Maternal Depression, Family Functioning and Children's Longitudinal Development
Maternal Depression, Family Functioning and Children's Longitudinal Development
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DOI：
10.1016/j.pedn.2012.07.014
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发表时间：
2013-05-01
影响因子：
2.4
通讯作者：
Willms, J. Douglas
中科院分区：
文献类型：
--
作者：
Letourneau, Nicole L.;Tramonte, Lucia;Willms, J. Douglas
加拿大全国儿童和青年纵向调查的数据分析显示，6%的儿童出生时母亲在出生后的头2年内出现抑郁症状。患病率稳步上升，直到儿童10岁时达到9%，此后保持相对稳定。抑郁症母亲的孩子在4至5岁时具有较低的接受性词汇和表现出注意力不集中或身体攻击的风险增加，仅部分归因于家庭人口因素，家庭功能和养育质量。母亲抑郁症发生在孩子2至3岁时，是10岁和11奥尔兹焦虑的危险因素。母亲抑郁的时间或持续时间对数学成绩没有影响。对于持续经历抑郁症或当孩子2至3岁或更大时的母亲来说，孩子结局不佳的风险最大。护士需要评估和干预，以减少抑郁症对母亲及其子女发展的影响，远远超过产后时期。(C)2013 Elsevier Inc. All rights reserved.
Analysis of data from the Canadian National Longitudinal Survey of Children and Youth reveals that 6% of children are born to mothers who experienced symptoms of depression during their first 2 years of life. The prevalence rises steadily until children are 10 years of age when it reaches 9%, and thereafter remains relatively stable. Children of depressed mothers are at increased risk of having low receptive vocabulary and displaying inattention or physical aggression at ages 4 to 5 years, only partially attributable to family demographic factors, family functioning and parenting qualities. Maternal depression occurring when the child was 2 to 3 years of age, was a risk factor for anxiety in 10 and 11 year olds. Timing or duration of maternal depression had no effect on math achievement. The risk of poor child outcome was greatest for mothers who experienced depression continuously or when their child was 2 to 3 years or older. Nurses need to assess and intervene to reduce the impact of depression on mothers and their children's development, well beyond the postpartum period. (C) 2013 Elsevier Inc. All rights reserved.