父亲产后抑郁在父亲育儿胜任感和父亲母乳喂养支持间的中介效应分析

Mediating effect of postpartum depression in fathers on their parenting competence and breastfeeding support

目的探讨父亲产后抑郁在父亲育儿胜任感和父亲母乳喂养支持间的中介效应。方法采用便利抽样法,于2022年3—10月选取在无锡市妇幼保健院出生的337名4~8周婴儿的父亲为研究对象,采用爱丁堡产后抑郁量表(EPDS)、中文版父母育儿胜任感量表(C-PSOC)和产妇配偶版配偶母乳喂养支持量表(PBIS)对其进行调查。采用Spearman相关分析探讨父亲产后抑郁与其育儿胜任感、母乳喂养支持间的相关性,并采用PROCESS插件进行中介效应检验。结果本研究共发放问卷337份,回收问卷337份,其中有效问卷314份,问卷有效回收率为93.18%(314/337)。314名婴儿父亲EPDS得分为3.00(2.00,6.00)分、C-PSOC得分为66.00(62.00,71.00)分、产妇配偶版PBIS得分为83.00(74.00,90.00)分。父亲育儿胜任感与父亲产后抑郁呈负相关(r=-0.435,P<0.01),与父亲母乳喂养支持呈正相关(r=0.480,P<0.01),父亲产后抑郁与父亲母乳喂养支持呈负相关(r=-0.423,P<0.01)。中介效应分析结果显示,父亲产后抑郁在育儿胜任感和母乳喂养支持间的中介效应为0.341,占总效应的39.51%。结论父亲产后抑郁是父亲育儿胜任感和父亲母乳喂养支持间的中介变量,医务工作者应制订针对父亲的围产期教育方案,提升父亲育儿胜任感,缓解其负面情绪,从而促进父亲母乳喂养支持行为。

Objective To explore the mediating effect of postpartum depression in fathers on their parenting competence and breastfeeding support.Methods From March to October 2022,convenience sampling was used to select 337 fathers of infants aged 4 to 8 weeks in Wuxi Women and Enfants Care Hospital as the research subject.A survey was conducted using the Edinburgh Postnatal Depression Scale(EPDS),Chinese version of Parenting Sense of Competence Scale(C-PSOC),and maternal spouse version Partner Breastfeeding Influence Scale(PBIS).Spearman correlation was used to explore the correlation between postpartum depression in fathers and their parenting competence and breastfeeding support,and the PROCESS plugin was used for mediation effect testing.Results A total of 337 questionnaires were distributed and 337 were collected,including 314 valid questionnaires with an effective response rate of 93.18%(314/337).Among 314 infant fathers,the EPDS,C-PSOC,and maternal spouse version PBIS scores were 3.00(2.00,6.00),66.00(62.00,71.00),and 83.00(74.00,90.00),respectively.Father's parenting competence was negatively correlated with father's postpartum depression(r=-0.435,P<0.01),and positively correlated with father's breastfeeding support(r=0.480,P<0.01).Father's postpartum depression was negatively correlated with father's breastfeeding support(r=-0.423,P<0.01).The mediating effect analysis showed that the mediating effect of postpartum depression in fathers between parenting competence and breastfeeding support was 0.341,accounting for 39.51%of the total effect.Conclusions Postpartum depression in fathers is a mediating variable between their parenting competence and their breastfeeding support.Medical and nursing workers should develop perinatal education programs for fathers,enhance their parenting competence,alleviate their negative emotions,and promote their breastfeeding support.