Postpartum Psychopathology and Teenage Mothers

描述(由申请者提供)：该项目的长期目标是帮助了解少女母亲产后精神病和育儿困难的性质和根源，以及增加母子双方未来心理健康风险的交易关系。其具体目的是调查作为少女怀孕前兆的心理健康问题、产后精神病理的风险以及青少年养育、母亲心理病理和婴儿失调行为和情绪之间的相互作用过程。为了培养作为一名独立研究人员所需的特定专业知识，K01提案包含了候选人的三个培训目标：(I)更全面地了解青少年特有的精神病理学的发展模式；(Ii)发展青少年养育和婴儿调节失调的评估技能；以及(Iii)发展纵向统计分析方面的专业知识，以研究随时间发展的现象。 这些目标将通过一项关于女孩行为和情感发展的纵向、大规模(n=2451)调查(匹兹堡女孩研究：PGS)的前瞻性子研究来实现。在子研究数据收集开始时，PGS中的女孩年龄将在11-14岁之间，已经使用多个线人收集了6次年度数据浪潮。据估计，在K01奖励期间，将有239名青少年成为母亲，至少有191名青少年将参与这项分研究。参与者将被要求带着他们的婴儿在2-3个月和产后12个月访问研究实验室，以评估母亲的心理健康、育儿和婴儿行为，并拍摄母婴互动。该项目提供的信息可能最终改善儿童的福利，方法是制定早期干预措施，以减少青少年怀孕、产后精神病和育儿困难的心理健康风险，因为这些青少年对后代有长期的不良后果。

DESCRIPTION (provided by applicant): The long-term objectives of this project are to contribute to knowledge about the nature and origins of postpartum psychopathology and parenting difficulties among teenage mothers, and the transactional relationships that heighten future mental health risks for both mother and child. The specific aims are to investigate mental health problems as precursors to teenage pregnancy, risks for postpartum psychopathology and the reciprocal processes between teenage parenting, maternal psychopathology and infant dysregulated behavior and emotions. In order to develop specific expertise required as an independent investigator, this K01 proposal encompasses three training goals for the candidate: (i) to gain a fuller understanding of developmental models of psychopathology specific to teenagers; (ii) to develop skills in the assessment of teenage parenting and infant dysregulation; and (iii) to develop expertise in longitudinal statistical analyses to study developmental phenomena over time. These goals will be achieved in a prospective substudy of a longitudinal, large-scale (n=2,451) investigation of girls' behavioral and emotional development (the Pittsburgh Girls Study: PGS). At the start of the substudy data collection, the girls in the PGS will be ages 11-14 years and 6 annual waves of data will already have been collected using multiple informants. It is estimated that 239 teenagers will become mothers during the K01 award period and that a minimum of 191 will participate in the substudy. Participants will be asked to visit the research laboratory with their infant at 2-3 months and at 12 months post delivery for assessment of maternal mental health, parenting and infant behavior and filming of mother-infant interactions. Information from this project may ultimately improve children's welfare by leading to the development of early interventions to reduce mental health risks for teenage pregnancy, postpartum psychopathology and parenting difficulties among adolescents that have long-term, adverse consequences for offspring.