Abstract

Objective

The high prevalence of peripartum depression (PPD) among mothers of preterm infants concerns health professionals due to its implications for mothers’ and infants’ health. A model for explaining PPD, consisting of four personal resources was examined: locus of control, intolerance to uncertainty, maternal self-efficacy, and quality of the couple relationship.

Design

In one of the largest Neonatal Intensive Care Unit (NICU) in Israel, 129 mothers of 215 preterm infants completed self-report questionnaires regarding their background variables, locus of control, intolerance to uncertainty, maternal self-efficacy and quality of couple relationship.

Main Outcome Measures

PPD symptoms and high risk for diagnosing clinical PPD.

Results

The examined personal resources explained 43.9% of the variance in PPD symptoms. Intolerance to uncertainty was positively associated with PPD symptoms, while internal locus of control, high levels of maternal self-efficacy, and high quality of couple relationships were found to be negatively associated with PPD symptoms. Additionally, these variables predicted the likelihood for clinical PPD.

Conclusion

The findings indicate a potential likelihood of reducing PPD through healthcare professional interventions, by strengthening personal resources. Associations between personal resources and PPD are discussed in light of the transactional theory of coping.

中文翻译：

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NICU住院早产儿母亲围产期抑郁的个人资源

摘要

客观的

早产儿母亲围产期抑郁症 (PPD) 的高患病率引起了卫生专业人员的关注，因为它对母亲和婴儿的健康有影响。一个解释 PPD 的模型，由四种个人资源组成：控制点、对不确定性的不容忍、母亲的自我效能感和夫妻关系的质量。

设计

在以色列最大的新生儿重症监护病房 (NICU) 之一中，215 名早产儿的 129 名母亲完成了关于其背景变量、控制点、对不确定性的不耐受性、母亲自我效能和夫妻关系质量的自我报告问卷。

主要观察指标

PPD 症状和诊断临床 PPD 的高风险。

结果

检查的个人资源解释了 PPD 症状差异的 43.9%。对不确定性的不耐受与 PPD 症状呈正相关，而内部控制点、高水平的母亲自我效能感和高质量的夫妻关系与 PPD 症状呈负相关。此外，这些变量预测了临床 PPD 的可能性。

结论

研究结果表明，通过加强个人资源，通过医疗保健专业干预来减少 PPD 的潜在可能性。个人资源与PPD之间的关联根据应对的交易理论进行了讨论。