Depressive mood, bonding failure, and abusive parenting among mothers with three-month-old babies in a Japanese community
Depressive mood, bonding failure, and abusive parenting among mothers with three-month-old babies in a Japanese community作者机构：Department of Midwifery and Women’s Health University of Tokyo Tokyo Japan Kitamura Institute of Mental Health Tokyo Japan Kumamoto Prefecture Kumamoto Japan
出 版 物：《Open Journal of Psychiatry》 (精神病学期刊（英文）)
年 卷 期：2013年第3卷第3期
页 面：1-7页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Postnatal Depression Bonding Failure Child Abuse Mothers of Neonates Structural Equation Analysis
摘 要：Objective: To investigate the relationships between depressive mood, bonding failure, and abusive parenting. Method: We distributed questionnaires to 1198 mothers attending a three-month postnatal health check-up in rural areas in Japan. The questionnaires assessed these three variables along with demographics. We evaluated the causal relationships by comparing different structural equation models to the data. Results: Although all the models fit the data well, the best Akaike Information Criterion was obtained from a model where both depressive mood and bonding failure predict abusive parenting, but depressive mood and bonding failure do not predict each other directly. The determinant coefficient of child abuse in the final model was 0.13. Discussion: We found depressive mood and bonding failure during postpartum period impacted negatively on mother’s parenting behaviour. Because only 13% of the variance of abusive parenting was explainable by this model, further study should be needed to identify other risk factors of child abuse. Similarly, midwives and public health nurse in community should pay attention to not only depression but also bonding failure to prevent child abuse.
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