Risk of postpartum depression and very early child mistreatment among mothers reporting higher autistic traits: Evidence from the Japan Environment and Children's Study
Risk of postpartum depression and very early child mistreatment among mothers reporting higher autistic traits: Evidence from the Japan Environment and Children's Study
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DOI：
10.1016/j.jad.2020.10.073
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发表时间：
2021-02-01
影响因子：
6.6
通讯作者：
Iso, Hiroyasu
中科院分区：
文献类型：
--
作者：
Hosozawa, Mariko;Cable, Noriko;Iso, Hiroyasu
背景：关于那些报告有较高自闭症特征的母亲如何面对新的父母身份，我们知之甚少。本研究探讨了产前非临床自闭症的特点和产后抑郁症（PPD）和儿童虐待的风险在产后一个月，如果这些协会是由预先存在的社会supports.Methods：参与者包括73,532名单身母亲没有精神疾病的历史，从日本环境和儿童的研究，一个全国性的出生队列之间的关联。在第二个/第三个三个月期间，使用简短版本的自闭症商数-日本版本测量自闭症特征。参与者被分为三组（即，典型范围、中等范围和高范围）。PPD是使用日本版的爱丁堡产后抑郁量表测量的，而参与者自我报告了儿童虐待的经历（即，击打或摇晃孩子）;两项评估均在产后一个月进行。报告了妊娠期间的个人社会支持。数据分析通过Poisson regressions.Results进行：共有7,147（9.7%）的参与者报告PPD，而12,994（17.7%）报告在产后一个月的儿童虐待。孤独症特征与PPD风险增加（中度范围的调整相对危险度[aRR] =1.74，95%CI=1.64-1.84;高度范围的aRR=2.33，2.13-2.55）和儿童虐待（中度范围的aRR=1.19，1.13-1.24;高度范围的aRR=1.39，1.28-1.50）相关，与混杂因素无关。社会支持介导的26-31%，这些协会为中度/高范围组（两个风险）。局限性：自我报告的测量used.Conclusions：母亲谁报告中度到高度的自闭症特征在一般人群中容易受到PPD和新生儿虐待在产后一个月，这是部分解释了在怀孕期间缺乏社会支持。
Background: Little is known about how mothers who report higher autistic traits face new parenthood. This study examined the association between antenatal non-clinical autistic traits and the risks of both postpartum depression (PPD) and child mistreatment at one-month postpartum and if these associations were mediated by preexisting social support.Methods: Participants included 73,532 singleton mothers without histories of psychiatric conditions from the Japan Environment and Children's Study, a nationwide birth cohort. Autistic traits were measured during the second/third trimesters using the short-version of the Autism Quotient-Japanese version. Participants were classified into three groups (i.e., typical-range, moderate-range, and high-range). PPD was measured using the Japanese version of the Edinburgh Postnatal Depression Scale, while participants self-reported experiences of child mistreatment (i.e., hit or shake the child); both assessments were conducted at one-month postpartum. Individual social support was reported during pregnancy. Data analyses were conducted through Poisson regressions.Results: A total of 7,147 (9.7%) participants reported PPD, while 12,994 (17.7%) reported child mistreatment at one-month postpartum. Autistic traits were associated with increased PPD risk (adjusted-relative risk [aRR] =1.74, 95%CI=1.64-1.84 for moderate-range; aRR=2.33, 2.13-2.55 for high-range) and child mistreatment (aRR=1.19, 1.13-1.24 for moderate-range; aRR=1.39, 1.28-1.50 for high-range) independently of confounders. Social support mediated 26-31% of these associations for moderate/high-range groups (both risks).Limitations: Self-reported measurements were used.Conclusions: Mothers who reported moderate-to-high autistic traits in the general population were vulnerable to PPD and newborn mistreatment at one-month postpartum, which was partially explained by the lack of social support during pregnancy.