父母产后抑郁与婴儿气质的相关性研究  

Correlation between parental postpartum depression and infant temperament

作　　者：翁婷婷 严双琴 王琼瑶 陶玲玲 曹慧 黄锟[2] WENG Ting-ting1, YAN Shuang-qin1 , WANG Qiong-yao1 , TAO Ling-ling1 ,CAO Hui1 , HUANG Kun2(1. Ma ＇ anshan Maternity and Child Health Hospital, Anhui Ma ＇ anshan 243011, China ; 2. School of Public Health, Anhui Medical University, Anhui Hef ei 230032, Chin)

机构地区：[1]安徽省马鞍山市妇幼保健院,安徽马鞍山243011 [2]安徽医科大学公共卫生学院,安徽合肥230032

出　　处：《中国妇幼健康研究》2018年第3期254-258,共5页Chinese Journal of Woman and Child Health Research

基　　金：国家自然科学基金资助项目(项目编号:81373012)

摘　　要：目的描述分娩后父母抑郁情绪的发生情况及其分布特征,探讨父母产后抑郁情绪与婴儿气质发育的相关性。方法开展前瞻性队列研究,招募对象为于2013年1月至2014年1月在马鞍山市妇幼保健院进行产后42天体检的产妇及婴儿,产妇及其配偶在42天体检时填写《爱丁堡产后抑郁量表》,将评分≥10分界定为有抑郁情绪;对其随访至婴儿6~9月龄时,由主要抚养人完成《Carey婴儿气质问卷》,评估婴儿气质类型。结果产后42天父母产后抑郁的发生率均较高,其中母亲抑郁发生率为25.5%,父亲抑郁发生率为10.5%;父母抑郁组间婴儿气质维度中趋避性、适应度、心境、持久性及反应阈的均值分布差异有统计学意义(F值分别为3.28、3.03、9.43、13.05、5.57,均P<0.05)。多项式Logistic回归分析发现,在控制相关混杂因素后,父母均有抑郁和仅母亲有抑郁均是婴儿抚育困难型气质的危险因素,OR值分别为3.92(95%CI:1.38~11.12)和3.99(95%CI:2.11~7.54)。结论父母抑郁对婴儿气质的影响不容忽视,为实现儿童心理行为的健康发展,应在产后同时关注父母双方的心理状态。Objective To explore the occurrence and distribution characteristics of parental postpartum depression and the correlation between parental postpartum depression and the development of infant temperament. Methods A prospective cohort study was conducted by recruiting puerperae and infants accepting a 42--days postpartum physical examination in Ma＇ anshan Maternity and Child Health Hospital during January 2013 to January 2014. The puerperae and their spouse were asked to complete the Edinburgh Postpartum Depression Scale at the 42--days physical examination and they were defined as depression if their scores≥10. When the infants were followed up to 6 to 9 months of age, their temperament types were assessed by the Carey Baby Temperament Questionnaire completed by their main caregivers. Results The incidence of parental postpartum depression was high in 42 days after birth. The incidence of depression in mothers was 25.5%, and that in fathers was 10.5%. There were statistically significant differences in mean distributions of resilience, fitness, mood, persistence, and response thresholds in infant temperament dimensions between the father group and the mother group （F value was 3.28, 3.03, 9.43, 13.05 and 5.57, respectively, all P〈0.05）. Multinomial Logistic regression analysis showed that after controlling the related confounding factors, depressive patents and depressive mother were the risk factors for infants with difficult temperament. The OR value was 3.92 （95% CI ： 1.38-11.12） and 3.99 （95%CI： 2.11-7.54）, respectively.Conclusion The influence of parental depression on infant temperament shouldn＇t be ignored. For realizing the healthy development of children＇s psychological behavior, attention should be paid to psychological state of both parents.

关 键 词：产后抑郁 婴儿 儿童 气质 队列研究 

分 类 号：R172[医药卫生—妇幼卫生保健]