The socioemotional development of 5-year-old children of postnatally depressed mothers
The socioemotional development of 5-year-old children of postnatally depressed mothers
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DOI：
10.1111/1469-7610.00542
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发表时间：
1999-11-01
影响因子：
7.6
通讯作者：
Turner, P
中科院分区：
文献类型：
--
作者：
Murray, L;Sinclair, D;Turner, P
社区样本的抑郁症和良好的母亲，在产后2个月招募和评估，通过18个月，随访5年。利用母亲的报告和在学校自由玩耍期间对儿童行为的观察，评估了母子互动的质量，以及儿童的行为和社会适应。儿童结局的几个方面被发现与产后抑郁症有关，即使考虑到目前的不利情况（母亲抑郁症和父母冲突）。这些因素包括儿童与母亲的行为、家中是否存在行为障碍以及学校游戏的内容和社会模式。这些与产后抑郁症的关联与孩子的性别无关。孩子与母亲的关系似乎是由18个月大的婴儿依恋质量介导的。母亲对孩子的行为更多地受到当前困难的影响，特别是与孩子父亲的冲突。总之，这些研究结果表明，虽然母亲的行为随着环境的变化而变化，但在产后早期暴露于母亲抑郁症可能会对儿童的心理调整产生持久的影响。
A community sample of depressed and well mothers, recruited at 2 months postpartum and assessed through to 18 months, was followed up at 5 years. The quality of mother-child interactions was assessed, as was the children's behavioural and social adjustment, using maternal reports and observations of child behaviour during free play at school. Several aspects of child outcome were found to be associated with postnatal depression, even when taking account of current adverse circumstances (maternal depression and parental conflict). These included the child's behaviour with the mother, the presence of behavioural disturbance at home, and the content and social patterning of play at school. These associations with postnatal depression were independent of the child's gender. The child's relationship with the mother appeared to be mediated by the quality of infant attachment at 18 months. The mother's behaviour with her child was more affected by current difficulties, in particular by conflict with the child's father. Together these findings suggest that, while maternal behaviour varies with changing circumstances, exposure to maternal depression in the early postpartum months may have an enduring influence on child psychological adjustment.