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The role of trauma and partner support in perinatal depression and parenting stress: An Australian pregnancy cohort study

机译:创伤和合作伙伴支持在围产期抑郁和育儿压力中的作用:澳大利亚怀孕队列研究

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Background: Improving our understanding of the relationship between maternal depression and parenting stress is likely to lie in the range of additional factors that are associated with vulnerability to depression and also to parenting stress. Objectives: To examine the role of trauma and partner support, in understanding the relationship between perinatal depression and parenting stress. Methods: This study utilises data from 246 women in a pregnancy cohort study that followed women from early pregnancy until their infant was 12 months. Included were both women with a diagnosis of depression and those without depression. The measures included Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Edinburgh Postnatal Depression Scale, Childhood Trauma Questionnaire, Social Support Effectiveness Questionnaire and the Parenting Stress Index. Results: We found women with depression were more likely to report a history of childhood trauma. Depressive symptoms were positively associated with parenting stress while partner support was negatively associated with parenting stress. The protective role of partner support for parenting distress was observed in those with no history of childhood abuse and low depressive symptoms, but not in those with a trauma history and high depressive symptoms. Conclusions: These findings highlight the importance of early trauma in understanding the protective role of support on the relationship between parenting and depression. These findings can inform future studies and the refinement of future interventions aimed at both perinatal depression and parenting.
机译:背景:改善我们对母体抑郁和育儿压力之间关系的理解可能位于与抑郁症脆弱和养育压力相关的其他因素中。目标:审查创伤和合作伙伴支持的作用,了解围产期抑郁和育儿压力之间的关系。方法:本研究利用246名妇女的数据在妊娠队列研究中,从早期妊娠之前,患有孕妇直到他们的婴儿12个月。包括诊断抑郁症和没有抑郁症的女性。这些措施包括精神障碍诊断和统计手册的结构化临床访谈,第四版,爱丁堡产后抑郁症,儿童创伤问卷,社会支持效果调查问卷和育儿压力指数。结果:我们发现患有抑郁症的女性更有可能报告童年创伤的历史。抑郁症状与育儿压力呈正相关,而合作伙伴支持与育儿压力负相关。在没有儿童虐待和低抑郁症状的人的情况下,观察到合作伙伴支持对育儿痛苦的保护作用,但在那些具有创伤史和高抑郁症状的人中。结论:这些发现突出了早期创伤的重要性,了解支持育儿和抑郁症之间关系的保护作用。这些调查结果可以通知未来的研究和未来干预措施的细化,针对围产期抑郁和养育。

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