Patricia Trautmann-Villalba, Petra Davidova, Miriam Kalok, Corina Essel, Fadia Ben Ahmed, Yasmina Kingeter, Anna Linda Leutritz, Andreas Reif, Franz Bahlmann, Sarah Kittel-Schneider
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引用次数: 0
Abstract
Background: Even though the development of an emotional bond to the child involves both parents, studies on the development of paternal bonding and the influencing factors are scarce. This pilot study examines the quality of paternal postnatal bonding in association with paternal depressive and anxiety symptoms before and after birth. Methods: Expecting parents (n = 81) were recruited from maternity services in Frankfurt, Germany. At recruitment and 3 months postpartum (pp) mothers and fathers completed an interview including sociodemographic and pregnancy data. Depressive and anxiety symptoms were screened using the Edinburgh Postnatal Depression Scale and the State-Trait Anxiety Inventory. At 3-month pp, fathers also completed the Postpartum Bonding Questionnaire for the assessment of bonding difficulties. A total of 63 couples, from whom data were available for both time points, were included in the final study group.
Results: Depressive and anxiety symptoms before birth are the best predictors for the quality of paternal bonding pp (Total score R2 .402 p = .001; Impaired bonding R2 .299 p = .019; Rejection and Anger R2 .353 p = .005; Anxiety about care R2 .457 p = .000). Maternal depression and sociodemographic variables were not significantly associated.
Limitations: High selected small study group.
Conclusions: Paternal depressive and anxiety symptoms during pregnancy are highly predictive for the quality of bonding as well as for the presence of depressive and anxiety symptoms 3 month pp. It is necessary to identify these symptoms as soon as possible in order to prevent later negative impacts on parental mental health and on child developmental outcomes.
背景:尽管亲子情感纽带的发展涉及父母双方,但关于亲子情感纽带发展及其影响因素的研究却很少。本初步研究探讨了父亲产后结合的质量与出生前后父亲抑郁和焦虑症状的关系。方法:从德国法兰克福的妇产服务部门招募了81名准父母。在招募和产后3个月(pp),母亲和父亲完成了包括社会人口统计学和怀孕数据的访谈。使用爱丁堡产后抑郁量表和状态-特质焦虑量表筛选抑郁和焦虑症状。在第3个月时,父亲还完成了产后亲密问卷,以评估亲密困难。总共有63对夫妇被纳入最后的研究组,从他们那里可以获得两个时间点的数据。结果:出生前抑郁和焦虑症状是父权结合质量的最佳预测因子(总分R2 .402 p = .001;连接受损R2 = 0.299 p = 0.019;拒绝和愤怒R2 .353 p = .005;护理焦虑(R2 .457 p = .000)。产妇抑郁与社会人口变量无显著相关。局限性:高选择性的小研究小组。结论:孕期父亲抑郁和焦虑症状对亲子关系的质量以及产后3个月抑郁和焦虑症状的出现具有高度的预测作用,有必要尽早识别这些症状,以防止日后对父母心理健康和儿童发育结局的负面影响。
期刊介绍:
The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.