首页|代际共同养育关系对0~3岁婴幼儿母亲抑郁的影响机制研究

代际共同养育关系对0~3岁婴幼儿母亲抑郁的影响机制研究

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目的 探索代际共同养育关系对 0~3 岁婴幼儿母亲抑郁症状的影响,以及夫妻共同养育关系、母亲育儿压力、育儿胜任感与知觉压力的中介作用.方法 采用便利抽样法,于 2023年 1-4月在深圳市某三级甲等妇幼保健院产后门诊及社康中心,选取 230 名 0~3 岁婴幼儿代际共同养育家庭的母亲作为研究对象,采用一般资料调查表、祖辈-父辈共同养育关系量表、流调中心抑郁自评量表、简式共同养育关系量表、简式育儿压力量表、育儿胜任感量表、知觉压力量表进行调查.结果 本研究中代际共同养育家庭母亲抑郁症状检出率为 34.8%;不同月收入、学历及自评孕期睡眠质量的母亲抑郁得分差异均有统计学意义(P<0.05);代际共同养育关系、夫妻共同养育关系、育儿压力、育儿胜任感、知觉压力与母亲抑郁得分相关(r=-0.417、-0.430、0.520、-0.615、0.682,P<0.01);代际共同养育关系可直接作用于母亲抑郁症状,也可通过知觉压力的单中介介导母亲抑郁症状,或通过夫妻共育关系、育儿压力、育儿胜任感与知觉压力的链式中介介导母亲抑郁症状.代际共同养育关系、夫妻共育关系、育儿压力、育儿胜任感与知觉压力对母亲抑郁症状的总效应值分别为-0.444、-0.228、0.287、-0.517、0.427.结论 0~3岁婴幼儿代际共同养育家庭母亲产后抑郁处于偏高水平,代际共同养育关系可通过直接效应或间接通过夫妻共同养育关系、育儿压力、育儿胜任感及知觉压力的中介效应作用于母亲的抑郁症状,在代际共同养育家庭需积极营造良好的代际共同养育关系,积极预防女性产后抑郁的发生.
Influence of intergenerational co-parenting relationship on maternal depression in mothers of infants aged 0 to 3 years
Objective To explore the impacts of intergenerational co-parenting relationship on depressive symptoms in mothers of infants aged 0-3 years,and the mediating role of couples'co-parenting relationship,mothers'parenting stress,and parenting competence and perceived stress.Methods With convenience sampling,230 mothers in intergenerational co-parenting families with infants aged 0-3 years were selected in the postpartum outpatient clinic of a tertiary grade-A maternal and child healthcare hospital and community health centers in Shenzhen from January to April 2023.The General Information Questionnaire,Grandparent-Parent Co-Parenting Relationship Scale,Center for Epidemiologic Studies Depression Scale,Brief Co-parenting Relationship Scale,Parenting Stress Index-Short Form,Parenting Sense of Competence Scale,and the 4-item Perceived Stress Scale were used for the investigation.Results In this study,34.8%of the mothers reported depressive symptoms.The depression score of mothers with different monthly income,education background,and self-reported sleep quality during pregnancy were statistically significant(P<0.05).Intergenerational co-parenting relationship,couples'co-parenting relationship,parenting stress,parenting competence,and perceptual stress were correlated to mothers'depression score(r=-0.417,-0.430,0.520,-0.615,and 0.682 respectively,P<0.01).Intergenerational co-parenting relationships can directly work on maternal depressive symptoms,and mediate maternal depressive symptoms through the single mediator of perceptual stress,or through the chain mediation of the couple's co-parenting relationship,parenting stress,and parenting sense of competence and perceived stress.The efficiency of intergenerational co-parenting,couple co-parenting,parenting stress,parenting competence and perceived stress on maternal depressive symptoms was-0.444,-0.228,0.287,-0.517 and 0.427,respectively.Conclusion Depressive symptoms of mothers of infants aged 0-3 years is at a high level.Intergenerational co-parenting relationship may impact maternal depression directly,or influence maternal depression with the mediator of couple's co-parenting relationship,mother's parenting stress,parenting sense of competence,and perceived stress.It is important to develop quality intergenerational co-parenting relationship between generations to prevent postpartum depression of mothers who live in intergenerational co-parenting families.

maternal depressionco-parentingparenting stressparenting sense of competence

肖霄、张煊丽、张云漪、谢梓洋

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深圳市妇幼保健院 门急诊片区,广东 深圳 518028

南方医科大学 护理学院,广东 广州 510515

产后抑郁 共同养育 育儿压力 育儿胜任感

2024

护理学报
南方医科大学

护理学报

CSTPCD
影响因子:1.705
ISSN:1008-9969
年,卷(期):2024.31(24)