Maternal stress and depressive symptoms and adolescents' body mass index: a prospective study.
Maternal stress and depressive symptoms and adolescents' body mass index: a prospective study.
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DOI：
10.1186/s12889-021-10721-z
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发表时间：
2021-04-07
影响因子：
4.5
通讯作者：
Larsen J
中科院分区：
文献类型：
--
作者：
Koning M;Vink J;Visscher TLS;Larsen J
越来越多的证据表明，母亲的心理健康问题与（年幼）儿童的体重结果有关。然而，大多数研究受到横断面设计的限制，并且针对（年龄较小的）儿童。目前的前瞻性研究集中在产妇心理健康（即，心理压力和抑郁症状）和青少年zBMI发展的关系。本研究的参与者是荷兰青少年及其父母健康行为纵向研究的第1波和第2波的一部分。通过荷兰南部和东部的六所中学招募了青少年（10-14岁）及其父母。在这项研究中，我们只包括生物母亲和他们的青少年孩子谁参加了两个波，在两个波的主要措施的数据，留下了336个生物母子二人组的最终样本。测量青少年的身高和体重，父母和青少年都填写了关于感知压力和抑郁症状的有效问卷，并回答了关于特定领域压力的其他问题。在R中进行回归分析，以检查基线（T1）时母亲压力和抑郁症状与6个月后（T2）青少年BMI标准差评分（zBMI）之间的纵向联系，并对基线zBMI和协变量进行校正。在控制基线zBMI和其他协变量后，T1时母亲的一般感知压力（β = .20，p = .002）先于T2时青少年较高的zBMI，而T1时母亲的抑郁症状（β =-0.05，p = .44）和其他特定领域的压力（母亲的经济压力，母亲的工作压力，母亲的家庭压力）则不然。此外，青少年受教育程度较低（β = .16，p = .001）和青少年抑郁症状（β = .16，p = .001）与T2时zBMI较高相关。结果表明，母亲的一般压力，但不是抑郁症状，可能会影响青少年的体重发展。我们的研究结果保证未来的调查是否以及如何在母亲之间的一般压力可能会预测他们的青少年后代的体重增加。
Growing evidence suggests that maternal mental health issues are associated with (young) children’s weight outcomes. However, most studies have been limited by cross-sectional designs and have been aimed at (younger) children. The current prospective study focuses on the link between maternal mental health (i.e., psychological stress and depressive symptoms) and adolescents’ zBMI development. The participants in the present study were part of wave 1 and 2 of a longitudinal study on Dutch adolescents’ and their parents’ health behavior. Adolescents (aged 10–14) and their parents were recruited through six secondary schools in the South and the East of the Netherlands. For this study, we only included biological mothers and their adolescent children who participated in both waves, with data on the main measures in both waves, leaving a final sample of 336 biological mother-child dyads. Adolescents height and weight were measured, and both parents and adolescents filled in validated questionnaires on perceived stress and depressive symptoms and answered additional questions concerning domain-specific stress. Regression analyses were performed in R to examine longitudinal links between maternal stress and depressive symptoms at baseline (T1) and adolescents’ BMI standard deviation scores (zBMI) 6 months later (T2), corrected for baseline zBMI and covariates. Maternal general perceived stress (β = .20, p = .002) at T1 preceded higher adolescents’ zBMI at T2, after controlling for baseline zBMI and other covariates, whereas maternal depressive symptoms at T1 (β = −.05, p = .44) and other domain-specific stress did not (maternal financial stress, maternal stress at work, maternal stress at home). Additionally, lower educational level among adolescents (β = .16, p = .001) and adolescent depressive symptoms (β = .16, p = .001) was associated with a higher zBMI at T2. Results suggest that maternal general stress, but not depressive symptoms, may influence adolescents’ weight development. Our findings warrant future investigation on whether and how general stress among mothers may predict weight increases of their adolescent offspring.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
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影响因子：
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作者：
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作者：
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通讯作者：
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