Association of maternal depression and anxiety with toddler social-emotional and cognitive development in South Africa: a prospective cohort study.
Association of maternal depression and anxiety with toddler social-emotional and cognitive development in South Africa: a prospective cohort study.
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DOI：
10.1136/bmjopen-2021-058135
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发表时间：
2022-04-13
期刊：
影响因子：
2.9
通讯作者：
Fifer WP
中科院分区：
文献类型：
--
作者：
Shuffrey LC;Sania A;Brito NH;Potter M;Springer P;Lucchini M;Rayport YK;Du Plessis C;Odendaal HJ;Fifer WP
一个强大的文献已经确定了产前母亲抑郁症和不良的儿童社会情绪和认知结果之间的关联。大多数先前的研究来自高收入国家，尽管低/中等收入国家（LMIC）的围产期抑郁症报告增加。此外，尽管抑郁症和焦虑症之间存在共病关系，但很少有先前的研究探讨了它们对儿童神经发育的联合影响。目前分析的目的是研究产前母亲抑郁和焦虑与儿童社会情感和认知发展之间的关联，在南非西开普省的队列。采用爱丁堡产后抑郁量表和状态-特质焦虑量表对孕20-24周孕妇的抑郁和焦虑进行测量。在3岁时使用简明婴幼儿社会情绪评估和贝利婴儿发育量表III筛选测试（BSID-III ST）评估儿童神经行为。我们使用线性回归模型来检验产前母亲抑郁、焦虑和儿童发育结果之间的独立和联合关联。参与者包括600对母婴（274名女性;出生时胎龄：38.89周±2.03周）。与没有产前抑郁或特质焦虑的母亲所生的孩子相比，患有产前抑郁和特质焦虑的母亲所生的孩子有更高的社会情绪问题（平均差异：4.66; 95%CI 3.43至5.90），每种情况单独，或与抑郁和状态焦虑的母亲相比。此外，患有产前母亲抑郁症和特质焦虑症的母亲所生的孩子在BSID-III ST上的平均认知得分下降最大（平均差异：-1.04; 95%CI-1.99至-0.08）。共病产前母亲抑郁症和慢性焦虑症与随后的儿童社会情感和认知发展之间的关联，强调了有必要针对性的心理健康支持LMIC的围产期妇女，以改善长期的儿童神经行为的结果。
A robust literature has identified associations between prenatal maternal depression and adverse child social-emotional and cognitive outcomes. The majority of prior research is from high-income countries despite increased reporting of perinatal depression in low/middle-income countries (LMICs). Additionally, despite the comorbidity between depression and anxiety, few prior studies have examined their joint impact on child neurodevelopment. The objective of the current analysis was to examine associations between prenatal maternal depression and anxiety with child social-emotional and cognitive development in a cohort from the Western Cape Province of South Africa. Prenatal maternal depression and anxiety were measured using the Edinburgh Postnatal Depression Scale and the State-Trait Anxiety Inventory Scale at 20–24 weeks’ gestation. Child neurobehaviour was assessed at age 3 using the Brief Infant-Toddler Social Emotional Assessment and the Bayley Scales of Infant Development III Screening Test (BSID-III ST). We used linear regression models to examine the independent and joint association between prenatal maternal depression, anxiety and child developmental outcomes. Participants consisted of 600 maternal-infant dyads (274 females; gestational age at birth: 38.89 weeks±2.03). Children born to mothers with both prenatal depression and trait anxiety had higher social-emotional problems (mean difference: 4.66; 95% CI 3.43 to 5.90) compared with children born to mothers with no prenatal depression or trait anxiety, each condition alone, or compared with mothers with depression and state anxiety. Additionally, children born to mothers with prenatal maternal depression and trait anxiety had the greatest reduction in mean cognitive scores on the BSID-III ST (mean difference: −1.04; 95% CI −1.99 to –0.08). The observed association between comorbid prenatal maternal depression and chronic anxiety with subsequent child social-emotional and cognitive development underscores the need for targeting mental health support among perinatal women in LMICs to improve long-term child neurobehavioural outcomes.
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影响因子：
4.4
作者：
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DOI：
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