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母亲的焦虑和儿童在 5 岁和 14 岁时的注意力问题。

Maternal anxiety and attention problems in children at 5 and 14 years.

机构信息

University of Queensland, St Lucia, Australia 4072.

出版信息

J Atten Disord. 2010 May;13(6):658-67. doi: 10.1177/1087054709347203. Epub 2009 Oct 5.

Abstract

OBJECTIVE

This study examines the association between maternal anxiety from pregnancy to 5 years and child attention problems at 5 and 14 years.

METHOD

Birth cohort of 3,982 individuals born in Brisbane between 1981 and 1983 are assessed. Self-reported measures of maternal anxiety are assessed at four time points. Maternal reports of child attention problems using Achenbach's Child Behavior Checklist are assessed at 5 and 14 years.

RESULTS

Children of mothers experiencing anxiety during or after pregnancy are at greater risk of experiencing attention problems at 5 and 14 years. After adjusting for maternal age and child's gender, antenatal anxiety is strongly associated with persistent attention problems (OR = 3.65, 95% CI = 2.19, 6.07). Children with chronically anxious mothers are 5.67 (95% CI = 3.56, 9.03) times more likely to have persistent attention problems. These associations remain consistent after adjusting for potential confounders.

CONCLUSIONS

Maternal anxiety appears to increase the rate of child attention problems and identifies a need for treatment programs to have a dual focus-the mother and her child.

摘要

目的

本研究考察了母亲从怀孕到 5 岁期间的焦虑与 5 岁和 14 岁儿童注意力问题之间的关系。

方法

本研究对 1981 年至 1983 年间在布里斯班出生的 3982 名个体进行了队列研究。在四个时间点评估了母亲焦虑的自我报告测量。在 5 岁和 14 岁时,使用 Achenbach 儿童行为检查表评估了母亲报告的儿童注意力问题。

结果

在怀孕期间或之后经历焦虑的母亲的孩子在 5 岁和 14 岁时更有可能出现注意力问题。在调整了母亲年龄和孩子性别后,产前焦虑与持续存在的注意力问题密切相关(OR=3.65,95%CI=2.19,6.07)。母亲长期焦虑的孩子出现持续注意力问题的可能性是正常孩子的 5.67 倍(95%CI=3.56,9.03)。这些关联在调整潜在混杂因素后仍然一致。

结论

母亲的焦虑似乎会增加儿童注意力问题的发生率,并表明需要治疗计划同时关注母亲及其孩子。

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