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

doi:10.16460/j.issn1008-9969.2024.24.057

摘要/Abstract

摘要： 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。

关键词: 产后抑郁, 共同养育, 育儿压力, 育儿胜任感

Abstract: 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.

Key words: maternal depression, co-parenting, parenting stress, parenting sense of competence

中图分类号:

R473.71

肖霄, 张煊丽, 张云漪, 谢梓洋. 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[J]. 护理学报, 2024, 31(24): 57-63.

XIAO Xiao, ZHANG Xuan-li, ZHANG Yun-yi, XIE Zi-yang. Influence of intergenerational co-parenting relationship on maternal depression in mothers of infants aged 0 to 3 years[J]. Journal of Nursing, 2024, 31(24): 57-63.

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