Parenting difficulties and postnatal depression: implications for primary healthcare assessment and intervention.

摘要: Postnatal depression [PND] is associated with impairments in the mother-child relationship, and these are themselves adverse child outcomes. Thus, compared to children of non-depressed mothers, mothers PND more likely be insecurely attached, have externalising behaviour problems poor cognitive development. Each three outcomes predicted by a particular pattern difficulty parenting: insecure attachment related maternal insensitivity, particularly relation infant distress emotional vulnerability; common context hostile parenting; development parental difficulties noticing signs interest supporting their engagement environment. This article sets out procedures for how parenting could assessed ways that sensitive domain-specific associations between outcome, while remaining child's developmental stage. set assessments requires field testing.