Breastfeeding, maternal psychopathological symptoms, and infant problem behaviors among low-income mothers returning to work.
Breastfeeding, maternal psychopathological symptoms, and infant problem behaviors among low-income mothers returning to work.
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DOI：
10.1016/j.socscimed.2021.114288
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Cui M
中科院分区：
文献类型：
--
作者：
Wu Q;Farley T;Cui M
对于产后重返工作岗位的母亲来说，最大的挑战之一就是母乳喂养。研究证明了母乳喂养对母亲和儿童的身体健康益处。然而，关于母乳喂养对母亲和儿童心理健康的纵向影响的研究结果好坏参半。本研究调查了低收入职业母亲母乳喂养时间长短对母亲精神病理学症状和婴儿问题行为的纵向影响。样本包括285名婴儿和他们的母亲（主要是少数民族，低收入和单身），他们在产后3个月返回工作岗位，从美国南部一个种族多元化和经济落后的地区招募。母亲的母乳喂养行为在产后第一年进行了四次评估，母亲的精神病理学症状和婴儿的问题行为由母亲在产后12个月和24个月报告了两次。路径模型显示，母亲在婴儿期的精神病理学症状高恶化的影响，母乳喂养的儿童外化行为在幼儿期。同样地，一年后，非常高的婴儿外化行为加剧了母乳喂养对母亲敌意的影响。这项研究表明，有必要实施预防干预与生命周期的方法和持续的，有针对性的专业母乳喂养支持出院后的风险工作的母亲。这项研究的结果可以通过强调考虑联合母乳喂养支持和心理健康咨询的重要性，为生活在资源不足的环境中并与母亲精神病理学斗争的母亲及其婴儿提供服务，为公共政策提供信息。
One of the biggest challenges for mothers returning to work after childbirth is breastfeeding. Studies documented the physical health benefits of breastfeeding for mothers and children. However, research findings concerning the longitudinal effects of breastfeeding on maternal and children’s mental health are mixed. The current study investigated the longitudinal effects of the length of breastfeeding on maternal psychopathological symptoms and infants’ problem behaviors, among a sample of low-income working mothers. The sample included 285 infants and their mothers (primarily minority, low-income, and single) who returned to work 3-month postpartum, recruited from an ethnically diverse and economically disadvantaged area in a southern U.S. state. Mothers’ breastfeeding behaviors were assessed four times in the first year postpartum, and mothers’ psychopathological symptoms and their infants’ problem behaviors were reported by mothers two times, at 12-month and 24-month postpartum. Path models revealed that high maternal psychopathological symptoms in infancy worsened the effect of breastfeeding on child externalizing behaviors in toddlerhood. Likewise, very high infant externalizing behaviors worsened the effect of breastfeeding on maternal hostility one year later. This study suggests the need for implementing prevention interventions with a lifecycle approach and continued, tailored professional breastfeeding support after hospital discharge among at-risk working mothers. Findings of this study can inform public policy by highlighting the importance of considering joint breastfeeding support and mental health counseling in the delivery of services to mothers and their infants who live in under-resourced environments and struggle with maternal psychopathology.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
3.7
作者：
Lauzon-Guillain Bd;Wijndaele K;Clark M;Acerini CL;Hughes IA;Dunger DB;Wells JC;Ong KK
通讯作者：
Ong KK
影响因子：
4.5
作者：
Agrati, Daniella;Browne, Dillon;Fleming, Alison S.
通讯作者：
Fleming, Alison S.
影响因子：
6.4
作者：
Lewis, Gemma;Collishaw, Stephan;Harold, Gordon T.
通讯作者：
Harold, Gordon T.
DOI：
10.1073/pnas.0704292104
发表时间：
2007-11-20
影响因子：
11.1
作者：
Caspi, Avshalom;Williams, Benjamin;Moffitt, Terrie E.
通讯作者：
Moffitt, Terrie E.