Trajectories of maternal symptoms of anxiety and depression. A 13-year longitudinal study of a population-based sample.
Trajectories of maternal symptoms of anxiety and depression. A 13-year longitudinal study of a population-based sample.
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DOI：
10.1186/1471-2458-10-589
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发表时间：
2010-10-06
影响因子：
4.5
通讯作者：
Mathiesen, Kristin S
中科院分区：
文献类型：
--
作者：
Skipstein, Anni;Janson, Harald;Mathiesen, Kristin S
背景技术背景：有一个缺乏以人口为基础的研究发展轨迹以下的母亲在整个育儿阶段，有几个纵向研究集中在抑郁症和焦虑症的症状。本研究的目的是根据母亲在整个育儿阶段的焦虑和抑郁症状的数量以及潜在群体与母亲社会人口学变量的关系来确定潜在轨迹群体。数据来自前瞻性，对挪威近1000个家庭进行的纵向研究从指标儿童18个月大到14.5岁（TOPP研究）。该研究使用潜在特征分析（LPA）来识别在症状计数时间内具有不同轨迹的潜在母亲群体。结果：从6波焦虑和抑郁症状的数据收集中确定了6个基于母亲评分的轨迹：无症状组（母亲无症状）、低症状组（母亲报告低症状水平）和低症状组（母亲报告低症状水平）。“中度-低”组，母亲报告中度低症状水平;“中度”组，母亲具有中度症状;“高度慢性”组，母亲具有总体高症状水平;和一个“低上升”组，母亲开始时症状水平较低，随着时间的推移而增加。高慢性症状组的母亲在几个社会人口变量上与其他母亲不同。她们明显比低年龄组中年龄最大的母亲年轻。在高慢性组的母亲有显着较低的教育，不太可能有报酬的工作，也不太可能生活在一起的合作伙伴比其他groups.CONCLUSIONS的母亲：该研究显示了社会人口统计学差异的母亲分为六个轨迹组的基础上，覆盖13年的儿童抚养期的焦虑和抑郁症状。特定的社会人口学风险因素表征了高慢性症状组的母亲。查明长期存在问题的亚群体可能会为更有针对性的预防工作提供信息。
BACKGROUND: There is a lack of population-based studies of developmental trajectories following mothers throughout the whole child-rearing phase and there are few longitudinal studies focusing on both symptoms of depression and anxiety. The aim of the current study is to identify latent trajectory groups based on counts of symptoms of anxiety and depression among mothers throughout the child-rearing phase and the relations of the latent groups to maternal socio-demographic variables.METHODS: Data is from a prospective, longitudinal study of nearly 1000 families in Norway followed from when the index children were 18 months until they were 14.5 years old (the TOPP study). The study used latent profile analysis (LPA) to identify latent groups of mothers with distinct trajectories across time of symptom counts. Latent group differences on socio-demographic variables were tested with one-way ANOVAs, chi-square tests and exact tests.RESULTS: Six trajectories based on maternal scores from six waves of data collection of symptoms of anxiety and depression were identified; a 'No symptoms' group with mothers without symptoms; a 'Low' group with mothers reporting low symptom levels; a 'Moderate-low' group with mothers reporting moderately low symptom levels; a 'Moderate' group with mothers with moderate symptoms; a 'High-chronic' group with mothers with overall high symptom levels; and a 'Low-rising' group with mothers starting with a low symptom level that increased over time. The mothers in the High-chronic symptom group differed from the other mothers on several socio-demographic variables. They were significantly younger than the mothers in the Low group comprising the oldest mothers. The mothers in the High-chronic group had significantly lower education, were less likely to have paid work and were less likely to be living with a partner than the mothers in the other groups.CONCLUSIONS: The study shows socio-demographic differences between mothers classified into six trajectory groups based on symptoms of anxiety and depression covering 13 years of the child-rearing period. Specific socio-demographic risk factors characterised mothers in the High-chronic symptom group. Identifying subgroups with enduring problems might inform more targeted preventive efforts.