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产后心理困扰的哪些模式与母亲对其子女三岁时情绪和行为问题的担忧有关?

What patterns of postpartum psychological distress are associated with maternal concerns about their children's emotional and behavioural problems at the age of three years?

作者信息

Benzies Karen, Mychasiuk Richelle, Tough Suzanne

机构信息

Faculty of Nursing and Department of Pediatrics, University of Calgary , PF2222 - 2500 University Drive, Calgary , Alberta , Canada T2N 1N4.

Faculty of Medicine, University of Calgary , 2500 University Drive NW, Calgary , Canada AB T2N 1N4.

出版信息

Early Child Dev Care. 2015 Jan 2;185(1):1-16. doi: 10.1080/03004430.2014.899592. Epub 2014 Mar 31.

DOI:10.1080/03004430.2014.899592
PMID:25544794
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4270423/
Abstract

Mothers experiencing psychological distress in the postpartum period may have difficulties parenting their children. Inconsistent and unresponsive parenting may increase the risk of later emotional and behavioural problems in children. The purpose of this study was to identify how maternal psychological characteristics cluster at eight weeks postpartum, and whether these clusters were associated with maternal-reported child emotional and behavioural problems at the age of three years, as measured by the Parents' Evaluation of Developmental Status (PEDS) questionnaire. In a longitudinal pregnancy cohort ( = 647), three clusters of postpartum psychological characteristics were identified. Contrary to expectations, mothers with the greatest psychological distress did not report concerns about their child's emotional and behavioural problems; rather, they reported concerns about global developmental delay. These findings suggest that infants of mothers experiencing postpartum psychological distress should receive additional follow-up to reduce the risk for global developmental delay.

摘要

产后经历心理困扰的母亲在养育子女方面可能会遇到困难。不一致且无反应的养育方式可能会增加孩子日后出现情绪和行为问题的风险。本研究的目的是确定产后八周时母亲的心理特征如何聚类,以及这些聚类是否与母亲报告的孩子三岁时的情绪和行为问题相关,这些问题通过父母发育状况评估(PEDS)问卷进行测量。在一个纵向妊娠队列(n = 647)中,确定了产后心理特征的三个聚类。与预期相反,心理困扰最大的母亲并未报告对孩子情绪和行为问题的担忧;相反,她们报告了对整体发育迟缓的担忧。这些发现表明,产后经历心理困扰的母亲的婴儿应接受额外的随访,以降低整体发育迟缓的风险。

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