University of Queensland, St Lucia, Australia 4072.
J Atten Disord. 2010 May;13(6):658-67. doi: 10.1177/1087054709347203. Epub 2009 Oct 5.
This study examines the association between maternal anxiety from pregnancy to 5 years and child attention problems at 5 and 14 years.
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.
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.
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.
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。
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。
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。
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。