Inconsolable Infant Crying and Maternal Postpartum Depressive Symptoms
Inconsolable Infant Crying and Maternal Postpartum Depressive Symptoms
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DOI：
10.1542/peds.2012-3316
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发表时间：
2013-06-01
期刊：
影响因子：
8
通讯作者：
Barr, Ronald G.
中科院分区：
文献类型：
--
作者：
Radesky, Jenny S.;Zuckerman, Barry;Barr, Ronald G.
目的：为了量化的程度，产妇报告的伤心欲绝的婴儿哭，而不是绞痛（定义为韦塞尔的标准，每天持续时间的大惊小怪和哭>3小时），与产妇产后抑郁症状。方法：参与者是587名母亲谁被招募前不久或分娩后，纵向跟踪。在产后5 ~ 6周，母亲们用婴儿日记记录婴儿痛苦的持续时间和方式（烦躁、哭泣或无法安慰的哭泣）。爱丁堡产后抑郁量表（EPDS）在入组时和产后8周进行管理。使用回归模型，包括基线EPDS评分和多个混杂因素，我们研究了绞痛和伤心欲绝的哭泣与产后8周母亲EPDS评分的关系。结果：60名母亲（10%）在产后8周达到了EPDS“可能抑郁”的阈值（评分>= 9）。对于报告每天哭泣超过20分钟的母亲，EPDS评分≥ 9的校正比值比为4.0（95%置信区间：2.0-8.1），而婴儿有绞痛的母亲可能抑郁的校正比值比为2.0（95%置信区间：1.1-3.7）。这些协会持续调整后基线抑郁symptoms.CONCLUSIONS：产妇报告的伤心欲绝的婴儿哭可能有一个更强的关联产后抑郁症状比婴儿绞痛。询问母亲安抚婴儿的能力可能比询问哭泣和大惊小怪的持续时间更适合潜在的干预。
OBJECTIVE: To quantify the extent to which maternal report of inconsolable infant crying, rather than colic (defined by Wessel's criteria of daily duration of fussing and crying >3 hours), is associated with maternal postpartum depressive symptoms.METHODS: Participants were 587 mothers who were recruited shortly before or after delivery and followed longitudinally. At 5 to 6 weeks postpartum, mothers recorded the duration and mode (fussing, crying, or inconsolable crying) of their infant's distress by using the Baby's Day Diary. The Edinburgh Postnatal Depression Scale (EPDS) was administered at enrollment and at 8 weeks postpartum. Using regression models that included baseline EPDS scores and multiple confounders, we examined associations of colic and inconsolable crying with later maternal EPDS scores at 8 weeks postpartum.RESULTS: Sixty mothers (10%) met the EPDS threshold for "possible depression" (score >= 9) at 8 weeks postpartum. For mothers reporting >20 minutes of inconsolable crying per day, the adjusted odds ratio for an EPDS score >= 9 was 4.0 (95% confidence interval: 2.0-8.1), whereas the adjusted odds ratio for possible depression in mothers whose infants had colic was 2.0 (95% confidence interval: 1.1-3.7). These associations persisted after adjusting for baseline depression symptoms.CONCLUSIONS: Maternal report of inconsolable infant crying may have a stronger association with postpartum depressive symptoms than infant colic. Asking a mother about her ability to soothe her infant may be more relevant for potential intervention than questions about crying and fussing duration alone.