养育状况在母亲抑郁与婴幼儿-母亲依恋关系中的作用:中国的一项纵向队列研究。

IF 2.1 3区 医学 Q2 NURSING Nursing & Health Sciences Pub Date : 2024-09-01 DOI:10.1111/nhs.13162
Yanping Bai, Xiaoyu Li, Jingmin Yi, Wenqing Xue, Yushi Mo, Wenjie Gong
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引用次数: 0

摘要

这项在中国进行的研究旨在探讨产妇抑郁对母婴依恋关系的影响,以及养育状况是否会调节这种关系。妇女在七个围产期时间点接受了抑郁评估:怀孕≤12、17、21、31和37周,以及产后1周和6周。至少完成三次评估的妇女及其婴儿将被邀请在产后 12-18 个月接受婴儿-母亲依恋评估。在完成婴儿-母亲依恋评估的 233 对婴儿-母亲中,分别有 62 名和 80 名母亲患有产后抑郁症和围产期重度抑郁症;75 名婴儿(32.2%)表现出不安全依恋。虽然母亲患有抑郁症的婴儿表现出不安全依恋的比例略有上升,但这一差异并未达到统计学意义上的显著性。此外,养育状况并不影响母亲抑郁与婴儿-母亲依恋之间的关系。不过,该研究暗示,母婴之间更多的身体接触可能会降低不安全依恋的可能性。未来的研究应扩大样本量和评估点,以便更好地理解这一观点。此外,鼓励母婴之间的亲密互动和身体接触可能会有所裨益。
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Role of Parenting Status in the Relationship Between Maternal Depression and Infant-Mother Attachment: A Longitudinal Cohort Study in China.

This study in China aimed to explore the impact of maternal depression on infant-mother attachment and whether parenting status moderated this relationship. Women underwent depression assessments at seven perinatal time points: ≤12, 17, 21, 31, and 37 weeks of pregnancy, as well as 1 and 6 weeks postpartum. Those completing at least three times assessments, along with their infants, were invited for infant-mother attachment assessment at 12-18 months postpartum. Among 233 infant-mother pairs completing the infant-mother attachment assessment, 62 and 80 mothers had postnatal depression and perinatal major depression, respectively; 75 (32.2%) of infants exhibited insecure attachment. While infants whose mothers had maternal depression showed a slightly elevated rate of insecure attachment, this difference did not achieve statistical significance. Additionally, parenting status did not influence the relationship between maternal depression and infant-mother attachment. Nevertheless, the study hinted that more physical contact between mother and infant might reduce insecure attachment likelihood. Future research should expand sample sizes and assessment points for better understanding. In addition, encouraging close interaction and physical touch between mother and infant may be beneficial.

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来源期刊
CiteScore
4.80
自引率
3.70%
发文量
91
审稿时长
6-12 weeks
期刊介绍: NHS has a multidisciplinary focus and broad scope and a particular focus on the translation of research into clinical practice, inter-disciplinary and multidisciplinary work, primary health care, health promotion, health education, management of communicable and non-communicable diseases, implementation of technological innovations and inclusive multicultural approaches to health services and care.
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