Post-partum depression and the mother-infant relationship in a South African peri-urban settlement

被引:290
作者
Cooper, PJ [1 ]
Tomlinson, M
Swartz, L
Woolgar, M
Murray, L
Molteno, C
机构
[1] Univ Reading, Dept Psychol, Winnicott Res Unit, Reading RG6 6AL, Berks, England
[2] Univ Cape Town, Dept Psychiat, Groote Schuur Hosp, ZA-7925 Cape Town, South Africa
[3] Univ Cape Town, Dept Psychol, ZA-7925 Cape Town, South Africa
关键词
D O I
10.1192/bjp.175.6.554
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background Post-partum depression in the developing world has received little research attention, and its association with disturbances in the mother-infant relationship is unknown. Aims To determine the prevalence of post-partum depression and associated disturbances in the mother-infant relationship in Khayelitsha, a South African peri-urban settlement. Method The mental state of 147 women who had delivered two months previously was assessed, and the quality of their engagement with their infants was determined. Results The point prevalence of DSM-IV major depression was found to be 34.7%. Maternal depression was associated with poor emotional and practical support from the partner It was also associated with insensitive engagement with the infants. Conclusions The rate of post-partum depression in Khayelitsha was around three times that found in British post-partum samples, and these depressions were strongly associated with disturbances in the mother-infant relationship.
引用
收藏
页码:554 / 558
页数:5
相关论文
共 20 条
[1]   Depression and anxiety among women in an urban setting in Zimbabwe [J].
Abas, MA ;
Broadhead, JC .
PSYCHOLOGICAL MEDICINE, 1997, 27 (01) :59-71
[2]   AN EPIDEMIOLOGIC-STUDY OF MENTAL-HEALTH AND SOCIOECONOMIC CONDITIONS IN SUMATRA, INDONESIA [J].
BAHAR, E ;
HENDERSON, AS ;
MACKINNON, AJ .
ACTA PSYCHIATRICA SCANDINAVICA, 1992, 85 (04) :257-263
[3]   Investing in mental health research and development [J].
Blue, I ;
Harpham, T .
BRITISH JOURNAL OF PSYCHIATRY, 1998, 172 :294-295
[4]  
Cooper PJ, 1998, BMJ-BRIT MED J, V316, P1884
[5]   NON-PSYCHOTIC PSYCHIATRIC-DISORDER AFTER CHILDBIRTH - A PROSPECTIVE-STUDY OF PREVALENCE, INCIDENCE, COURSE AND NATURE [J].
COOPER, PJ ;
CAMPBELL, EA ;
DAY, A ;
KENNERLEY, H ;
BOND, A .
BRITISH JOURNAL OF PSYCHIATRY, 1988, 152 :799-806
[6]   A CONTROLLED-STUDY OF THE ONSET, DURATION AND PREVALENCE OF POSTNATAL DEPRESSION [J].
COX, JL ;
MURRAY, D ;
CHAPMAN, G .
BRITISH JOURNAL OF PSYCHIATRY, 1993, 163 :27-31
[7]  
First MB, 1996, STRUCTURED CLIN INTE
[8]  
HARPHAM T, 1994, SOC SCI MED, V39, P133
[9]  
KLEINMAN AM, 1977, SOC SCI MED, V11, P3, DOI 10.1016/0037-7856(77)90138-X
[10]  
MASH R, 1998, KHAYELITSHA DISTRICT