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婴儿腹绞痛、持续性哭闹与母亲产后抑郁。

Infantile colic, prolonged crying and maternal postnatal depression.

作者信息

Vik Torstein, Grote Veit, Escribano Joauqín, Socha Jerzy, Verduci Elvira, Fritsch Michaela, Carlier Clotilde, von Kries Rüdiger, Koletzko Berthold

机构信息

Norwegian University of Science and Technology, Trondheim, Norway.

出版信息

Acta Paediatr. 2009 Aug;98(8):1344-8. doi: 10.1111/j.1651-2227.2009.01317.x. Epub 2009 Apr 28.

Abstract

AIM

To study if infant crying is associated with maternal postnatal depression.

METHODS

Data from 1015 mothers and their children participating in a prospective European multicentre study were analysed. Infantile colic and prolonged crying were defined as excessive crying as reported by the mothers 2 and 6 months after delivery, and at the same time the mothers completed the Edinburgh Postnatal Depression Scale (EPDS).

RESULTS

In cross-sectional analyses, infant crying was associated with high EPDS scores both 2 (OR: 4.4; 95% CI: 2.4-8.2) and 6 months postpartum (OR: 10.8; 95% CI: 4.3-26.9). More than one-third of the others of infants with prolonged crying had high EPDS scores 6 months postpartum. Longitudinal analyses showed that mothers of infants with colic had increased odds of having high EPDS scores 6 months after delivery even if crying had resolved (OR: 3.7; 95% CI: 1.4-10.1).

CONCLUSION

Both infantile colic and prolonged crying were associated with high maternal depression scores. Most noteworthy, infantile colic at 2 months of age was associated with high maternal depression scores 4 months later.

摘要

目的

研究婴儿哭闹是否与母亲产后抑郁相关。

方法

分析了来自参与一项前瞻性欧洲多中心研究的1015名母亲及其子女的数据。婴儿腹绞痛和长时间哭闹被定义为母亲在分娩后2个月和6个月报告的过度哭闹,同时母亲们完成爱丁堡产后抑郁量表(EPDS)。

结果

在横断面分析中,婴儿哭闹与产后2个月(比值比:4.4;95%置信区间:2.4 - 8.2)和6个月(比值比:10.8;95%置信区间:4.3 - 26.9)的高EPDS评分相关。长时间哭闹婴儿的母亲中,超过三分之一在产后6个月有高EPDS评分。纵向分析表明,即使哭闹已经缓解,腹绞痛婴儿的母亲在分娩后6个月有高EPDS评分的几率增加(比值比:3.7;95%置信区间:1.4 - 10.1)。

结论

婴儿腹绞痛和长时间哭闹均与母亲的高抑郁评分相关。最值得注意的是,2个月大时的婴儿腹绞痛与4个月后的母亲高抑郁评分相关。

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