Maternal anxiety and depression and their associations with mother-child pretend play: a longitudinal observational study.
Maternal anxiety and depression and their associations with mother-child pretend play: a longitudinal observational study.
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DOI：
10.1186/s40359-021-00568-9
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发表时间：
2021-05-07
期刊：
影响因子：
3.6
通讯作者：
Ramchandani P
中科院分区：
文献类型：
--
作者：
Rao Z;Barker B;O'Farrelly C;Ramchandani P
父母的焦虑和抑郁与亲子互动的变化有关。虽然游戏构成了亲子互动的重要组成部分，并提供关键的发展机会，很少有人知道父母的焦虑和抑郁是如何与亲子游戏。这是一个重要的知识差距，因为父母在儿童的早期游戏经验中发挥着至关重要的作用。本研究的目的是探讨母亲的焦虑和抑郁水平是否分别预测了母亲及其子女的假装游戏频率，以及母亲参与假装游戏是否预测了两年后的儿童行为问题。对60对母子（幼儿法师= 29.67个月，SD = 3.25，41.7%为女孩）进行了家庭访视。母亲的焦虑和抑郁情绪进行了评估，使用自我报告问卷。在基线和两年后，母亲对儿童的行为问题进行了评估。分层回归分析研究了母子假装游戏与基线时母亲焦虑和抑郁之间的并行关联，以及基线母亲假装游戏与两年后儿童行为问题之间的纵向关联。母亲焦虑程度越高，母亲和孩子的假装游戏就越少（β =-0.23，BCa 95%CI：[-0.018，-0.001]和β =-0.22，BCa 95%CI [-0.014，-0.001]）。母亲抑郁程度越高，儿童假装游戏就越少（β =-0.20，BCa 95%CI [-0.012，-0.001]）。有证据（尽管证据不足）表明，当基线儿童行为问题和母亲焦虑得到控制时，基线时更多的母亲假装游戏预测两年后儿童行为问题较少（β =-0.18，BCa 95%CI [-62.38，11.69]）。母亲的焦虑和抑郁与母子互动中的假装游戏有关。母亲的假装游戏可能有助于降低儿童行为问题的风险，这表明游戏可能是母亲心理健康影响儿童发展的一种机制。
Parental anxiety and depression have been associated with changes to parent–child interactions. Although play constitutes an important part of parent–child interactions and affords critical developmental opportunities, little is known regarding how parental anxiety and depression are related to parent–child play. This is an important knowledge gap because parents play a crucial role in children’s early play experience. The purpose of the current study was to examine whether levels of maternal anxiety and depression respectively predicted frequencies of pretend play in both mothers and their children, and whether mothers’ engagement in pretend play predicted child behaviour problems two years later. Pretend play in 60 mother-toddler dyads (Mage of child = 29.67 months, SD = 3.25, 41.7% girls) was assessed during home visits. Maternal anxiety and depression were assessed using self-report questionnaires. Children’s behaviour problems were rated by mothers at baseline and two years later. Hierarchical regression analyses examined concurrent associations between mother–child pretend play and maternal anxiety and depression at baseline, and longitudinal associations between baseline mother pretend play and child behavioural problems two years later. Higher maternal anxiety predicted less pretend play in mothers and children (β = − .23, BCa 95% CI: [− .018, − .001]) and β = − .22, BCa 95% CI [− .014, − .001]). Higher maternal depression predicted less child pretend play (β = − .20, BCa 95% CI [− .012, − .001]). There was evidence (albeit weak) that more mother pretend play at baseline predicted fewer child behaviour problems two years later (β = − .18, BCa 95% CI [− 62.38, 11.69]), when baseline child behaviour problems and maternal anxiety were controlled for. Maternal anxiety and depression are associated with less pretend play during mother–child interaction. Mother’s pretend play might help reduce child behavioural problems risks, suggesting that play might be one mechanism by which maternal mental health influences children’s development.