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首页> 外文期刊>Clinical Medicine Insights: Reproductive Health >Predictors of Infant Care Competence Among Mothers With Postpartum Depression
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Predictors of Infant Care Competence Among Mothers With Postpartum Depression

机译：产后抑郁母亲的婴儿护理能力预测指标

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Background/objective: Postpartum depression is linked to decreased quality mother-infant interactions and long-term negative impacts on children’s behavior and health. Infant care competence may be reduced by postpartum depression and other maternal or environmental variables. Thus, the objective of this study was to explain factors that contribute to perceived infant care competence among mothers with postpartum depression. Methods: Multiple regression analysis and correlational analysis were conducted to study associations between the predictors (depression severity, social support, child development, family functioning) and the outcome of perceived infant care competence among a peer support intervention study for mothers with postpartum depression (n?=?55). Results: Child development, specifically communication ( P ?=?.04), gross ( P? =?.00) and fine ( P ?=?.00) motor skills, problem solving ( P ?=?.00), and personal-social development ( P ?=?.01), explained maternal perceptions of responsiveness, an aspect of infant care competence. The best-fit model was obtained for the responsiveness subscale, in which 37% of the variance was explained by mothers’ reports of infants’ fine motor skills ( P ?=?.000) and nurturance ( P ?=?.039) as an aspect of social support and family functioning ( P ?=?.078). Conclusions: Recognition of the importance of infant development to perceived infant care competence, particularly mothers’ perceptions of infant responsiveness, may offer targets for intervention. Helping mothers identify infant cues and milestones that signal infant responsiveness may be beneficial. Moreover, social support and family functioning may be targets for intervention to promote perceived infant care competence in mothers affected by postpartum depression.
机译：背景/目的：产后抑郁症与母婴互动质量下降以及对儿童行为和健康的长期负面影响有关。产后抑郁症和其他产妇或环境变量可能会降低婴儿护理能力。因此，本研究的目的是解释导致产后抑郁母亲知觉婴儿护理能力增强的因素。方法：在产后抑郁症母亲的同伴支持干预研究中，进行了多元回归分析和相关性分析，以研究预测因素（抑郁严重程度，社会支持，儿童发育，家庭功能）与婴儿护理能力感知结果之间的关联。 ？=？55）。结果：儿童发展，特别是沟通（P = 0.000），总体（P = 0.000）和良好（P = 0.000）的运动技能，解决问题的能力（P = 0.000）和个人社会发展（P = 0.001）解释了母亲对反应能力的看法，这是婴儿护理能力的一个方面。对于反应性子量表，获得了最佳拟合模型，其中37％的方差由母亲关于婴儿精细运动技能（P = 0.00）和养育（P = 0.003）的报告解释。社会支持和家庭运作的一个方面（P = 0.78）。结论：认识到婴儿发育对婴儿护理能力的重要性，尤其是母亲对婴儿反应能力的认知，可能会为干预提供目标。帮助母亲识别表明婴儿反应能力的婴儿暗示和里程碑可能是有益的。此外，社会支持和家庭功能可能是干预措施的目标，以提高受产后抑郁症影响的母亲的婴儿护理能力。

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