产后母亲抑郁、母婴关系及其与六年级儿童困难的关系。

IF 3.2 3区 医学 Q2 PSYCHIATRY
Daimei Sasayama, Tomonori Owa, Tetsuya Kudo, Wakako Kaneko, Mizuho Makita, Rie Kuge, Ken Shiraishi, Tetsuo Nomiyama, Shinsuke Washizuka, Hideo Honda
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引用次数: 0

摘要

目的:产后母亲心理健康对儿童社会能力和情感能力的发展起着至关重要的作用。本研究旨在探讨产后抑郁和母婴关系对六年级儿童情绪和行为困难的影响。方法:分析来自爱丁堡产后抑郁量表(EPDS)和日本版母婴关系量表(MIBS-J)的数据,这些数据来自日本冈谷的母亲在产后健康检查期间大约2周至1个月的数据,以及来自六年级儿童及其照顾者的优势和困难问卷(SDQ)数据。这项研究包括了2009年4月2日至2012年4月1日期间出生的245对母子。结果:经EPDS评估的产后母亲抑郁症状与经MIBS-J评估的母婴结合困难显著相关。结构方程模型显示,EPDS、MIBS-J和性别对儿童的社会心理困难具有显著的预测作用。在EPDS对儿童困难的总影响中,联结困难占34.6%。这些模型解释了26.1%的社会心理困难差异,其中43.0%的差异解释了父母评定的SDQ分数,36.4%的差异解释了自评定的SDQ分数。结论:母亲抑郁症状对母婴亲密关系的负面影响可能导致了儿童的困难增加,突出了亲密关系在调节母亲心理健康对儿童发展的影响中的关键作用。这些发现强调了针对母亲抑郁和联系困难的早期产后干预的重要性,以减轻对儿童发育的长期影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Postpartum maternal depression, mother-to-infant bonding, and their association with child difficulties in sixth grade.

Purpose: Postpartum maternal mental health plays a crucial role in the development of children's social and emotional competencies. This study aimed to investigate the influence of postpartum maternal depression and mother-to-infant bonding on children's emotional and behavioral difficulties in sixth grade.

Methods: Data from the maternal Edinburgh Postnatal Depression Scale (EPDS) and the Mother-to-Infant Bonding Scale-Japanese version (MIBS-J), administered to mothers approximately 2 weeks to 1 month postpartum during postnatal health checkups in Okaya, Japan, were analyzed alongside Strengths and Difficulties Questionnaire (SDQ) data collected from their sixth-grade children and their caregivers. The study included 245 mother-child pairs of children born between April 2, 2009, and April 1, 2012.

Results: Postpartum maternal depressive symptoms, as assessed by the EPDS, were significantly associated with mother-to-infant bonding difficulties, as assessed by the MIBS-J. Structural equation modeling revealed that EPDS, MIBS-J, and sex significantly predicted psychosocial difficulties of children. Bonding difficulties mediated 34.6% of the total effect of EPDS on child difficulties. The models explained 26.1% of the variance in psychosocial difficulties, with 43.0% of the variance explained for parent-rated SDQ scores and 36.4% for self-rated SDQ scores.

Conclusions: The negative impact of maternal depressive symptoms on mother-to-infant bonding may have contributed to increased difficulties for the child, highlighting the critical role of bonding in moderating the effects of maternal mental health on child development. These findings underscore the importance of early postpartum interventions targeting both maternal depression and bonding difficulties to mitigate long-term effects on child development.

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来源期刊
Archives of Women's Mental Health
Archives of Women's Mental Health 医学-精神病学
CiteScore
8.00
自引率
4.40%
发文量
83
审稿时长
6-12 weeks
期刊介绍: Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.
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