importance of early intervention for PPD to mitigate long-term effects on mothers, children, and families. Additionally, they underscore the need for early intervention to support the developing mother-infant dyad relationship during this crucial time.

摘要

产后抑郁症(PPD)会干扰母婴之间情感纽带的建立,而这对儿童的认知、社会情感和身体发育都很重要。在 COVID-19 大流行期间,PPD 的发病率有所上升,这可能是由于新父母面临的额外压力和有限的支持。本研究旨在探讨抑郁母亲和非抑郁母亲在与育儿相关的压力、感知的亲子关系障碍、观察到的母婴互动质量以及唾液催产素水平方面是否存在差异,以及 COVID-19 对抑郁母亲的不同影响。参与者包括 70 名母亲(45 名抑郁,25 名对照),其婴儿年龄在 2-6 个月之间。所有数据都是远程收集的,以减轻大流行期间参与者的负担。抑郁与育儿相关压力和亲子关系困难的体验增加有关。这些差异在母婴互动或唾液催产素水平中并未观察到。与 COVID-19 相关的经历差异很小,尽管抑郁母亲对重返工作岗位和大流行对财务的影响的压力略高。研究结果强调了早期干预产后抑郁症的重要性,以减轻其对母亲、儿童和家庭的长期影响。此外,它们强调了在这个关键时期,需要早期干预来支持发展中的母婴关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2229/10888393/70557ddafe2a/ijerph-21-00164-g001.jpg

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