Maternal psychopathology and outcomes of a residential mother-infant intervention for unsettled infant behaviour

被引:23
|
作者
Phillips, Jane [1 ]
Sharpe, Louise [1 ]
Nemeth, Deborah
机构
[1] Univ Sydney, Sch Psychol, Sydney, NSW 2006, Australia
来源
基金
澳大利亚国家健康与医学研究理事会;
关键词
Anxiety; infant behaviour; parenting; postnatal depression; SLEEP-WAKE PATTERNS; POSTNATAL DEPRESSION; POSTPARTUM DEPRESSION; 1ST YEAR; NIGHT-WAKING; INTERPERSONAL PSYCHOTHERAPY; ANXIETY DISORDERS; CONTROLLED TRIAL; COMMUNITY; RISK;
D O I
10.3109/00048670903487225
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: Residential mother-infant intervention programmes for unsettled infant behaviour have been shown to be associated with positive child and maternal outcomes. Despite evidence of elevated rates of maternal psychopathology among residential unit populations, little is known about whether psychological disorders interfere with the effectiveness of such interventions. Method: Two cohorts (n = 104 and 147, respectively) were recruited from a residential mother-infant intervention programme for unsettled infant behaviour. In study 1, mothers completed self-report questionnaires measuring depression, anxiety and parenting stress at three time points (admission, 1 month after discharge and 3 months after discharge). In study 2, mothers were interviewed using a structured clinical interview for depressive and anxiety disorders. In both studies, nurses recorded infant behaviours over the duration of the 5 day admission using 24 h behaviour charts. Results: Study 1 showed the intervention to be associated with significant improvements in child behaviours and in levels of maternal depression, anxiety and parenting stress. These improvements were evident for women who scored above the Edinburgh Postnatal Depression Scale threshold for major depression during the admission, as well as for women in the normal range. Study 2 confirmed that the intervention was associated with significant improvements in infant behaviours. Infants of mothers with a depressive or anxiety disorder were less unsettled on admission, but improvements over the course of the admission were comparable for infants of women who had, or had not, experienced an anxiety or depressive disorder during the admission. Conclusions: These results show positive infant and maternal outcomes associated with a residential mother-infant intervention for unsettled infant behaviour, regardless of the women's psychiatric status on admission. This suggests that women with depression or anxiety disorders who also report unsettled infant behaviour, will benefit from referral to residential programmes.
引用
收藏
页码:280 / 289
页数:10
相关论文
共 50 条
  • [21] Maternal and infant characteristics associated with shared pleasure in early mother-infant interaction
    Puura, Kaija
    Mantymaa, Mirjami
    Luoma, Ilona
    Leppanen, Jukka
    Peltola, Mikko
    Latva, Reija
    Salmelin, Raili
    Tamminen, Tuula
    EUROPEAN CHILD & ADOLESCENT PSYCHIATRY, 2013, 22 : S279 - S280
  • [22] Mother-infant interactions and infant development are altered by maternal iron deficiency anemia
    Perez, EM
    Hendricks, MK
    Beard, JL
    Murray-Kolb, LE
    Berg, A
    Tomlinson, M
    Irlam, J
    Isaacs, W
    Njengele, T
    Sive, A
    Vernon-Feagans, L
    JOURNAL OF NUTRITION, 2005, 135 (04): : 850 - 855
  • [23] The effect of infant colic on maternal self-perceptions and mother-infant attachment
    Stifter, CA
    Bono, MA
    CHILD CARE HEALTH AND DEVELOPMENT, 1998, 24 (05) : 339 - 351
  • [24] Infant cry acoustics and maternal reactivity to cries: Contributors to mother-infant interaction
    Huffman, LC
    Pedersen, FA
    DelCarmen, R
    Bryan, YE
    JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, 1997, 18 (05): : 361 - 361
  • [25] Maternal depressed mood moderates the impact of infant sleep on mother-infant bonding
    Hairston, Ilana S.
    Solnik-Menilo, Tal
    Deviri, Dana
    Handelzalts, Jonathan E.
    ARCHIVES OF WOMENS MENTAL HEALTH, 2016, 19 (06) : 1029 - 1039
  • [26] EFFECTS OF MOTHER-INFANT SEPARATION ON MATERNAL ATTACHMENT BEHAVIOR
    LEIFER, AD
    LEIDERMAN, PH
    WILLIAMS, JA
    BARNETT, CR
    CHILD DEVELOPMENT, 1972, 43 (04) : 1203 - +
  • [27] MOTHER-INFANT INTERACTION AS A FUNCTION OF MATERNAL RATINGS OF TEMPERAMENT
    CAMPBELL, SBG
    CHILD PSYCHIATRY & HUMAN DEVELOPMENT, 1979, 10 (02) : 67 - 76
  • [28] THE USE AND EFFECTIVENESS OF MATERNAL SCAFFOLDING IN MOTHER-INFANT GAMES
    HODAPP, RM
    GOLDFIELD, EC
    BOYATZIS, CJ
    CHILD DEVELOPMENT, 1984, 55 (03) : 772 - 781
  • [29] Effects of mother-infant skin-to-skin contact on mother-infant relationship and maternal psychology feelings: A qualitative study
    Feng, Xiaoyan
    Zhang, Yuqing
    NURSING OPEN, 2024, 11 (06):
  • [30] Mother-Infant Synchrony
    Reyna, Barbara A.
    Pickler, Rita H.
    JOGNN-JOURNAL OF OBSTETRIC GYNECOLOGIC AND NEONATAL NURSING, 2009, 38 (04): : 470 - 477