乳児をもつ母親の育児不安に関する縦断的研究：経産婦と初産婦の傾向と支援対策の検討乳児をもつ母親の育児不安に関する縦断的研究：経産婦と初産婦の傾向と支援対策の検討 A longitudinal study of child-raising anxiety of mothers having infants：a study of trends in primiparas and multiparas and support measures
We longitudinally examined the child-rearing anxiety of mothers with suckling infants and the support system necessary for anxiety-free child-rearing, and performed an anonymous, self-administered questionnaire survey at 6 time-points during the post-natal period from the 5th day to 10 months. Using the Edinburgh Postnatal Depression Scale (EPDS), we analyzed the relationships among the time-points and factors influencing EPDS scores to examine the tendency found in primi- and multiparas. Support was suggested to be most important on the 5th postnatal day for primiparas and 2 week time-point for multiparas, and if postnatal depression was relieved within 1 month for primiparas and 3 months for multiparas, the influences since then might weaken. Primiparas do not always feel pleased with childbirth and seek advice and mental support until the end of 1 month, while multiparas expect a helper or husband’s participation in child-rearing, for which an arrangement of postnatal environment for child-rearing up to 3 months is important. Furthermore, at 6 and 10 months, the care of their older infants and dissatisfaction with their husband’s lack of participation in child-rearing were found to affect the depression respectively. As mothers’ issue with child-rearing varied with time, an appropriate support for each period was suggested to be necessary.