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孕产妇心理健康与儿童问题行为:厘清抑郁和边缘型人格障碍的作用

Maternal mental health and child problem behaviours: disentangling the role of depression and borderline personality dysfunction.

作者信息

Huntley Fay, Wright Nicola, Pickles Andrew, Sharp Helen, Hill Jonathan

机构信息

, ClinPsyD, PhD, Department of Psychological Sciences, Institute of Psychology, Health and Society, , University of Liverpool, UK.

, BSc, MSc, Department of Psychological Sciences, Institute of Psychology, Health and Society, University of Liverpool, UK.

出版信息

BJPsych Open. 2017 Nov 30;3(6):300-305. doi: 10.1192/bjpo.bp.117.005843. eCollection 2017 Nov.

DOI:10.1192/bjpo.bp.117.005843
PMID:29234522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5707443/
Abstract

BACKGROUND

It is not known whether associations between child problem behaviours and maternal depression can be accounted for by comorbid borderline personality disorder (BPD) dysfunction.

AIM

To examine the contributions of maternal depression and BPD symptoms to child problem behaviours.

METHOD

Depression trajectories over the first-year postpartum were generated using repeated measurement from a general population sample of 997 mothers recruited in pregnancy. In a stratified subsample of 251, maternal depression and BPD symptoms were examined as predictors of child problem behaviours at 2.5 years.

RESULTS

Child problem behaviours were predicted by a high maternal depression trajectory prior to the inclusion of BPD symptoms. This association was no longer significant after the introduction of BPD symptoms.

CONCLUSIONS

Risks for child problem behaviours currently attributed to maternal depression may arise from more persistent and pervasive difficulties found in borderline personality dysfunction.

DECLARATION OF INTEREST

None.

COPYRIGHT AND USAGE

© The Royal College of Psychiatrists 2017, this is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) license.

摘要

背景

儿童问题行为与母亲抑郁之间的关联是否可由共病的边缘型人格障碍(BPD)功能障碍来解释,目前尚不清楚。

目的

研究母亲抑郁和BPD症状对儿童问题行为的影响。

方法

通过对997名孕期招募的普通人群样本母亲进行重复测量,得出产后第一年的抑郁轨迹。在一个251人的分层子样本中,将母亲抑郁和BPD症状作为2.5岁儿童问题行为的预测因素进行研究。

结果

在纳入BPD症状之前,母亲抑郁轨迹较高可预测儿童问题行为。引入BPD症状后,这种关联不再显著。

结论

目前归因于母亲抑郁的儿童问题行为风险,可能源于边缘型人格功能障碍中更持久、更普遍的困难。

利益声明

无。

版权与使用

©皇家精神病医学院2017年,这是一篇根据知识共享署名(CC BY)许可条款分发的开放获取文章。

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