Departamento de Medicina Preventiva, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Av. Dr. Arnaldo, 455, 2nd floor, Sao Paulo, SP, CEP 01246-903, Brazil.
Department of Public Health, History of Science and Gynecology, Faculty of Medicine, Miguel Hernández University, Campus de San Juan, Spain; CIBER in Epidemiology and Public Health (CIBERESP), Madrid, Spain.
J Affect Disord. 2019 Jun 15;253:8-17. doi: 10.1016/j.jad.2019.03.072. Epub 2019 Mar 22.
Maternal depression is associated with impairments in child behavioural and emotional development, although the effect of exposure to maternal depression until adolescence is underexplored in most studies. This longitudinal study examined the association between maternal depressive symptoms trajectories and offspring socioemotional competences at age 11.
We included 3,437 11-year-old adolescents from the 2004 Pelotas Birth Cohort Study. Maternal depressive symptoms were assessed during the follow-up waves. Adolescent socioemotional competences were peer relationship problems and prosocial behaviour, both assessed by Strengths and Difficulties Questionnaire (SDQ), and Locus of Control (LoC), assessed by Nowick-Strickland Internal-External Scale. We used multivariate linear and logistic regression models to examine the effects of maternal depression trajectories on offspring's socioemotional competences, adjusting for potential confounding variables.
We identified five trajectories of maternal depressive symptoms: a "low" trajectory (32.6%), a "moderate low" (42.2%), a "increasing" (11.1%), a "decreasing" (9.2%), and a "high-chronic" trajectory (4.9%). Adolescents whose mothers had persistent depressive symptoms, either intermediate or high, had greater levels of peer relationship problems and lower levels of prosocial behaviour than those whose mothers had low depressive symptoms. These differences were not explained by socioeconomic, maternal, and child characteristics. Maternal depressive symptoms during offspring's life was not a predictor of LoC orientation.
Nearly 20% of original cohort were not included in the analysis due to missing data. Adolescent's socioemotional competences were ascertained by maternal report.
Our study extended the evidences of the negative impact of severe and recurrent maternal depression on offspring's socioemotional competences until early adolescence.
尽管大多数研究都没有深入探讨母亲在青春期前抑郁对儿童行为和情绪发展的影响,但母亲抑郁与儿童行为和情绪发展受损有关。本纵向研究旨在探讨母亲抑郁症状轨迹与 11 岁儿童社交情感能力之间的关系。
我们纳入了 2004 年佩洛塔斯出生队列研究中的 3437 名 11 岁青少年。在随访期间评估了母亲的抑郁症状。青少年的社交情感能力由长处和困难问卷(SDQ)评估的同伴关系问题和亲社会行为,以及由 Nowick-Strickland 内外向量表评估的心理控制源(LoC)来衡量。我们使用多变量线性和逻辑回归模型,调整潜在混杂因素后,检验了母亲抑郁轨迹对后代社交情感能力的影响。
我们确定了母亲抑郁症状的五种轨迹:“低”轨迹(32.6%)、“中低”轨迹(42.2%)、“上升”轨迹(11.1%)、“下降”轨迹(9.2%)和“高慢性”轨迹(4.9%)。与低抑郁症状的母亲相比,持续出现中或高度抑郁症状的母亲的孩子,其同伴关系问题更严重,亲社会行为水平更低。这些差异不能用社会经济、母亲和儿童特征来解释。儿童期母亲的抑郁症状并不能预测心理控制源的取向。
由于数据缺失,近 20%的原始队列未纳入分析。青少年的社交情感能力由母亲报告确定。
本研究扩展了严重和反复性母亲抑郁对儿童社交情感能力的负面影响的证据,直至青春期早期。