The relationship between maternal attitudes and symptoms of depression and anxiety among pregnant and postpartum first-time mothers

被引:68
作者
Sockol, Laura E. [1 ,2 ,3 ]
Epperson, C. Neill [4 ,5 ]
Barber, Jacques P. [6 ]
机构
[1] Williams Coll, Dept Psychol, Williamstown, MA 01267 USA
[2] Univ Penn, Dept Psychol, Philadelphia, PA 19104 USA
[3] Brown Univ, Dept Psychiat & Human Behav, Alpert Med Sch, Providence, RI 02912 USA
[4] Univ Penn, Dept Psychiat, Perelman Sch Med, Penn Ctr Womens Behav Wellness, Philadelphia, PA 19104 USA
[5] Univ Penn, Dept Obstet & Gynecol, Perelman Sch Med, Philadelphia, PA 19104 USA
[6] Adelphi Univ, Derner Inst Adv Psychol Studies, Garden City, NY USA
关键词
Parental attitudes; Pregnancy; Postpartum; Risk factors; Depression; Anxiety; POSTNATAL DEPRESSION; RISK-FACTORS; ATTRIBUTIONAL STYLE; ANTENATAL ANXIETY; VULNERABILITY; PREVALENCE; PREDICTORS; ADJUSTMENT; DISORDERS; STRESS;
D O I
10.1007/s00737-014-0424-9
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Two studies examined the relationship between maternal attitudes and symptoms of depression and anxiety during pregnancy and the early postpartum period. In the first study, a measure of maternal attitudes, the Attitudes Toward Motherhood Scale (AToM), was developed and validated in a sample of first-time mothers. The AToM was found to have good internal reliability and convergent validity with cognitive biases and an existing measure of maternal attitudes. Exploratory and confirmatory factor analyses determined that the measure comprises three correlated factors: beliefs about others' judgments, beliefs about maternal responsibility, and maternal role idealization. In the second study, we used the AToM to assess the relationship between maternal attitudes and other psychological variables. The factor structure of the measure was confirmed. Maternal attitudes predicted symptoms of depression and anxiety, and these attitudes had incremental predictive validity over general cognitive biases and interpersonal risk factors. Overall, the results of these studies suggest that maternal attitudes are related to psychological distress among first-time mothers during the transition to parenthood and may provide a useful means of identifying women who may benefit from intervention during the perinatal period.
引用
收藏
页码:199 / 212
页数:14
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