Clinical study of postnatal depression. -The impact on child development-

产后抑郁症的临床研究。

基本信息

批准号：
06670958
负责人：
MURATA Mariko
金额：
$ 1.28万
依托单位：
Mie University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1994
资助国家：
日本
起止时间：
1994 至 1996
项目状态：
已结题

项目摘要

Recently, evidence has accumulated supporting an association between postnatal depression and certain indices of child development.We conducted a longitudinal study to identify the impact of postnatal maternal depression on child development. The investigation was conducted in two groups ; one group consisted of women who attended the obstetric clinic (n=1208, Clinic group), and the other was the women who received health guidance from public health nurses of a municipal health center (n=200, Center group). During the late phase of pregnancy, pregnant women agreed to take the State-Trait Anxiety Inventory Trait (A-Trait) test and to remain in the study until one year postpartum. At one, three, four months and one year postpartum, each subject took the Edinburgh Postnatal Depression Scale (EPDS) test and the State-Trait Anxiety Inventory State (A-State) test. At one year postpartum, they were asked about maternal affection and their baby's development by a questionnaire. The prevalence of high scores in EPDS (>=9) tests at one, three, four months and one year postpartum was 18.3%, 11.9%, 7.2% and 12.2% in the Clinic group, and 20.5%, 17.1%, 15.0% and 16.1% in the Center group, respectively. The EPDS score, as well as the A-State at one year postpartum were significantly correlated with poorly developed maternal affection in both groups. Furthermore, the EPDS score and the A-State test were inversely correlated with child development scores in the Center group.These findings contibute to elucidating the association between maternal psychological factors, including postnatal depression, and child development.

最近，证据积累了支持产后抑郁症与儿童发育的某些指数之间的关联。我们进行了一项纵向研究，以确定产后产妇抑郁症对儿童发育的影响。调查分为两组；一组由参加产科诊所（n = 1208，诊所组）的妇女组成，另一组是从市政健康中心的公共卫生护士（n = 200，中心集团）获得健康指导的妇女。在怀孕的后期，孕妇同意参加州特征焦虑量表特征（A-TEAT）测试，并继续进行研究，直到产后一年。在产后三，四个月零一年，每个受试者都参加了爱丁堡产后抑郁量表（EPDS）测试和州特征焦虑量表状态（A-STATE）测试。产后一年，问卷被问及孕产妇的感情和婴儿的发展。在临床组中，EPDS（> = 9）测试中高分（> = 9）测试的高分（> = 9）测试的患病率分别为18.3％，11.9％，7.2％和12.2％，在中心组中分别为20.5％，17.1％，17.1％，15.0％和16.1％。 EPDS的评分以及产后一年的A-State与两组的母性感情不佳相关。此外，EPDS评分和A-STATE检验与中心组的儿童发育分数成反比。这些发现阐明了孕产妇心理因素（包括产后抑郁症和儿童发育）之间的关联。