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母亲孕期抑郁和与自然灾害相关压力对 6 个月大婴儿气质的影响:“桑迪”超级风暴的孩子。

Influence of in utero exposure to maternal depression and natural disaster-related stress on infant temperament at 6 months: The children of Superstorm Sandy.

机构信息

Queens College, City University of New York, Psychology Department, New York, New York.

The Graduate Center, City University of New York, Psychology Department, New York, New York.

出版信息

Infant Ment Health J. 2019 Mar;40(2):204-216. doi: 10.1002/imhj.21766. Epub 2019 Feb 5.

DOI:10.1002/imhj.21766
PMID:30723931
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6491203/
Abstract

This study examined the effects of in utero exposure to maternal depression and Superstorm Sandy, a hurricane that hit metropolitan New York in 2012, on infant temperament at 6 months. Temperament was assessed using the Infant Behavior Questionnaire-Revised. Maternal depression was measured by the Edinburgh Postnatal Depression Scale. The main effects and the interaction of maternal depression and Sandy exposure on infant temperament were examined using a multivariable generalized linear model. Results show that prenatal maternal depression was associated with lower emotion regulation and greater distress. Stratification and interaction analyses suggested that the adverse effects of prenatal maternal depression on problematic temperament were amplified by in utero Sandy exposure. This study underscores the importance of providing prenatal screening and treatment for maternal depression during pregnancy while also identifying high-risk families who may have suffered from disaster-related traumas to provide necessary services. As the frequency of natural disasters may increase due to climate change, it is important to understand the consequences of in utero stress on child development and to formulate plans for early identification.

摘要

这项研究考察了母体抑郁和 2012 年袭击纽约大都市区的超级风暴桑迪对 6 个月大婴儿气质的影响。气质使用婴儿行为问卷修订版进行评估。母亲抑郁通过爱丁堡产后抑郁量表进行测量。使用多变量广义线性模型检查了母亲抑郁和桑迪暴露对婴儿气质的主要影响和相互作用。结果表明,产前母亲抑郁与情绪调节能力降低和痛苦程度增加有关。分层和交互分析表明,产前母亲抑郁对问题气质的不良影响因子宫内桑迪暴露而加剧。这项研究强调了在怀孕期间为母亲抑郁提供产前筛查和治疗的重要性,同时还确定了可能遭受与灾难相关创伤的高危家庭,为他们提供必要的服务。由于气候变化,自然灾害的频率可能会增加,因此了解子宫内压力对儿童发育的影响并制定早期识别计划非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aae1/6491203/d9ead6767a62/nihms-990636-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aae1/6491203/d9ead6767a62/nihms-990636-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aae1/6491203/d9ead6767a62/nihms-990636-f0001.jpg

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