目的:产后抑郁症是众所周知的危险因素,产后焦虑和产次是潜在的危险因素,母婴结合障碍。然而,很少有研究关注这些因素与母婴联系之间的关系。这项横断面研究探讨了抑郁症之间的关联,焦虑和平价,和母婴结合。
方法:日本母亲,初产妇和多段产妇,分娩后1个月完成母婴结合量表(MIBS)和医院焦虑抑郁量表(HADS)。我们使用正向选择方法进行了逐步多元回归分析,以评估HADS焦虑和抑郁评分以及作为自变量的胎次对作为因变量的母婴结合的影响。
结果:共有2379名日本母亲(1116例初产妇和1263例初产妇)参加了这项研究。初产妇的MIBS评分(2.89±2.68vs1.60±2.11;p<0.0001)明显高于多段产妇。初产妇的HADS焦虑(6.55±4.06vs4.63±3.41;p<0.0001)和抑郁(6.56±3.43vs5.98±3.20;p<0.0001)评分也显着高于多段产妇。使用正向选择方法进行的逐步多元回归分析显示,HADS抑郁和焦虑评分以及胎次与MIBS评分显着相关(p=0.003、0.015和0.023)。
结论:抑郁症,焦虑和初产与分娩后1个月的母婴关系呈负相关。
OBJECTIVE: Postpartum depression is a well-known risk factor, and postpartum anxiety and parity are potential risk factors, for mother-infant bonding disorder. However, few studies have focused on the relationships among these factors and mother-infant bonding. This cross-sectional study explored the associations between depression, anxiety and parity, and mother-infant bonding.
METHODS: Japanese mothers, both primiparas and multiparas, completed the Mother-to-Infant Bonding Scale (
MIBS) and the Hospital Anxiety and Depression Scale (HADS) one month after childbirth. We performed a stepwise multiple regression analysis with the forward selection method to assess the effects of HADS anxiety and depression scores and parity as independent variables on mother-infant bonding as the dependent variable.
RESULTS: A total of 2379 Japanese mothers (1116 primiparas and 1263 multiparas) took part in the study.
MIBS score (2.89 ± 2.68 vs 1.60 ± 2.11; p < 0.0001) was significantly higher in primiparas than in multiparas. HADS anxiety (6.55 ± 4.06 vs 4.63 ± 3.41; p < 0.0001) and depression (6.56 ± 3.43 vs 5.98 ± 3.20; p < 0.0001) scores were also significantly higher in primiparas than in multiparas. A stepwise multiple regression analysis with the forward selection method revealed that HADS depression and anxiety scores and parity were significantly associated with
MIBS score (p = 0.003, 0.015 and 0.023).
CONCLUSIONS: Depression, anxiety and primiparity were negatively associated with mother-infant bonding one month after childbirth.