臺灣母親產後心理健康軌跡

這項研究使用「臺灣出生世代研究」資料，追蹤台灣將近1萬8千名母親在產後八年的心理健康變化。結果發現母親的心理健康有五種不同軌跡，包括持續良好、持續中等、逐漸改善、逐漸惡化，以及持續不佳。大約每五位母親中，就有一位在產後長期面臨惡化或持續不佳的心理健康狀況。家庭功能差、身體健康不佳、離婚分居或初為人母，都可能增加心理健康惡化的風險；而移民身份與較高的家庭收入，則與較好的心理健康有關。這提醒我們，支持母親的家庭、健康與經濟狀況，對於長期心理健康非常重要。

臺大公衛學院為加強宣導本院教師之學術成果，進而提升本院國際能見度，由張書森老師之撰寫下列文章投稿至ASPPH Friday Letter.

Socio-demographic, family, and health-related predictors of maternal mental health trajectories during eight years postpartum in a national cohort of 17,886 mothers in Taiwan

該文目前已刊登於ASPPH Friday Letter, August 22, 2025

篇名：

Predictors of Maternal Mental Health Trajectories During Eight Years Postpartum in 17,886 Taiwanese Mothers

作者：

Yi-Han Chang, Shu-Sen Chang✉️(張書森-本所教師), Jui-fen Rachel Lu, Tung-liang Chian (江東亮-健管所榮譽教授)

期刊名稱：Social Science & Medicine

發表日期：2025.04.15

發表文章：

Cultural interplay in end-of-life care decisions: comparing advance directive beliefs and preferences among adults in the U.S. and Taiwan

Highlights

• 21% of mothers had poor or declining mental health in the first 3 years after childbirth.
• Immigrant status and higher household income correlated with favorable postpartum mental health trajectories.
• Low family function and poor general health at baseline correlated with less favorable trajectories.
• Divorced mothers had a higher risk of persistently poor postpartum mental health.
• First-time motherhood was related to deteriorating mental health.

Keywords