BACKGROUND Maternal postpartum depression has an impact on mother-infant interaction. Mothers with depression display less positive affect and sensitivity in interaction with their infants compared to non-depressed mothers. Depressed women also show more signs of distress and difficulties adjusting to their role as mothers than non-depressed women. In addition, depressive mothers are reported to be affectively more negative with their sons than with daughters. METHODS A non-clinical sample of 106 mother-infant dyads at psychosocial risk (poverty, alcohol or drug abuse, lack of social support, teenage mothers and maternal psychic disorder) was investigated with EPDS (maternal postpartum depressive symptoms), the CARE-Index (maternal sensitivity in a dyadic context) and PSI-SF (maternal distress). The baseline data were collected when the babies had reached 19 weeks of age. RESULTS A hierarchical regression analysis yielded a highly significant relation between the PSI-SF subscale "parental distress" and the EPDS total score, accounting for 55% of the variance in the EPDS. The other variables did not significantly predict the severity of depressive symptoms. A two-way ANOVA with "infant gender" and "maternal postpartum depressive symptoms" showed no interaction effect on maternal sensitivity. CONCLUSIONS Depressive symptoms and maternal sensitivity were not linked. It is likely that we could not find any relation between both variables due to different measuring methods (self-reporting and observation). Maternal distress was strongly related to maternal depressive symptoms, probably due to the generally increased burden in the sample, and contributed to 55% of the variance of postpartum depressive symptoms.

中文翻译：

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高危人群中产妇产后抑郁症状、孕产妇痛苦、婴儿性别和敏感性之间的联系。


背景技术母亲产后抑郁症对母婴互动有影响。与非抑郁症母亲相比，患有抑郁症的母亲在与婴儿互动时表现出较低的积极影响和敏感性。与非抑郁女性相比，抑郁女性在适应母亲角色方面也表现出更多的痛苦和困难。此外，据报道，抑郁的母亲对儿子的情感比对女儿的情感更加消极。方法 采用 EPDS（产妇产后抑郁症状）、CARE-Index 对 106 名处于心理社会风险（贫困、酗酒或吸毒、缺乏社会支持、少女母亲和产妇精神障碍）的母婴二人组进行非临床样本调查（二元背景下的母亲敏感性）和 PSI-SF（母亲痛苦）。基线数据是在婴儿 19 周大时收集的。结果 分层回归分析得出 PSI-SF 子量表“父母痛苦”与 EPDS 总分之间存在高度显着的关系，占 EPDS 方差的 55%。其他变量不能显着预测抑郁症状的严重程度。 “婴儿性别”和“母亲产后抑郁症状”的双向方差分析显示，对母亲敏感性没有交互作用。结论 抑郁症状和母亲敏感性没有关联。由于测量方法（自我报告和观察）不同，我们很可能无法发现两个变量之间的任何关系。母亲的痛苦与母亲的抑郁症状密切相关，可能是由于样本中的负担普遍增加，并且导致了产后抑郁症状的 55% 的变异。