Maternal postnatal depression and children's growth and behaviour during the early years of life: exploring the interaction between physical and mental health
Maternal postnatal depression and children's growth and behaviour during the early years of life: exploring the interaction between physical and mental health
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DOI：
10.1136/adc.2009.164848
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发表时间：
2010-09-01
影响因子：
5.2
通讯作者：
Stein, Alan
中科院分区：
文献类型：
--
作者：
Avan, Bilal;Richter, Linda M.;Stein, Alan
目的探讨母亲产后抑郁症与儿童行为问题及2岁时儿童生长发育的关系。对“出生至20岁”队列进行了初步分析，以了解母亲产后抑郁症与2岁时儿童行为问题（n=1035）和生长（n=891）之间的关系，并进行了亚组分析（n=635），以评估儿童生长不良在这种关系中的作用。主要结果措施之间的关联产妇产后抑郁症（测量6个月后出生使用皮特抑郁症清单）和儿童行为问题（里奇曼儿童行为量表）和儿童生长在2岁years.Results产妇产后抑郁症显着相关儿童行为问题在2岁，独立的社会经济地位（β =0.353，p值=0.015）。有一些证据表明，与非抑郁母亲相比，抑郁母亲的子女也有生长发育迟缓的风险增加（OR 1.61（95% CI 1.02至2.56））。产后抑郁症和儿童行为问题之间的关联显着介导的发育迟缓的儿童（β =0.294，p值=0.111）。结论产妇产后抑郁症与以后的儿童行为问题的独立的家庭的社会经济地位。这种联系是由儿童的成长所介导的，这表明了同时考虑儿童身心健康的重要性。
Objective To assess the association between maternal postnatal depression and child behaviour problems and child growth at age 2 yearsMethods This was a longitudinal birth cohort study in Johannesburg, South Africa. Primary analysis on the 'Birth to Twenty' cohort was performed for the association between maternal postnatal depression and child behaviour problems (n=1035) and growth (n=891) at age 2 and subgroup analyses (n=635) were carried out to assess the role of poor child growth in this association. Main outcome measures were the association between maternal postpartum depression (measured at 6 months postnatally using the Pitt depression inventory) and child behaviour problems (Richman child behaviour scale) and child growth at age 2 years.Results Maternal postnatal depression was significantly associated with child behaviour problems at age 2, independent of socioeconomic status (beta=0.353, p value=0.015). There was some evidence that children of depressed mothers were also at increased risk for having stunted growth, compared to non-depressed mothers (OR 1.61 (95% CI 1.02 to 2.56). The association between postnatal depression and child behavioural problems was significantly mediated by the stunted growth of the child (beta=0.294, p value=0.111).Conclusions Maternal postnatal depression is associated with later child behaviour problems independent of the socioeconomic status of the family. This association is mediated by the child's growth, demonstrating the importance of considering a child's physical and mental health together.