Perinatal maternal depressive symptoms and risk of behavioral problems at five years
Perinatal maternal depressive symptoms and risk of behavioral problems at five years
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围产期母亲抑郁症状和五年内出现行为问题的风险
DOI：
10.1038/s41390-021-01719-9
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发表时间：
2021
影响因子：
3.6
通讯作者：
Miyake Yoshihiro
中科院分区：
文献类型：
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作者：
Yamada Maoka;Tanaka Keiko;Arakawa Masashi;Miyake Yoshihiro
研究背景关于围产期母亲抑郁与儿童行为发育之间关系的证据有限。我们调查了母亲在怀孕期间和产后抑郁症状和儿童行为问题的风险之间的关联使用的数据从birth cohort study.MethodsStudy的主题是1199母子对。采用流行病学研究中心抑郁量表对孕妇孕期抑郁症状进行评估，产后4个月采用爱丁堡产后抑郁量表进行评估。在5岁的儿童的行为发展进行了评估的优势和困难Questionnaire. ResultsComparison与儿童的母亲没有经历抑郁症状在怀孕期间，那些母亲没有经历抑郁症状在怀孕期间的情绪症状，行为问题，多动症，同伴问题，低亲社会行为的风险增加。产后4个月左右的母亲抑郁症状与儿童情绪问题的风险增加有关。与母亲在围产期没有抑郁症状的孩子相比，那些母亲在怀孕期间和产后都经历过抑郁症状的人，儿童期情绪症状的风险增加了5倍，同伴问题的风险增加了3倍。研究了围产期母亲抑郁症和儿童行为发育之间的关系，但结果是相互矛盾和不确定的。在亚洲，关于这一主题的证据有限。在我们的研究中，使用的数据来自一个前瞻性的怀孕出生队列，产后4个月左右母亲出现抑郁症状与5岁儿童出现情绪症状的风险增加有关。在怀孕和产后出现情绪症状的人，儿童期出现情绪症状的风险增加了五倍，出现同伴问题的风险增加了三倍。
BackgroundEvidence on the association between perinatal maternal depression and children’s behavioral development is limited. We investigated the association between maternal depressive symptoms during pregnancy and postpartum and the risk of childhood behavioral problems using data from a birth cohort study.MethodsStudy subjects were 1199 mother–child pairs. Maternal depressive symptoms were assessed with the Center for Epidemiologic Studies Depression Scale during pregnancy and the Edinburgh Postnatal Depression Scale at 4 months postpartum. Children’s behavioral development at 5 years of age was assessed with the Strengths and Difficulties Questionnaire.ResultsCompared with children whose mothers did not experience depressive symptoms during pregnancy, those whose mothers did experience depressive symptoms during pregnancy had increased risk of emotional symptoms, conduct problems, hyperactivity, peer problems, and low prosocial behavior. Maternal depressive symptoms at around 4 months postpartum were associated with increased risk of childhood emotional problems. Compared with children whose mothers did not experience depressive symptoms during the perinatal period, those whose mothers did experience depressive symptoms both during pregnancy and postpartum had a fivefold increased risk of childhood emotional symptoms and a threefold increased risk of peer problems.ConclusionsOur findings suggest that perinatal maternal depression is associated with behavioral problems in children.ImpactSeveral epidemiological studies in Western countries have examined the association between perinatal maternal depression and children’s behavioral development, yet the results are conflicting and inconclusive.There is limited evidence on this topic in Asia.In our study using data from a prospective pregnancy birth cohort, maternal depressive symptoms around 4 months postpartum were associated with an increased risk of emotional symptoms in children aged 5 years.Children whose mothers had exhibited depressive symptoms both during pregnancy and postpartum had a fivefold increased risk of childhood emotional symptoms and a threefold increased risk of peer problems.
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DOI：
10.1111/j.1469-7610.2010.02205.x
发表时间：
2010-06
期刊：
Journal of child psychology and psychiatry, and allied disciplines
影响因子：
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作者：
Silberg JL;Maes H;Eaves LJ
通讯作者：
Eaves LJ
DOI：
10.1111/j.1469-7610.2006.01714.x
发表时间：
2007-03-01
影响因子：
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通讯作者：
Glover, Vivette
影响因子：
6.4
作者：
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通讯作者：
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影响因子：
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作者：
Matsuishi, Toyojiro;Nagano, Miki;Kakuma, Tatsuyuki
通讯作者：
Kakuma, Tatsuyuki
佐佐木：鱼类健康杂志。
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