Maternal and paternal perinatal depressive symptoms associate with 2- and 3-year-old children’s behaviour: findings from the APrON longitudinal study
Maternal and paternal perinatal depressive symptoms associate with 2- and 3-year-old children’s behaviour: findings from the APrON longitudinal study
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母亲和父亲的围产期抑郁症状与 2 岁和 3 岁儿童的行为相关：APrON 纵向研究的结果
作者：
N. Letourneau;B. Leung;Henry N. Ntanda;D. Dewey;Andrea J. Deane;G. Giesbrecht
研究背景产前和产后抑郁症状在准妈妈和新妈妈和爸爸中很常见。本研究探讨了四种模式的可能围产期抑郁症（母亲抑郁，父亲抑郁，抑郁，既不抑郁）共同养育的母亲和父亲和他们的孩子的内在和外在的行为在24个月和36个月的年龄之间的关联。社会人口，风险和保护因素的影响也examined.MethodsDepressive症状进行了测量，在怀孕期间，并在产后3个月和儿童的行为进行了评估，在24和36个月的年龄。家庭（n = 634）提供的数据，他们的孩子的内化（即情绪反应，焦虑/抑郁，躯体的投诉，撤回和总）和外化（即注意力问题，侵略和总）的行为。边际模型，以确定儿童的行为在两个时间点和可能的父母抑郁症的四种模式之间的关系。社会人口学变量以及风险（压力）和保护（社会支持）因素被列入这些models.ResultsIn围产期的母亲得分为可能抑郁症和10.57%（n = 67）的父亲19.40%（n = 123）。在6.31%（n = 40）的参与家庭中，父母双方得分为可能抑郁，63.72%（n = 404）的父母都没有得分为抑郁。对于儿童的情绪反应、孤僻和完全内化行为，母亲可能的抑郁症和母亲和父亲同时发生的可能的抑郁症都预测了更高的分数，而对于儿童的攻击性行为、注意力问题和完全外化行为，只有母亲可能的抑郁症预测了更高的分数，控制了社会人口统计学，风险和保护因素。结论虽然母亲可能的围产期抑郁症可预测2和3岁儿童的行为问题，但母亲和父亲抑郁症的共同发生与内化行为问题的相关性增加，在考虑了社会人口统计学、风险和保护因素之后。鼓励卫生保健提供者在预防和治疗围产期抑郁症时考虑整个家庭。
BackgroundPrenatal and postnatal depressive symptoms are common in expectant and new mothers and fathers. This study examined the association between four patterns of probable perinatal depression (mother depressed, father depressed, both depressed, neither depressed) in co-parenting mothers and fathers and their children’s internalizing and externalizing behaviours at 24 and 36 months of age. The influence of sociodemographic, risk and protective factors was also examined.MethodsDepressive symptoms were measured during pregnancy and at 3 months postpartum and children’s behaviour was assessed at 24 and 36 months of age. Families (n = 634) provided data on their children’s internalizing (i.e. emotionally reactive, anxious/depressed, somatic complaints, withdrawn and total) and externalizing (i.e. attention problems, aggression and total) behaviour. Marginal models were employed to determine the relationship between children’s behaviour over the two time points and the four patterns of probable parental depression. Sociodemographic variables as well as risk (stress) and protective (social support) factors were included in these models.ResultsIn the perinatal period 19.40% (n = 123) of mothers scored as probably depressed and 10.57% (n = 67) of fathers. In 6.31% (n = 40) of the participating families, both parents scored as probably depressed and in 63.72% (n = 404) neither parent scored as depressed. For children’s emotionally reactive, withdrawn and total internalizing behaviours, both mothers’ probable depression and mothers and fathers’ co-occurring probable depression predicted higher scores, while for children’s aggressive behaviour, attention problems, and total externalizing behaviours, only mothers’ probable depression predicted higher scores, controlling for sociodemographic, risk and protective factors.ConclusionsWhile probable perinatal depression in mothers predicted 2 and 3 year-old children’s behavioural problems, co-occurrence of depression in mothers and fathers had an increased association with internalizing behavioural problems, after considering sociodemographic, risk and protective factors. Health care providers are encouraged to consider the whole family in preventing and treating perinatal depression.
影响因子：
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作者：
Kim-Cohen, J;Caspi, A;Poulton, R
通讯作者：
Poulton, R
影响因子：
22.4
作者：
Chaplin, Tara M.;Aldao, Amelia
通讯作者：
Aldao, Amelia