Associations Between Maternal Mental Health and Child Emotional and Behavioral Problems: Does Prenatal Mental Health Matter?
Associations Between Maternal Mental Health and Child Emotional and Behavioral Problems: Does Prenatal Mental Health Matter?
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DOI：
10.1007/s10802-013-9766-4
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发表时间：
2014-01-01
影响因子：
3.6
通讯作者：
Mendelson, Tamar
中科院分区：
文献类型：
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作者：
Leis, Julie A.;Heron, Jon;Mendelson, Tamar
本研究探讨了产前抑郁或焦虑症状的升高与后代的情绪和行为问题之间的关联，考虑到后期产妇心理健康症状的影响。样本包括2,891名妇女和她们的孩子（49%是男性），来自一项前瞻性的、以社区为基础的研究，即雅芳父母和孩子纵向研究。妇女完成抑郁（爱丁堡产后抑郁量表）和焦虑（皇冠脆经验指数）症状的措施，在怀孕开始定期。母亲和教师评估子女的情绪和行为问题时，儿童10-11岁的优势和困难问卷。多变量回归模型适合解决研究假设。根据母亲的报告，而不是教师的报告，即使在控制了后来的母亲心理健康问题和一系列社会人口学和心理社会特征之后，怀孕期间暴露于母亲抑郁症状的升高与后代情绪和行为问题的增加有关。同样，据报道，母亲在怀孕期间暴露于母亲焦虑症状升高的儿童的总体情绪和行为问题增加，而不是教师。我们发现，在产前期间，母亲抑郁和焦虑症状的升高与儿童中后期后代情绪和行为问题的某些领域之间存在适度的关联，超出了后期母亲心理健康问题的影响。这些发现强调了需要额外的临床和研究关注产前时期和母亲的抑郁和焦虑。
This study examined associations between elevated symptoms of prenatal depression or anxiety and offspring emotional and behavioral problems during mid to late childhood taking into account the impact of later maternal mental health symptoms. The sample consisted of 2,891 women and their children (49 % male) from a prospective, community-based study, the Avon Longitudinal Study of Parents and Children. Women completed measures of depressive (Edinburgh Postnatal Depression Scale) and anxious (Crown Crisp Experiential Index) symptoms at regular intervals beginning in pregnancy. Mothers and teachers assessed offspring emotional and behavioral problems using the Strengths and Difficulties Questionnaire when children were 10-11 years old. Multivariable regression models were fit to address study hypotheses. Exposure to elevated symptoms of maternal depression during pregnancy was associated with increased total offspring emotional and behavioral problems, even after controlling for later maternal mental health problems and a range of sociodemographic and psychosocial characteristics, according to mothers' but not teachers' reports. Similarly, children exposed to elevated symptoms of maternal anxiety during pregnancy were reported to have increased total emotional and behavioral problems by mothers but not by teachers. We found support for modest associations between elevated symptoms of maternal depression and anxiety during the prenatal period and certain domains of offspring emotional and behavioral problems in mid to late childhood above and beyond the impact of later maternal mental health problems. These findings highlight the need for additional clinical and research attention to the prenatal period and to both maternal depression and anxiety.