Postpartum Depression among Adolescent Mothers and Adult Mothers

青春期及成人期母親產後憂鬱現象之探討

陳彰惠(Chung-Hey CHen)

《The Kaohsiung Journal of Medical Sciences》 12卷2期 (1996/02) Pp. 104-113

https://doi.org/10.6452/KJMS.199602.0104

摘要

本研究的目的在比較青春期及成人期母親產後憂鬱的現象。樣本是高雄地區77位青春期母親（15-20歲）和151位成人期母親（21-37歲）。以貝氏憂鬱量表10分為臨界點，61%的青春期母親及37.7%的成人期母親在產後六週時有輕度到重度憂鬱。青春期母親在知覺壓力和產後憂鬱方面的得分顯著高於成人期母親，而社會支持和自尊則顯著低於成人期母親。在產後憂鬱的症狀中，青春期母親比成人期母親有較明顯的認知－情感症狀，身體症狀則無顯著差異。青春期母親產後憂鬱的危險因子是低自尊。成人期母親產後憂鬱的危險因子是高壓力和低自尊。產後憂鬱不僅危害到母親本身，同時造成新生兒未來人格成長的負面顯響，由於產後憂鬱的母親極少尋求醫療診斷和治療，護理人員對其關懷和照顧是責無旁貸的。

並列摘要

This study examined the extent to which adolescents are at increased risk for postpartum depression. Mothers, ranging in age from 15-37, comprised two sam;les: 77adolescent mothers(15-20years) and 151 adult mothers (21-37years). Six weekspostpartum, 61% of the adolescent mothers and 37.7% of the adult mothers met Beck Depression Inventory criteria for midly to severely depression. Adolescent mothers reported significantly higher perceived stress and postpartum depression, but lower social support and self-esteem than adult mothers. Among 21 symptoms of depression, adolescent mothers exhibited significantly higher cognitive-affective symptoms than adult mothers. Adolescent mothers reported higher levels of somatic symptoms than adult mothers, but did not reach statistical significance. Low self-esteem was the significant risk factor of postpartum depression for adolescent mothers. In addition to low self-esteem, high stress was significant risk factor of postpartum depression for adult mothers.

並列關鍵字

adolescent childearing ； postpartum depression