Letourneau Nicole, Salmani Mahin, Duffett-Leger Linda
Canadian Research Institute for Social Policy, University of New Brunswick, Fredericton, Canada.
West J Nurs Res. 2010 Aug;32(5):662-85. doi: 10.1177/0193945909359409.
Maternal depression, especially in the early years of child development, affects parenting behaviors that have been repeatedly linked to poor outcomes in children. However, recurrent maternal depression may be a more potent predictor of parenting than depression that only occurs in the early years. Longitudinal population data were used to examine the influence of depression in the first 2 years postpartum alone or in combination with recurrent episodes of depression on self-reported parenting behaviors known to influence children's development. Growth curve hierarchical linear modeling was used to examine the relationships among depression in the early years, recurrent depression, and parenting during children's first 12 years of life. Findings revealed that 63% of the depressed mothers reported recurrent episodes of depression. Self-reported parenting behaviors characterized by positive forms of discipline, firmness, and consistency were related to recurrent episodes of depression, whereas warmth and nurturant parenting behaviors were unaffected by recurrent episodes.
母亲抑郁，尤其是在儿童发育的早期阶段，会影响养育行为，而这些行为一再被证明与儿童的不良结局有关。然而，复发性母亲抑郁可能比仅在早期出现的抑郁更能有力地预测养育情况。纵向人口数据被用于研究产后头两年单独出现的抑郁或与复发性抑郁发作相结合对自我报告的、已知会影响儿童发育的养育行为的影响。生长曲线分层线性模型被用于研究儿童生命最初12年中早年抑郁、复发性抑郁和养育之间的关系。研究结果显示，63%的抑郁母亲报告有复发性抑郁发作。以积极的管教形式、坚定性和一致性为特征的自我报告养育行为与复发性抑郁发作有关，而温暖和滋养性的养育行为不受复发性发作的影响。
