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The associations between insecure attachment, rooming‐in, and postpartum depression: A 2 months’ longitudinal study
Infant Mental Health Journal ( IF 2.1 ) Pub Date : 2020-11-08 , DOI: 10.1002/imhj.21895
Maayan Molmen Lichter 1 , Yoav Peled 2, 3 , Sigal Levy 4 , Arnon Wiznitzer 2, 3 , Haim Krissi 2, 3 , Jonathan E Handelzalts 5
Affiliation  

Postpartum depression (PPD) is the most common complication of childbearing, and recent studies have attempted to examine risk factors associated with it. The main study hypothesis was that a protective situational factor at a sensitive time period (full rooming‐in postpartum) would moderate the associations between insecure attachment dimensions and PPD. Three hundred twelve women, in either full or partial rooming‐in, participated in a longitudinal study at the maternity ward of a tertiary healthcare center. A Demographic questionnaire and the Experiences in Close Relationships Scale were administered at 1–4 days postpartum, and the Edinburgh Postnatal Depression scale at 2 months postpartum. PPD was significantly associated with both anxious and avoidant attachment dimensions, but not with rooming‐in conditions. In addition, women in partial rooming‐in showed a positive correlation between insecure attachment dimensions and PPD, whereas no such correlation was found for full rooming‐in women. A situational factor such as full rooming‐in, which occurs at a critical time point for the mother–infant relationship, can moderate the association between maternal avoidant or anxious attachment dimensions and the mother's PPD levels. Postpartum practices, such as rooming‐in, can be personalized and thus beneficial in moderating personal risk factors for PPD.

中文翻译:

不安全依恋、同房与产后抑郁之间的关联:一项为期 2 个月的纵向研究

产后抑郁症 (PPD) 是生育最常见的并发症,最近的研究试图检查与其相关的风险因素。主要研究假设是敏感时期(产后完全同房)的保护性情境因素会缓和不安全依恋维度与 PPD 之间的关联。312 名完全或部分同房的女性在三级医疗中心的产房参加了一项纵向研究。在产后 1-4 天进行人口统计问卷和亲密关系经历量表,在产后 2 个月进行爱丁堡产后抑郁量表。PPD 与焦虑和回避依恋维度显着相关,但与同居条件无关。此外,部分同房的女性在不安全依恋维度和 PPD 之间显示出正相关,而完全同房的女性没有发现这种相关性。在母婴关系的关键时间点发生的情境因素,例如完全同房,可以调节母亲回避或焦虑依恋维度与母亲 PPD 水平之间的关联。产后实践,例如同房,可以个性化,因此有利于减轻 PPD 的个人风险因素。可以调节母亲回避或焦虑依恋维度与母亲 PPD 水平之间的关联。产后实践,例如同房,可以个性化,因此有利于减轻 PPD 的个人风险因素。可以调节母亲回避或焦虑依恋维度与母亲 PPD 水平之间的关联。产后实践,例如同房,可以个性化,因此有利于减轻 PPD 的个人风险因素。
更新日期:2020-11-08
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