Maternal depressive symptoms at 2 to 4 months post partum and early parenting practices
Maternal depressive symptoms at 2 to 4 months post partum and early parenting practices
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DOI：
10.1001/archpedi.160.3.279
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发表时间：
2006-03-01
影响因子：
--
通讯作者：
Hou, W
中科院分区：
文献类型：
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作者：
McLearn, KT;Minkovitz, CS;Hou, W
目的：确定婴儿2-4个月大时报告的母亲抑郁症状是否与母亲早期养育方式有关。设计：从全国幼儿健康步骤评估中收集的次要数据分析。数据来源包括新生儿入学调查问卷和婴儿2至4个月大时的父母访谈。研究对象：共有5565个家庭参加了健康计划；4874名母亲(88%)完成了为期2至4个月的访谈，并提供了流行病学研究中心抑郁量表数据；17.8%的母亲报告有抑郁症状。主要观察指标：在3个领域评估的10种育儿方式：安全(睡姿和降低水温)、喂养(谷类食品、水或果汁；继续母乳喂养)，以及促进儿童发展的做法(看书，与婴儿玩耍，与婴儿交谈，并遵循2个或2个以上的例行公事)。结果：有抑郁症状和没有抑郁症状的母亲报告了类似的安全使用和喂养做法。有抑郁症状的母亲继续母乳喂养的几率较低(调整后的优势比[AOR]，0.73；95%可信区间[CI]，0.61-0.88)，展示书籍(AOR，0.81；95%CI，0.68-0.97)，与婴儿玩耍(AOR，0.70；95%CI，0.54-0.90)，与婴儿交谈(AOR，0.74；95%CI，0.63-0.86)，以及遵循常规(AOR，0.61；95%氯，0.52-0.72)。结论：母亲抑郁症状在婴幼儿早期是常见的，并导致不良的父母养育方式。
Objective: To determine whether maternal depressive symptoms, reported when infants are 2 to 4 months old, are associated with mothers' early parenting practices.Design: Secondary data analyses collected from the National Evaluation of Healthy Steps for Young Children. Data sources included newborn enrollment questionnaires and parent interviews when infants were 2 to 4 months old. Maternal depressive symptoms were assessed using the Center for Epidemiological Studies Depression Scale.Setting: Twenty-four pediatric practices across the United States.Participants: A total of 5565 families enrolled in Healthy Steps; 4874 mothers (88%) completed 2- to 4-month interviews and provided Center for Epidemiologic Studies Depression Scale data; 17.8% of mothers reported having depressive symptoms.Main Outcome Measures: Ten parenting practices assessed in 3 domains: safety (sleep position and lowering water temperature), feeding (cereal, water, or juice; continuing breastfeeding), and practices to promote child development (showing books, playing with infant, talking to infant, and following 2 or more routines).Results: Mothers with and without depressive symptoms reported similar uses of safety and feeding practices. Mothers with depressive symptoms had reduced odds of continuing breastfeeding (adjusted odds ratio [AOR], 0.73; 95% confidence interval [Cl], 0.61-0.88), showing books (AOR, 0.81; 95% Cl, 0.68-0.97), playing with the infant (AOR, 0.70; 95% Cl, 0.54-0.90), talking to the infant (AOR, 0.74; 95% Cl, 0.63-0.86), and following routines (AOR, 0.61; 95% Cl, 0.52-0.72).Conclusion: Maternal depressive symptoms are common in early infancy and contribute to unfavorable parenting practices.