Antenatal anxiety predicts child behavioral/emotional problems independently of postnatal depression
Antenatal anxiety predicts child behavioral/emotional problems independently of postnatal depression
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DOI：
10.1097/00004583-200212000-00019
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发表时间：
2002-12-01
影响因子：
13.3
通讯作者：
Glover, V
中科院分区：
文献类型：
--
作者：
O'Connor, TG;Heron, J;Glover, V
目的：检验产后抑郁症对儿童行为/情绪问题的影响是由产前母亲情绪解释的假设。方法：目前的研究在雅芳父母和孩子纵向研究中调查了这一假设，这是一项前瞻性的，以社区为基础的研究，自怀孕以来一直跟踪一组妇女（n = 7，144）在1991年4月1日至1992年12月31日期间分娩的婴儿。母亲的焦虑和抑郁的自我报告措施进行了评估，在重复的间隔在怀孕和产后期间。儿童的行为/情绪问题在4岁时由父母报告进行评估。在控制吸烟、饮酒、出生体重、孕龄、母亲年龄、儿童性别和社会经济地位后，8周（OR = 2.27 [1.55-3.31]）和8个月（OR = 1.68 [1.12-2.54]）时的产后抑郁与儿童的行为/情绪问题有关。随后的分析，包括产前母亲的情绪表明，产前焦虑在怀孕后期，而不是产前抑郁症也独立相关的行为/情绪问题，在4岁（OR = 1.72 [1.14-2.59]）;在对产前母亲情绪进行统计学控制后，8周产后抑郁仍然是一个重要的预测因素，结论：产前焦虑和产后抑郁是儿童行为/情绪问题的独立危险因素，且具有相加作用。J. Am. Acad.儿童青少年。精神病学，2002，41（12）：1470-1477.
Objective: To examine the hypothesis that the effects of postnatal depression on children's behavioral/emotional problems are explained by antenatal maternal mood.Method: The current study investigated this hypothesis in the Avon Longitudinal Study of Parents and Children, a prospective, community-based study that has followed a cohort of women since pregnancy (n = 7,144) who delivered their baby between April 1, 1991, and December 31, 1992. Self-report measures of maternal anxiety and depression were assessed at repeated intervals in pregnancy and the postnatal period. Children's behavioral/emotional problems were assessed by parent report at age 4 years.Results: After controlling for smoking, alcohol use, birth weight for gestational age, maternal age, child sex, and socioeconomic status, postnatal depression at 8 weeks (OR = 2.27 [1.55-3.31]) and 8 months (OR = 1.68 [1.12-2.54]) was associated with children's behavioral/emotional problems. Subsequent analyses that included antenatal maternal mood indicated that antenatal anxiety in late pregnancy and not antenatal depression was also independently associated with behavioral/emotional problems at age 4 (OR = 1.72 [1.14-2.59]); 8 week postnatal depression remained a significant predictor after antenatal maternal mood was statistically controlled for (OR = 1.56 [1.04-2.32]).Conclusions: Antenatal anxiety and postnatal depression represent separate risks for behavioral/emotional problems in children and act in an additive manner. J. Am. Acad. Child Adolesc. Psychiatry, 2002, 41(12):1470-1477.