母亲心理健康轨迹：一项前瞻性研究，从怀孕到产后 36 个月，研究患有先天性心脏病婴儿的母亲。
Trajectories of maternal mental health: a prospective study of mothers of infants with congenital heart defects from pregnancy to 36 months postpartum.
机构信息
Department of Psychosomatics and Health Behaviour, Norwegian Institute of Public Health, Box 4404 Nydalen, 0403 Oslo, Norway.
出版信息
J Pediatr Psychol. 2012 Jul;37(6):687-96. doi: 10.1093/jpepsy/jss044. Epub 2012 Mar 9.
Abstract
OBJECTIVE
To chart mothers' trajectories of mental health from pregnancy to 36 months postpartum in order to investigate the association between infants' congenital heart defects (CHD) and compromised maternal mental health.
METHODS
Mothers of infants with mild, moderate, or severe CHD (n = 141) and mothers (n = 36,437) enrolled in the Norwegian Mother and Child Cohort Study were assessed at regular intervals from pregnancy up to 36 months postpartum, including measurements at 6 and 18 months, using an 8-item version of the Hopkins Symptom Checklist-25.
RESULTS
Mean score trajectories of SCL-8 for mothers of infants with severe CHD deviated significantly from cohort controls 6, 18, and 36 months postpartum, indicating heightened symptoms of depression and anxiety.
CONCLUSIONS
Mothers of infants with severe CHD are at risk of compromised mental health from delivery to 36 months postpartum. Strain due to CHD-related interventions is identified as a possible partial mediator of the distress.
摘要
目的
描绘母亲从怀孕到产后 36 个月的心理健康轨迹，以调查婴儿先天性心脏病 (CHD) 与产妇心理健康受损之间的关系。
方法
对患有轻度、中度或重度 CHD 的婴儿的母亲（n=141）和参加挪威母婴队列研究的母亲（n=36437）进行评估，从怀孕到产后 36 个月定期进行评估，包括在 6 个月和 18 个月时进行测量，使用 Hopkins 症状清单-25 的 8 项版本。
结果
患有严重 CHD 的婴儿的母亲的 SCL-8 平均得分轨迹在产后 6、18 和 36 个月与队列对照明显不同，表明抑郁和焦虑症状加重。
结论
患有严重 CHD 的婴儿的母亲在分娩后到产后 36 个月存在心理健康受损的风险。与 CHD 相关干预相关的压力被确定为困扰的一个可能的部分中介。
相似文献
1
Trajectories of maternal mental health: a prospective study of mothers of infants with congenital heart defects from pregnancy to 36 months postpartum.
J Pediatr Psychol. 2012 Jul;37(6):687-96. doi: 10.1093/jpepsy/jss044. Epub 2012 Mar 9.
2
Long-term symptoms of depression and anxiety in mothers of infants with congenital heart defects.
J Pediatr Psychol. 2011 Mar;36(2):179-87. doi: 10.1093/jpepsy/jsq054. Epub 2010 Jun 17.
3
Emotional reactivity in infants with congenital heart defects and maternal symptoms of postnatal depression.
Arch Womens Ment Health. 2011 Dec;14(6):487-92. doi: 10.1007/s00737-011-0243-1. Epub 2011 Oct 22.
4
Well-being in mothers of children with congenital heart defects: a 3-year follow-up.
Qual Life Res. 2013 Oct;22(8):2063-72. doi: 10.1007/s11136-012-0326-0. Epub 2012 Nov 30.
5
Relationship satisfaction among mothers of children with congenital heart defects: a prospective case-cohort study.
J Pediatr Psychol. 2013 Sep;38(8):915-26. doi: 10.1093/jpepsy/jst038. Epub 2013 Jun 22.
6
Mothers of infants with congenital heart defects: well-being from pregnancy through the child's first six months.
Qual Life Res. 2012 Feb;21(1):115-22. doi: 10.1007/s11136-011-9920-9. Epub 2011 May 5.
7
Impact of trajectories of maternal postpartum depression on infants' socioemotional development.
Pediatr Res. 2024 Jul;96(2):519-524. doi: 10.1038/s41390-023-02697-w. Epub 2023 Jun 19.
8
Antenatal and postnatal maternal mental health as determinants of infant neurodevelopment at 18 months of age in a mother-child cohort (Rhea Study) in Crete, Greece.
Soc Psychiatry Psychiatr Epidemiol. 2013 Aug;48(8):1335-45. doi: 10.1007/s00127-012-0636-0. Epub 2012 Dec 18.
9
Maternal anxiety versus depressive disorders: specific relations to infants' crying, feeding and sleeping problems.
Child Care Health Dev. 2016 Mar;42(2):231-45. doi: 10.1111/cch.12292. Epub 2015 Oct 22.
10
The association between prenatal maternal anxiety disorders and postpartum perceived and observed mother-infant relationship quality.
J Anxiety Disord. 2019 Dec;68:102148. doi: 10.1016/j.janxdis.2019.102148. Epub 2019 Sep 21.
引用本文的文献
1
Longer-term experiences of families of children with dextro-transposition of the great arteries: a qualitative study.
Pediatr Res. 2025 Jul 17. doi: 10.1038/s41390-025-04201-y.
2
Impact of the Fetal Echocardiogram on Maternal Depression and Well-Being.
Pediatr Cardiol. 2025 Feb;46(2):409-419. doi: 10.1007/s00246-024-03435-7. Epub 2024 Feb 29.
3
Psychological Impact of a Prenatal Diagnosis of Congenital Heart Disease on Parents: Is It Time for Tailored Psychological Support?
J Cardiovasc Dev Dis. 2024 Jan 20;11(1):31. doi: 10.3390/jcdd11010031.
4
Nurse-guided Mobile Health Care Program to Reduce Emotional Distress Experienced by Parents of Infants Prenatally Diagnosed with Critical Congenital Heart Disease: A Pilot Study.
Prog Pediatr Cardiol. 2024 Mar;72. doi: 10.1016/j.ppedcard.2023.101687. Epub 2023 Nov 18.
5
Parents' Psychological and Decision-Making Outcomes following Prenatal Diagnosis with Complex Congenital Heart Defect: An Exploratory Study.
MDM Policy Pract. 2023 Oct 31;8(2):23814683231204551. doi: 10.1177/23814683231204551. eCollection 2023 Jul-Dec.
6
Mental health-related quality of life in mothers of children with surgically repaired congenital heart disease: a 13-year longitudinal study.
Qual Life Res. 2023 Oct;32(10):2975-2986. doi: 10.1007/s11136-023-03440-y. Epub 2023 May 30.
7
Rates of depression, anxiety, and stress in parents of children with congenital heart disease using the Depression Anxiety Stress Scale.
Ann Pediatr Cardiol. 2022 Jul-Aug;15(4):374-379. doi: 10.4103/apc.apc_27_22. Epub 2023 Jan 6.
8
Parent mental health and family functioning following diagnosis of CHD: a research agenda and recommendations from the Cardiac Neurodevelopmental Outcome Collaborative.
Cardiol Young. 2021 Jun;31(6):900-914. doi: 10.1017/S1047951121002134. Epub 2021 Jun 4.
9
Role alteration predicts anxiety and depressive symptoms in parents of infants with congenital heart disease: a pilot study.
Cardiol Young. 2021 Nov;31(11):1842-1849. doi: 10.1017/S1047951121001037. Epub 2021 Apr 5.
10
Parental role alteration strongly influences depressive symptoms in mothers of preoperative infants with congenital heart disease.
Heart Lung. 2021 Mar-Apr;50(2):235-241. doi: 10.1016/j.hrtlng.2020.12.003. Epub 2020 Dec 17.
本文引用的文献
1
Mothers of infants with congenital heart defects: well-being from pregnancy through the child's first six months.
Qual Life Res. 2012 Feb;21(1):115-22. doi: 10.1007/s11136-011-9920-9. Epub 2011 May 5.
2
Impact of congenital heart disease on brain development and neurodevelopmental outcome.
Int J Pediatr. 2010;2010. doi: 10.1155/2010/359390. Epub 2010 Aug 24.
3
Long-term parental psychological distress among parents of children with a malformation--a prospective longitudinal study.
Am J Med Genet A. 2010 Sep;152A(9):2193-202. doi: 10.1002/ajmg.a.33605.
4
Evaluation of growth and neurodevelopment in children with congenital heart disease.
Pediatr Int. 2011 Jun;53(3):345-9. doi: 10.1111/j.1442-200X.2010.03230.x.
5
Long-term symptoms of depression and anxiety in mothers of infants with congenital heart defects.
J Pediatr Psychol. 2011 Mar;36(2):179-87. doi: 10.1093/jpepsy/jsq054. Epub 2010 Jun 17.
6
Infant temperament and parental stress in 3-month-old infants after surgery for complex congenital heart disease.
J Dev Behav Pediatr. 2010 Apr;31(3):202-8. doi: 10.1097/DBP.0b013e3181d3deaa.
7
A systematic review of motor and cognitive outcomes after early surgery for congenital heart disease.
Pediatrics. 2010 Apr;125(4):e818-27. doi: 10.1542/peds.2009-1959. Epub 2010 Mar 15.
8
Feeding infants with CHD with breast milk: Norwegian Mother and Child Cohort Study.
Acta Paediatr. 2010 Mar;99(3):373-8. doi: 10.1111/j.1651-2227.2009.01605.x. Epub 2009 Dec 24.
9
A controlled trial of early interventions to promote maternal adjustment and development in infants born with severe congenital heart disease.
Child Care Health Dev. 2010 Jan;36(1):110-7. doi: 10.1111/j.1365-2214.2009.01026.x. Epub 2009 Nov 26.
10
Motor and social development in 6-month-old children with congenital heart defects.
J Pediatr. 2010 Feb;156(2):265-9.e1. doi: 10.1016/j.jpeds.2009.08.035. Epub 2009 Nov 1.
Zotero 插件