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Do early parental postnatal depression, attachment style and perceived social support affect neurodevelopmental outcomes of premature infants?
Infant Behavior and Development ( IF 2.671 ) Pub Date : 2020-03-31 , DOI: 10.1016/j.infbeh.2020.101444
Tuba Çelen Yoldaş 1 , Hasan Tolga Çelik 2 , Gökçenur Özdemir 1 , Jale Karakaya 3 , Elif Özmert 1
Affiliation  

Background

The birth of a premature infant is both a stressful event for both parents and associated with an increased rate of postnatal depression (PND). Additionally some mothers may have delayed feelings of attachment to their babies because of the medical procedures or possible medical complications. Social support is known as an important factor for well-being in the postnatal period. However there is scarce data about these factors for fathers. We aimed to identify the impact of parental PND, attachment style and social support on premature infant development considering the prematurity degree and risk groups.

Methods

This prospective study was conducted by including 96 infants who were born preterm. Mothers and fathers were given Edinburgh Postnatal Depression Scale (EPDS), Adult Attachment Style Scale (AASS), and Multidimensional Scale of Perceived Social Support (MSPSS) to fill out when their infants’ corrected age was 3 months. The developmental evaluation was conducted with Bayley III at the corrected 6 months and 18 months of age.

Results

Postnatal depression scores were more in mothers than fathers, the rates of secure attachment and social support were similar between mothers and fathers. Factors associated with the neurodevelopmental outcomes including prematurity degree and risk groups, EPDS, AASS and MSPSS scores were analyzed for both parents. In multivariate analysis, fathers’ depression scores were inversely associated with cognitive development (p = 0.030, R2 = 0.080, B=-0.283) and mothers’ anxious/ambivalent attachment style was inversely associated with language development (p = 0.011, R2 = 0.108, B=-0.329) at the age of corrected 6 months old.

Conclusions

Our findings underscore that the efforts to improve developmental outcomes of premature infants should include parental well-being taking into account new fathers’ depressive symptomatology and maternal anxious/ambivalent attachment.



中文翻译:

父母早产后的抑郁,依恋方式和感知的社会支持是否会影响早产儿的神经发育结果?

背景

早产儿的出生对父母双方来说都是一个压力事件,并且与出生后抑郁症(PND)的发生率增加有关。另外,由于医疗程序或可能的医疗并发症,一些母亲可能会延迟对婴儿的依恋感。社会支持被认为是产后幸福感的重要因素。但是,对于父亲来说,关于这些因素的数据很少。考虑到早产程度和风险人群,我们旨在确定父母的PND,依恋方式和社会支持对早产儿发育的影响。

方法

这项前瞻性研究由96名早产儿进行。当婴儿的校正年龄为3个月时,父母将获得爱丁堡产后抑郁量表(EPDS),成人依恋风格量表(AASS)和感知社会支持多维量表(MSPSS)。在校正后的6个月和18个月大时使用Bayley III进行发育评估。

结果

母亲的产后抑郁评分比父亲高,母亲和父亲之间的安全依恋和社会支持率相似。分析了父母双方与神经发育结局相关的因素,包括早产程度和风险组,EPDS,AASS和MSPSS得分。在多变量分析中,父亲的抑郁评分与认知发展呈负相关(p = 0.030,R 2 = 0.080,B = -0.283),母亲的焦虑/矛盾依恋风格与语言发展呈负相关(p = 0.011,R 2 =校正后的6个月大时= 0.108,B = -0.329)。

结论

我们的发现强调,为改善早产儿的发育结果而进行的努力应包括父母的幸福感,并考虑到新父亲的抑郁症状和母亲的焦虑/矛盾依恋。

更新日期:2020-03-31
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