Intellectual problems shown by 1-year-old children whose mothers had postnatal depression

Intellectual problems shown by 1-year-old children whose mothers had postnatal depression
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DOI:
10.1111/1469-7610.00784
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发表时间:
2001-10-01
影响因子:
7.6
通讯作者:
Kumar, R
Kumar, R
中科院分区:
医学1区
文献类型:
--
作者:
Hay, DF;Pawlby, S;Kumar, R

文献摘要

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该研究的目的是检查产后三个月抑郁的母亲所生孩子的长期后遗症。在伦敦南部两家全科诊所的社区样本中,149 名妇女在产后 3 个月接受了精神病学访谈,她们的 132 名孩子 (89%) 在 11 岁时接受了精神检查。产后三个月抑郁的女性的孩子智商明显较低。他们还存在注意力问题和数学推理困难,并且比其他孩子更有可能有特殊的教育需求。男孩比女孩受到的影响更严重,其中性别差异在表现智商上最为明显。产后抑郁症与儿童智力问题之间的联系不是由父母的智商介导的,也不是由社会劣势衡量标准或母亲后来的心理健康问题来解释的。母乳喂养并没有消除母亲疾病对全面智商的影响,但对言语智商产生了影响,并且似乎调解了与数学能力的联系。研究结果表明,婴儿期的不良经历可以预测十年后的认知能力和学业表现。
The aim of the study was to examine long-term sequelae in the children of mothers who were depressed at 3 months postpartum. In a community sample from two general practices in South London, 149 women were given psychiatric interviews at 3 months postpartum and 132 of their children (89 %) were tested at 11 years of age. The children of women who were depressed at 3 months postpartum had significantly lower IQ scores. They also had attentional problems and difficulties in mathematical reasoning, and were more likely than other children to have special educational needs. Boys were more severely affected than girls, with the sex difference most pronounced on Performance IQ. The links between postnatal depression and the children's intellectual problems were not mediated by parental IQ and were not accounted for by measures of social disadvantage nor by the mother's later mental health problems. Breastfeeding did not remove the effect of the mother's illness on Full Scale IQ, but exerted its own influence on Verbal IQ and appeared to mediate the link with mathematical ability. The findings show that adverse experiences in infancy predict cognitive ability and academic performance a decade later.