Resilience mediates the relationship between household dysfunction in childhood and postpartum depression in adolescent mothers in Peru.
Resilience mediates the relationship between household dysfunction in childhood and postpartum depression in adolescent mothers in Peru.
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DOI：
10.1016/j.comppsych.2020.152215
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发表时间：
2021-01
影响因子：
7.3
通讯作者：
Gelaye B
中科院分区：
文献类型：
--
作者：
Carroll H;Rondon MB;Sanchez SE;Fricchione GL;Williams MA;Gelaye B
产后抑郁与母亲和儿童的各种不良健康结果有关[[1]，[2],[3]]。特别值得关注的是，与大龄母亲相比，未成年母亲在怀孕前面临着各种各样的风险，比如童年的不良经历，以及与抚养孩子一起发生的风险，比如经历产后抑郁症[[2]，[3],[4],[5]]。产后抑郁症母亲的孩子更有可能出现一系列不良结局，包括婴儿出生体重较低、儿童生长发育较慢、儿童肥胖风险增加，以及不良的神经发育和行为结局[6,7]，这些不良结局可能持续到儿童期[8]，并增加儿童期精神健康障碍的风险bbb。此外，据低收入和中等收入国家的估计，高达25%的孕妇出现常见精神健康障碍症状，包括抑郁症。因此，低收入和中等收入国家的少女母亲特别容易受到与怀孕有关的并发症的伤害，因为孕产妇和生殖健康问题是造成疾病负担的一个主要原因。产后抑郁症的一个一致的预测因素是童年时期的不良经历。众所周知，生活在冲突后国家（如秘鲁）的少女母亲的童年逆境负担很高。对于秘鲁的孕妇来说，以前接触过不良的童年经历与总体健康状况不佳、亲密伴侣暴力和怀孕期间出现抑郁症状的风险增加有关[10]。迄今为止，大多数研究已经调查了秘鲁儿童或成年亲密伴侣暴力中遭受的身体、性或心理虐待与产后抑郁症的关系[6，[13],[14],[15]]。虽然有证据表明，童年时期的虐待是产后抑郁症等精神病理的最强预测因素之一，但其他形式的逆境，如整体家庭功能障碍，也是产后抑郁症的重要预测因素。家庭功能障碍包括在儿童的家庭环境中发生在其他人身上的事件，包括家庭中的物质使用、家庭成员的监禁、精神健康障碍和目睹对其母亲的暴力行为。家庭功能障碍，连同其他形式的童年不良事件，导致成年后健康状况不佳，包括增加意外怀孕的可能性。然而，很少有研究专门关注家庭功能障碍与产后抑郁症的关系。
Postpartum depression is related to a variety of adverse health outcomes for mothers and children [[1],[2],[3]]. Of particular concern, when compared to older mothers, being an adolescent mother is associated with an assortment of risks that precede the pregnancy, such as adverse experiences in childhood, as well as risks that occur together with raising the child, such as experiencing postpartum depression [[2],[3],[4],[5]]. Children of mothers with postpartum depression are more likely to have a constellation of adverse outcomes including lower infant birth weight, lower child growth, increased risk for childhood obesity, as well as adverse neurodevelopmental and behavioral outcomes [6, 7] that may persist into childhood [8] and increase the risk for childhood mental health disorders [9]. Moreover, estimates in low and middle income countries suggest up to 25% of pregnant women experience symptoms of common mental health disorders including depression [6]. Thus, adolescent mothers in low and middle income countries are particularly vulnerable to pregnancy related complications, as maternal and reproductive health problems are a key cause of disease burden [10].One consistent predictor of postpartum depression is adverse experiences in childhood [11]. Adolescent mothers living in post-conflict countries, such as Peru, are known to have a high burden of childhood adversity [12]. For pregnant women in Peru, prior exposure to adverse childhood experiences is associated with an increased risk of poor general health, intimate partner violence, and depressive symptoms occurring during pregnancy [13]. To date, the majority of research has examined associations of physical, sexual, or psychological abuse experienced in childhood or adulthood intimate partner violence with postpartum depression in Peru [6,[13],[14],[15]]. While evidence suggests that childhood abuse is one of the strongest predictors of psychopathology such as postpartum depression, other forms of adversities, such as overall household dysfunction, are also important predictors of postpartum depression [16]. Household dysfunction encompasses events that occurred for others in the child's household environment including substance use in the household, incarceration of a household member, mental health disorders, and witnessing violence against their mother. Household dysfunction, along with other forms of adverse childhood events, contributes to poor health outcomes in adulthood [17], including increased likelihood of an unplanned pregnancy [18]. Yet, few studies have focused specifically on household dysfunction as related to postpartum depression [16].
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童年时期的身体和性虐待与亲密伴侣的暴力，孕妇的一般健康状况不佳和抑郁症状的关联。
影响因子：
3.7
作者：
Barrios YV;Gelaye B;Zhong Q;Nicolaidis C;Rondon MB;Garcia PJ;Sanchez PA;Sanchez SE;Williams MA
通讯作者：
Williams MA
影响因子：
7.4
作者：
Connor, KM;Davidson, JRT
通讯作者：
Davidson, JRT
影响因子：
3.8
作者：
Bayer, Angela M.;Gilman, Robert H.;Hindin, Michelle J.
通讯作者：
Hindin, Michelle J.
影响因子：
26.1
作者：
Global Burden of Disease Child and Adolescent Health Collaboration;Kassebaum N;Kyu HH;Zoeckler L;Olsen HE;Thomas K;Pinho C;Bhutta ZA;Dandona L;Ferrari A;Ghiwot TT;Hay SI;Kinfu Y;Liang X;Lopez A;Malta DC;Mokdad AH;Naghavi M;Patton GC;Salomon J;Sartorius B;Topor-Madry R;Vollset SE;Werdecker A;Whiteford HA;Abate KH;Abbas K;Damtew SA;Ahmed MB;Akseer N;Al-Raddadi R;Alemayohu MA;Altirkawi K;Abajobir AA;Amare AT;Antonio CAT;Arnlov J;Artaman A;Asayesh H;Avokpaho EFGA;Awasthi A;Ayala Quintanilla BP;Bacha U;Betsu BD;Barac A;Bärnighausen TW;Baye E;Bedi N;Bensenor IM;Berhane A;Bernabe E;Bernal OA;Beyene AS;Biadgilign S;Bikbov B;Boyce CA;Brazinova A;Hailu GB;Carter A;Castañeda-Orjuela CA;Catalá-López F;Charlson FJ;Chitheer AA;Choi JJ;Ciobanu LG;Crump J;Dandona R;Dellavalle RP;Deribew A;deVeber G;Dicker D;Ding EL;Dubey M;Endries AY;Erskine HE;Faraon EJA;Faro A;Farzadfar F;Fernandes JC;Fijabi DO;Fitzmaurice C;Fleming TD;Flor LS;Foreman KJ;Franklin RC;Fraser MS;Frostad JJ;Fullman N;Gebregergs GB;Gebru AA;Geleijnse JM;Gibney KB;Gidey Yihdego M;Ginawi IAM;Gishu MD;Gizachew TA;Glaser E;Gold AL;Goldberg E;Gona P;Goto A;Gugnani HC;Jiang G;Gupta R;Tesfay FH;Hankey GJ;Havmoeller R;Hijar M;Horino M;Hosgood HD;Hu G;Jacobsen KH;Jakovljevic MB;Jayaraman SP;Jha V;Jibat T;Johnson CO;Jonas J;Kasaeian A;Kawakami N;Keiyoro PN;Khalil I;Khang YH;Khubchandani J;Ahmad Kiadaliri AA;Kieling C;Kim D;Kissoon N;Knibbs LD;Koyanagi A;Krohn KJ;Kuate Defo B;Kucuk Bicer B;Kulikoff R;Kumar GA;Lal DK;Lam HY;Larson HJ;Larsson A;Laryea DO;Leung J;Lim SS;Lo LT;Lo WD;Looker KJ;Lotufo PA;Magdy Abd El Razek H;Malekzadeh R;Markos Shifti D;Mazidi M;Meaney PA;Meles KG;Memiah P;Mendoza W;Abera Mengistie M;Mengistu GW;Mensah GA;Miller TR;Mock C;Mohammadi A;Mohammed S;Monasta L;Mueller U;Nagata C;Naheed A;Nguyen G;Nguyen QL;Nsoesie E;Oh IH;Okoro A;Olusanya JO;Olusanya BO;Ortiz A;Paudel D;Pereira DM;Perico N;Petzold M;Phillips MR;Polanczyk GV;Pourmalek F;Qorbani M;Rafay A;Rahimi-Movaghar V;Rahman M;Rai RK;Ram U;Rankin Z;Remuzzi G;Renzaho AMN;Roba HS;Rojas-Rueda D;Ronfani L;Sagar R;Sanabria JR;Kedir Mohammed MS;Santos IS;Satpathy M;Sawhney M;Schöttker B;Schwebel DC;Scott JG;Sepanlou SG;Shaheen A;Shaikh MA;She J;Shiri R;Shiue I;Sigfusdottir ID;Singh J;Silpakit N;Smith A;Sreeramareddy C;Stanaway JD;Stein DJ;Steiner C;Sufiyan MB;Swaminathan S;Tabarés-Seisdedos R;Tabb KM;Tadese F;Tavakkoli M;Taye B;Teeple S;Tegegne TK;Temam Shifa G;Terkawi AS;Thomas B;Thomson AJ;Tobe-Gai R;Tonelli M;Tran BX;Troeger C;Ukwaja KN;Uthman O;Vasankari T;Venketasubramanian N;Vlassov VV;Weiderpass E;Weintraub R;Gebrehiwot SW;Westerman R;Williams HC;Wolfe CDA;Woodbrook R;Yano Y;Yonemoto N;Yoon SJ;Younis MZ;Yu C;Zaki MES;Zegeye EA;Zuhlke LJ;Murray CJL;Vos T
通讯作者：
Vos T
DOI：
10.1016/j.pedn.2012.07.014
发表时间：
2013-05-01
影响因子：
2.4
作者：
Letourneau, Nicole L.;Tramonte, Lucia;Willms, J. Douglas
通讯作者：
Willms, J. Douglas