新手父母產後憂鬱預防夫妻團體之發展及成效研究

Couple-Focused Postpartum Depression Prevention Group Program for New Parents

劉彥君(Yen-Chun Liu)

《應用心理研究》 72期 (2020/06) Pp. 177-227

https://doi.org/10.3966/156092512020060072005

摘要

本研究旨在設計以「夫妻關係」為基礎之產後憂鬱預防介入方案，並以問卷追蹤新手父母的產後憂鬱症狀及婚姻滿意度、衝突溝通模式、社會支持程度的變化。本研究共計招募42對夫妻為介入組，47對夫妻為控制組。研究結果顯示：（1）介入組之新手父母皆認為課程內容有助於增進其對產後憂鬱的認識、溝通技巧、婚姻品質與當新手父母的準備，且有助降低父親產前的憂鬱分數及減少母親產後憂鬱的程度，具有短期效果；（2）介入組父親產前的溝通模式較差，經課程介入後，溝通模式仍顯著差於控制組父親，且介入組與控制組母親產後的各變數皆未有明顯的差異，說明產前短期介入方案並未具有顯著的長期效益；（3）比較夫妻對偶資料的一致性，介入組夫妻在配偶適應與相互建設溝通的一致性顯著高於控制組夫妻，表示介入方案可增進夫妻對關係知覺之一致性。綜上，產前夫妻團體在臨床實務上仍具有一定程度的效益，可協助新手父母瞭解產後憂鬱，提升夫妻溝通技巧及預防母親產後憂鬱程度的增加。

關鍵字

夫妻關係 ； 產後憂鬱 ； 新手父母 ； 預防介入

並列摘要

The goal of this study is to develop a couple-focused postpartum depression prevention group program for new parents and to examine its effectiveness by comparing the differences between invention group (42 couples) and control group (47 couples) on postpartum depressive symptoms, marital satisfaction, conflict communication patterns, and social support, using longitudinal data. The results show that: (1) couples improved on their understandings of postpartum depression, communication skills, marital quality and preparedness for parenthood, while there were short-term effects on reducing fathers' prenatal depression and maternal postpartum depression. (2) The prevention program did not show long-term benefits on reducing new parents' postpartum depression. (3) The dyadic concordance of constructive communication and relational adjustment was significantly higher in the prevention group. The findings support the psychosocial benefits of prevention groups program on improving couples' communication skills and reducing the risk of postpartum depression, at least for the short-term.

並列關鍵字

couple relationship ； new parents ； postpartum depression ； prevention

參考文獻

Norhayati, M. N., Nik Hazlina, N. H., Asrenee, A. R., &Wan Emilin, M. A. (2015). Magnitude and risk factors for postpartum symptoms: A literature review. Journal of Affective Disorders, 175, 34-52. doi: 10.1016/j.jad.2014.12.041

Roloff, M. E., & Soule, K. P. (2002). Interpersonal conflict: A review. In M. L. Knapp & J. A. Daly (Eds.), Handbook of interpersonal communication (3rd ed., pp. 475-528). Thousand Oaks: Sage Publications.

Sanford, K. (2010). Assessing conflict communication in couples: Comparing the validity of self-report, partner-report, and observer ratings. Journal of Family Psychology, 24(2), 165-174.

Shaw, E., Levitt, C., Wong, S., & Kaczorowski, J. (2006). Systematic review of the literature on postpartum care: effectiveness of postpartum support to improve maternal parenting, mental health, quality of life, and physical health. Birth, 33(3), 210-220.

Slep, A. M. S., & O’Leary, S. G. (2005). Parent and partner violence in families with young children: Rates, patterns, and connections. Journal of Consulting and Clinical Psychology, 73(3), 435-444.