Logsdon M C, McBride A B, Birkimer J C
School of Nursing, Spalding University, Louisville, KY 40203.
Res Nurs Health. 1994 Dec;17(6):449-57. doi: 10.1002/nur.4770170608.
Discrepancies between prenatal social support expectations and subsequent perceptions of support actually received were examined in relation to postpartum depression. Low-risk primiparous women (N = 105) were surveyed 1 month before and 1 month after delivery. Almost half of the women prenatally and one third postpartially had depression scores which would lead them to be classified as possibly depressed (CES-D scores of 16 or greater). In multiple regression, two social support discrepancy measures, prenatal depression and postpartal closeness to husband, correlated with postpartal depression and accounted for nearly 40% of its variance. The generalizability of the findings should be further explored, but the findings suggest the need for attention to prenatal expectations of postpartum support as a way to influence the incidence of postpartum depression. In addition, continued efforts to identify causes of postpartum closeness with the spouse are needed.
研究了产前社会支持期望与随后实际获得的支持感知之间的差异与产后抑郁症的关系。对低风险初产妇（N = 105）在分娩前1个月和分娩后1个月进行了调查。几乎一半的女性在产前和三分之一的女性在产后的抑郁得分会使她们被归类为可能抑郁（CES-D得分16或更高）。在多元回归中，两种社会支持差异测量方法，即产前抑郁和产后与丈夫的亲密程度，与产后抑郁相关，并解释了其近40%的方差。研究结果的普遍性应进一步探讨，但研究结果表明，需要关注产后支持的产前期望，以此作为影响产后抑郁症发病率的一种方式。此外，还需要继续努力确定产后与配偶亲密关系的原因。
