Maternal patterns of antenatal and postnatal depressed mood and the impact on child health at 3-years postpartum.
Maternal patterns of antenatal and postnatal depressed mood and the impact on child health at 3-years postpartum.
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DOI：
10.1037/ccp0000281
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发表时间：
2018-03
影响因子：
5.9
通讯作者：
Rotheram-Borus MJ
中科院分区：
文献类型：
--
作者：
Rotheram-Fuller EJ;Tomlinson M;Scheffler A;Weichle TW;Hayati Rezvan P;Comulada WS;Rotheram-Borus MJ
研究人员在生命的前三年检查了母亲抑郁情绪对儿童成长、健康、认知和语言发展的影响。南非开普敦 24 个城郊乡镇社区的孕妇（N = 1,238 名母亲）按社区随机分配接受家访干预或标准护理条件。 93%-85%的母亲在产后两周、6个月、18个月和36个月时进行了重新评估。对儿童生长、行为、语言和认知的测量进行回归，以检查四种抑郁情绪模式的影响：仅产前（n = 154，13.8％），仅产后（n = 272，24.3％），产前和产后（n = 220，19.7％），以及在任何评估中都没有抑郁情绪（n = 473，42.3％）。不同干预条件下的抑郁情绪模式相似。抑郁的母亲受教育程度明显较低，收入较低，就业或用电的可能性较小；更有可能报告有饮酒问题、经历粮食不安全、人际伴侣暴力以及艾滋病毒血清呈阳性。 36 个月时，随着时间的推移，母亲抑郁情绪的模式与儿童身体发育受损（体重和身高）以及更多内化和外化行为问题症状显着相关。抑郁情绪模式下的母亲的语言和认知测量结果相似。情绪低落的母亲面临着更多的生活挑战，其中包括与贫困和其他问题行为有关的环境压力。更接近的是，与产前抑郁情绪相比，产后抑郁情绪似乎对孩子有更大的影响。
The consequences of maternal depressed mood on children’s growth, health, cognitive and language development are examined over the first three years of life. Pregnant women in 24 peri-urban township neighborhoods in Cape Town, South Africa (N=1,238 mothers) were randomized by neighborhood to a home visiting intervention or a standard care condition. Reassessments were conducted for 93%-85% of mothers at two weeks, 6, 18, and 36 months post-birth. Regressions were conducted on measures of children’s growth, behaviour, language, and cognition to examine the impact of four patterns of depressed mood: antenatal only (n=154, 13.8%), postnatal only (n=272, 24.3%), antenatal and postnatal (n=220, 19.7%), and no depressed mood on any assessment (n=473, 42.3%). Patterns of depressed mood were similar across intervention conditions. Depressed mothers were significantly less educated, had lower incomes, were less likely to be employed or to have electricity; were more likely to report problematic drinking of alcohol, experience food insecurity, interpersonal partner violence, and to be HIV seropositive. At 36 months, the pattern of maternal depressed mood over time was significantly associated with children’s compromised physical growth, both in weight and height, and more internalizing and externalizing symptoms of behaviour problems. Measures of language and cognition were similar across maternal patterns of depressed mood. Mothers who report depressed mood face significantly more life challenges, both environmental stressors related to poverty and other problematic behaviors. More proximal, postnatal depressed mood appears to have a larger influence on their children, compared to antenatal depressed mood.
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影响因子：
5.9
作者：
Eaton, Lisa A.;Kalichman, Seth C.;Pitpitan, Eileen V.
通讯作者：
Pitpitan, Eileen V.
DOI：
10.1016/s0140-6736(16)31389-7
发表时间：
2017-01-07
期刊：
Lancet (London, England)
影响因子：
--
作者：
Black MM;Walker SP;Fernald LCH;Andersen CT;DiGirolamo AM;Lu C;McCoy DC;Fink G;Shawar YR;Shiffman J;Devercelli AE;Wodon QT;Vargas-Barón E;Grantham-McGregor S;Lancet Early Childhood Development Series Steering Committee
通讯作者：
Lancet Early Childhood Development Series Steering Committee
影响因子：
4.6
作者：
Dawson, G;Ashman, SB;Embry, L
通讯作者：
Embry, L
影响因子：
2.8
作者：
Ertel, Karen A.;Koenen, Karestan C.;Gillman, Matthew W.
通讯作者：
Gillman, Matthew W.
影响因子：
3.8
作者：
Campbell, JM;Bell, SK;Keith, LK
通讯作者：
Keith, LK