Predictors of Depressive Symptom Trajectories in Mothers of Preterm or Low Birth Weight Infants
Predictors of Depressive Symptom Trajectories in Mothers of Preterm or Low Birth Weight Infants
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DOI：
10.1037/a0016117
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发表时间：
2009-10-01
影响因子：
2.7
通讯作者：
Dilworth-Bart, Janean
中科院分区：
文献类型：
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作者：
Poehlmann, Julie;Schwichtenberg, A. J. Miller;Dilworth-Bart, Janean
在有早产婴儿或低出生体重婴儿的家庭中，对母亲抑郁轨迹的预测因素进行了纵向研究。共有181名母婴在新生儿重症监护病房（NICU）出院前参加了这项研究。在5个时间点评估产妇抑郁症状，并在新生儿重症监护室出院时评估环境变量和婴儿风险。层次线性模型显示，经历更多风险因素的母亲在婴儿新生儿重症监护病房出院前报告的抑郁症状更多，在孩子出生后几个月抑郁症状的下降幅度较小。虽然累积风险预测抑郁轨迹，但这种影响似乎是由母亲和家庭社会人口风险驱动的，而不是由婴儿风险驱动的。添加家庭支持作为协变量的多水平模型与家庭的子样本显示，社会支持和抑郁随时间共变。然而，大多数关于风险和抑郁之间关系的研究结果保持一致，而母亲种族和多胞胎的影响略有减弱。
Predictors of maternal depression trajectories were examined longitudinally in families with an infant born preterm or at a low birth weight. A total of 181 mother-infant dyads enrolled in the study before the infant's neonatal intensive care unit (NICU) discharge. Maternal depressive symptoms were assessed at 5 timepoints, and contextual variables and infant risks were assessed at NICU discharge. Hierarchical linear models revealed that mothers who experienced more risk factors reported more depressive symptoms just before their infant's NICU discharge and showed less decline in depressive symptoms in the months immediately following the child's birth. Although cumulative risks predicted depression trajectories, this effect appeared driven by maternal and family sociodemographic risks rather than infant risks. Addition of family support as a covariate in the multilevel models with a subsample of families revealed that social support and depression covaried across time. However, most of the findings regarding the association between risk and depression remained consistent, whereas the effects of maternal race and multiple birth were slightly attenuated.