Topal Sümeyra, Çaka Sinem Yalnizoğlu
Kahramanmaraş İstiklal University, Faculty of Health Sciences, Department of Pediatric Nursing - Kahramanmaraş, Turkey.
Kocaeli University, Faculty of Health Sciences, Department of Pediatric Nursing - Kocaeli, Turkey.
Rev Assoc Med Bras (1992). 2025 Mar 31;71(2):e20241413. doi: 10.1590/1806-9282.20241413. eCollection 2025.
The aim of this study was to investigate the role of postpartum depression in the relationship between mother-infant contact barriers and maternal attachment in mothers of premature infants.
This cross-sectional study was conducted on 113 mothers who applied to the pediatric outpatient clinic of a hospital between April and November 2022 and whose premature babies were discharged at least 1 month ago. The data were collected using the Edinburgh Postnatal Depression Scale, the Mother-Infant Contact Barriers Scale, and the Maternal Attachment Scale.
The mothers' mean Maternal Attachment Scale score was 82.25±10.57, the mean Mother-Infant Contact Barriers Scale score was 60.65±17.87, and the mean Edinburgh Postnatal Depression Scale score was 18.41±8.38. The mean Edinburgh Postnatal Depression Scale score of 78.8% (n=89) of the mothers was 14 and above. There was a statistically significant positive effect of the Mother-Infant Contact Barriers Scale on the Edinburgh Postnatal Depression Scale (B=0.95, p<0.001) and a statistically significant negative effect of the Edinburgh Postnatal Depression Scale on the Maternal Attachment Scale (B=-0.29, p<0.001). Hence, it was found that the Edinburgh Postnatal Depression Scale (B=-0.27, p<0.001) played a mediating role in the impact of the Mother-Infant Contact Barriers Scale on the Maternal Attachment Scale.
Accordingly, it can be stated that maternal attachment decreases and postpartum depression increases as mother-infant contact barriers increase.
本研究旨在探讨产后抑郁在早产儿母亲母婴接触障碍与母婴依恋关系中的作用。
本横断面研究对2022年4月至11月间到某医院儿科门诊就诊、其早产婴儿至少已出院1个月的113名母亲进行。使用爱丁堡产后抑郁量表、母婴接触障碍量表和母婴依恋量表收集数据。
母亲的母婴依恋量表平均得分为82.25±10.57，母婴接触障碍量表平均得分为60.65±17.87，爱丁堡产后抑郁量表平均得分为18.41±8.38。78.8%（n = 89）的母亲爱丁堡产后抑郁量表平均得分在14分及以上。母婴接触障碍量表对爱丁堡产后抑郁量表有统计学意义的正向影响（B = 0.95，p < 0.001），爱丁堡产后抑郁量表对母婴依恋量表有统计学意义的负向影响（B = -0.29，p < 0.001）。因此，发现爱丁堡产后抑郁量表（B = -0.27，p < 0.001）在母婴接触障碍量表对母婴依恋量表的影响中起中介作用。
据此可以说，随着母婴接触障碍增加，母婴依恋减少，产后抑郁增加。
