Vance J C, Boyle F M, Najman J M, Thearle M J
Department of Child Health, The University of Queensland, Australia.
Br J Psychiatry. 1995 Dec;167(6):806-11. doi: 10.1192/bjp.167.6.806.
Stress responses of bereaved parents (mothers 194, fathers 143) who experienced infant loss were compared with parents (mothers 203, fathers 157) with a live born child.
Psychological distress using scales of anxiety, depression and alcohol use was compared at 2, 8, 15 and 30 months post-loss.
Bereaved mothers showed significantly more anxiety/depression than controls at all four interviews. For bereaved fathers, anxiety/depression differed significantly from controls only at two months. Heavy alcohol use was significantly more prevalent at 2 and 30 months. Relative risks showed significant gender differences between bereaved parents at all four interviews for anxiety/depression. When this outcome was extended to include heavy drinking in addition to anxiety/depression, these differences diminished and were significant only at 2 and 8 months. CONCLUSION. Female responses are longer lasting and reflected by elevated levels of anxiety/depression. Male responses equally involve anxiety, depression and heavy alcohol consumption.
将经历婴儿夭折的丧亲父母(母亲194名,父亲143名)的应激反应与育有存活子女的父母(母亲203名,父亲157名)进行比较。
在丧亲后2个月、8个月、15个月和30个月时,使用焦虑、抑郁和饮酒量表对心理困扰进行比较。
在所有四次访谈中,丧亲母亲的焦虑/抑郁程度均显著高于对照组。对于丧亲父亲,焦虑/抑郁仅在两个月时与对照组有显著差异。在2个月和30个月时,重度饮酒的情况明显更为普遍。相对风险显示,在所有四次访谈中,丧亲父母在焦虑/抑郁方面存在显著的性别差异。当这一结果扩展到除焦虑/抑郁外还包括重度饮酒时,这些差异减小,仅在2个月和8个月时显著。结论:女性的反应持续时间更长,表现为焦虑/抑郁水平升高。男性的反应同样涉及焦虑、抑郁和重度饮酒。