The impact of maternal prenatal and postnatal anxiety on children's emotional problems: a systematic review.

The impact of maternal prenatal and postnatal anxiety on children's emotional problems: a systematic review.
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母亲产前和产后焦虑对儿童情绪问题的影响:系统评价。

DOI:
10.1007/s00787-018-1173-5
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发表时间:
2019-03
影响因子:
6.4
通讯作者:
Waters CS
Waters CS
中科院分区:
医学2区
文献类型:
--
作者:
Rees S;Channon S;Waters CS

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孕期和产后孕产妇心理健康问题是一个重大的公共卫生问题。尽管有证据表明抑郁和焦虑症状在怀孕和产后都很常见,但与母亲抑郁的影响相比,母亲焦虑对孩子的影响相对较少受到关注。此外,关于孕期和产后母亲焦虑对儿童情绪结果直接影响的证据基础缺乏凝聚力。本系统综述的目的是总结有关母亲产前和产后焦虑对儿童情绪结果影响的经验证据。总体而言,母亲产前和产后焦虑对孩子的情绪结果都有较小的不利影响。然而,有更有力的证据表明产前焦虑的负面影响。一些方法学上的缺陷使结论存在问题,需要重复研究结果,以更好地识别高危父母和儿童,并提供适当的干预和预防机会。
Maternal mental health problems during pregnancy and the postnatal period are a major public health issue. Despite evidence that symptoms of both depression and anxiety are common during pregnancy and the postpartum, the impact of maternal anxiety on the child has received relatively less attention than the impact of maternal depression. Furthermore, the evidence base for the direct impact of maternal anxiety during pregnancy and the postpartum on children’s emotional outcomes lacks cohesion. The aim of this systematic review is to summarise the empirical evidence regarding the impact of maternal prenatal and postnatal anxiety on children’s emotional outcomes. Overall, both maternal prenatal and postnatal anxiety have a small adverse effect on child emotional outcomes. However, the evidence appears stronger for the negative impact of prenatal anxiety. Several methodological weaknesses make conclusions problematic and replication of findings is required to improve the identification of at-risk parents and children with appropriate opportunities for intervention and prevention.
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