Quality of life, postnatal depression and baby gender

被引:71
作者
de Tychey, Claude [1 ]
Briancon, Serge [2 ]
Lighezzolo, Joelle [3 ]
Spitz, Elisabeth [4 ]
Kabuth, Bernard [5 ]
de Luigi, Valerie [4 ]
Messembourg, Catherine [6 ]
Girvan, Francoise [7 ]
Rosati, Aurore [7 ]
Thockler, Audrey [7 ]
Vincent, Stephanie [7 ]
机构
[1] Univ Nancy 2, Lab Psychol Cognit & Clin, Grp Rech & Psychol Sante GREPSA, F-54015 Nancy, France
[2] Univ Nancy 1, Fac Med, Ecole Sante Publ, Vandoeuvre Les Nancy, France
[3] Univ Nancy 2, HDR Clin Psychol GREPSA, F-54001 Nancy, France
[4] Univ Metz, Psychol Lab, Metz, France
[5] Nancy Brabois Univ, Child Psychiat Unit, Vandoeuvre Les Nancy, France
[6] Univ Metz, Psychol Lab, Ile Saulcy, France
[7] Univ Nancy 2, Lab Psychol Cognit & Clin, F-54001 Nancy, France
关键词
child nursing; health psychology; postnatal depression; quality of life; women's health;
D O I
10.1111/j.1365-2702.2006.01911.x
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Aims and ibjective. To study the impact of postnatal depression on the quality of life of young French mothers and to evaluate if the gender of their child influences this. Background. Postnatal depression (PND) constitutes a major public health problem considering its high prevalence and consequences upon quality of life and parental skills. Design. This research is a cross-sectional study during the postnatal period. Methods. This study was carried out during a two-month period. Data were collected by interview and questionnaires. The authors compared the prevalence rate of PND and life quality in a cohort of 181 women and measured the short-term impact of the child's birth. Results. Postnatal depression strongly negatively influences all dimensions of life quality explored through the SF36, e.g. physical functioning (PF), physical Role (RP), bodily pain (BP), mental health (MH), emotional role (RE), social functioning (SF), vitality (VT), general health (GH), standardized physical component (PCS) and standardized mental component (MCS). The baby's gender (having a boy) also significantly reduces quality of life, irrespective of depressive state. There is a relationship between baby gender and PND. Conclusion. This research is the first to show that the birth of a boy reduces several dimensions of the mothers' quality of life. Relevance toclinical practice. The importance of the impairment of quality of life in case of PND, as well as its effects on mother-child interaction, could justify prevention programs and early psychotherapeutic care. Further research needs to explore the effectiveness of programmes targeting the construction of parenting skills as a preventative measure against PND, especially for parents of boys.
引用
收藏
页码:312 / 322
页数:11
相关论文
共 64 条
[51]   Psychosocial risk factors to major depression after childbirth [J].
Philip, B ;
Hickey, A .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2005, 40 (08) :605-612
[52]   Post-partum depressions: Delimitation of a high risk group immediately after birth. A prospective evaluation and mother-baby relations [J].
Poinso, F ;
Samuelian, JC ;
Delzenne, V ;
Huiart, L ;
Sparrow, J ;
Rufo, M .
PSYCHIATRIE DE L ENFANT, 2001, 44 (02) :379-413
[53]  
Reid M, 2002, BJOG-INT J OBSTET GY, V109, P1164
[54]   Listening to mothers: qualitative studies on motherhood and depression from Goa, India [J].
Rodrigues, M ;
Patel, V ;
Jaswal, S ;
de Souza, N .
SOCIAL SCIENCE & MEDICINE, 2003, 57 (10) :1797-1806
[55]   PARENTAL PSYCHIATRIC-DISORDER - EFFECTS ON CHILDREN [J].
RUTTER, M ;
QUINTON, D .
PSYCHOLOGICAL MEDICINE, 1984, 14 (04) :853-880
[56]   Postnatal quality of life assessment: validation of the Mother-Generated Index [J].
Symon, A ;
McGreavey, J ;
Picken, C .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2003, 110 (09) :865-868
[57]   Postnatal quality of life assessment: Introducing the Mother-Generated Index [J].
Symon, A ;
MacDonald, A ;
Ruta, D .
BIRTH-ISSUES IN PERINATAL CARE, 2002, 29 (01) :40-46
[58]   Postnatal quality of life: a pilot study using the Mother-Generated Index [J].
Symon, A ;
MacKay, A ;
Ruta, D .
JOURNAL OF ADVANCED NURSING, 2003, 42 (01) :21-29
[59]   GENDER PREFERENCES OF PREGNANT-WOMEN AND EMOTIONAL REACTION TO INFORMATION REGARDING FETAL GENDER AND POSTPARTUM - AN EXAMINATION OF FREUD VIEW ABOUT MOTIVATION FOR MOTHERHOOD [J].
TEICHMAN, Y ;
RABINOVITZ, D ;
RABINOVITZ, Y .
SEX ROLES, 1992, 26 (5-6) :175-195
[60]  
TEISSEDRE F, 2004, PREVENTION DEPRESSIO, P79