Stress, depression, and the mother-infant relationship across the first year

第一年的压力、抑郁和母婴关系

• 批准号: 8211406
• 负责人: Lucia Marie Ciciolla
• 金额: $ 3.22万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-12-01 至 2013-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8211406
• 关键词: Academic achievement; Acute; Address; Adolescence; Affect; Age-Months; Child; Child Development; Chronic; Chronic stress; Cognitive; Complex; Data; Data Set; Depressed mood; Development; Developmental Process; Emotional; Exposure to; Funding; High Prevalence; Individual Differences; Infant; Infant Development; Link; Literature; Long-Term Effects; Longitudinal Studies; Measurement; Mediating; Mental Depression; Mental Health; Methods; Mexican Americans; Modeling; Mothers; Nature; Outcome; Parenting behavior; Patient Self-Report; Perinatal; Persons; Population; Postpartum Depression; Postpartum Period; Prevalence; Prevention program; Process; Public Health; Regulation; Research; Research Training; Risk; Role; Series; Specific qualifier value; Stress; Testing; Time; To specify; Trauma; Underserved Population; United States National Institutes of Health; Woman; Work; caregiving; chronic depression; cognitive function; depressive symptoms; emotion regulation; experience; health disparity; high risk; infancy; infant outcome; intervention program; longitudinal design; maternal depression; postnatal; prevent; prospective; psychologic; public health relevance; skills; time use

DESCRIPTION (provided by applicant): The current application seeks to investigate the role of chronic daily stress in the course of postpartum depression, the negative impact on infant cognitive and emotional development, and the mediating role of the mother-infant relationship on infant development. Chronic stress is linked to the onset and course of depression, and as many as 19% of women (49% of Mexican-American women) suffer from postpartum depression, making it a significant public health concern. Exposure to maternal depression during early infancy has significant long-term effects on several developmental processes. There is a substantial literature that details the negative effects of postpartum depression on infant adaptation, including deficits in both cognitive functioning and the development of emotion regulation skills. It is possible that these developmental competencies may be dependent upon mother-infant relationship quality, and that this relationship mediates the effects of maternal depression. The proposed research plan will test several models to address the role of daily stress, the impact of depression on the mother-infant relationship and infant competencies, and the mediational role of the quality of the mother-infant relationship on infant development. Data will be drawn from a larger longitudinal study that explores coregulatory processes between infants and their depressed, Mexican-American mothers. Measurements include maternal self-reports of stress, depression, and infant emotional regulation; observations of mother-infant interactions; and assessment of infant cognitive and emotional development across the first postpartum year. These data allow the opportunity to longitudinally explore important public health issues related to postpartum depression and infant development in a high risk population. PUBLIC HEALTH RELEVANCE: The proposed research has important public health implications due to high prevalence rates of postpartum depression in Mexican-American women and the significant impact it is found to have on infant development. Infants with early developmental risk are more likely to suffer from mental health issues, have poorer academic achievement through adolescence, and have poorer long-term adjustment. A better understanding of the mechanisms through which this negative impact operates is needed to inform prevention and intervention programs to promote healthy child development.

描述（申请人提供）：本申请旨在调查慢性日常压力在产后抑郁症过程中的作用、对婴儿认知和情感发展的负面影响以及母婴关系对婴儿发展的中介作用。慢性压力与抑郁症的发作和病程有关，多达 19% 的女性（墨西哥裔美国女性为 49%）患有产后抑郁症，使其成为一个重大的公共卫生问题。在婴儿早期接触母亲抑郁症对多个发育过程具有显着的长期影响。有大量文献详细介绍了产后抑郁症对婴儿适应的负面影响，包括认知功能和情绪调节技能发展的缺陷。这些发展能力可能取决于母婴关系质量，并且这种关系调节了母亲抑郁症的影响。拟议的研究计划将测试几种模型，以解决日常压力的作用、抑郁症对母婴关系和婴儿能力的影响，以及母婴关系质量对婴儿发育的中介作用。数据将来自一项更大规模的纵向研究，该研究探讨了婴儿与其抑郁的墨西哥裔美国母亲之间的共同调节过程。测量包括母亲对压力、抑郁和婴儿情绪调节的自我报告；观察母婴互动；以及产后第一年婴儿认知和情感发展的评估。这些数据使我们有机会纵向探索与高危人群产后抑郁症和婴儿发育相关的重要公共卫生问题。 公共健康相关性：由于墨西哥裔美国妇女产后抑郁症的患病率很高，并且发现它对婴儿发育产生重大影响，因此拟议的研究具有重要的公共健康意义。具有早期发育风险的婴儿更有可能出现心理健康问题，在青春期期间学业成绩较差，并且长期适应能力较差。需要更好地了解这种负面影响的运作机制，以便为促进儿童健康发展的预防和干预计划提供信息。