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儿童期行为抑制与母亲的抑郁症状。

Childhood behavioral inhibition and maternal symptoms of depression.

作者信息

Moehler E, Kagan J, Parzer P, Brunner R, Reck C, Wiebel A, Poustka L, Resch F

机构信息

Department of Child and Adolescent Psychiatry, University of Heidelberg, Heidelberg, Germany.

出版信息

Psychopathology. 2007;40(6):446-52. doi: 10.1159/000107429. Epub 2007 Aug 20.

Abstract

BACKGROUND

The significance of behavioral inhibition in the second year of life for the development of social phobia in later childhood was the incentive to explore whether maternal postnatal psychopathology is a predictor for behavioral inhibition in the offspring.

METHOD

101 mother-infant pairs were recruited from local obstetric units and examined for maternal psychopathology by the Symptom Checklist and the Edinburgh Postnatal Depression Scale several times during the first postnatal year. Child behavioral inhibition was assessed at 14 months in a laboratory procedure.

RESULTS

Postpartum depression at 4 months measured by the Edinburgh Postnatal Depression Scale was found to be strongly associated with toddlers' fear score/behavioral inhibition at 14 months. Maternal depressive symptoms assessed by the revised 90-item Symptom Checklist at 6 weeks , 4 and 14 months were found to be related to child inhibition as well.

CONCLUSIONS

Even maternal depression not reaching the level of clinical diagnosis and treatment has an impact on child behavioral development. These data should give rise to further studies on the origins of this relationship, which might be primarily genetic or interactional.

摘要

背景

生命第二年的行为抑制对童年后期社交恐惧症发展的重要性,是探究产后母亲精神病理学是否为后代行为抑制预测因素的诱因。

方法

从当地产科单位招募了101对母婴,并在产后第一年多次通过症状清单和爱丁堡产后抑郁量表对母亲的精神病理学进行检查。在14个月时通过实验室程序评估儿童的行为抑制情况。

结果

发现通过爱丁堡产后抑郁量表测得的4个月时的产后抑郁与14个月时幼儿的恐惧得分/行为抑制密切相关。在6周、4个月和14个月时通过修订的90项症状清单评估的母亲抑郁症状也与儿童抑制有关。

结论

即使未达到临床诊断和治疗水平的母亲抑郁也会对儿童行为发展产生影响。这些数据应促使对这种关系的起源进行进一步研究,其可能主要是遗传或相互作用的。

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