Binda Victoria, Figueroa-Leigh Francisca, Olhaberry Marcia
Departamento de Medicina Familiar, Escuela de Medicina, Pontificia Universidad Católica de Chile, Chile.
aff2, Chile.
Rev Chil Pediatr. 2019 Jun;90(3):260-266. doi: 10.32641/rchped.v90i3.782.
Early childhood is a fundamental period in children's development and depends largely on their in teractions with their main caregivers.
To evaluate the association between risk of psycho motor developmental delay (PDD) with mother-child interaction quality, postpartum depressive symptoms, and other factors related to care and environment in healthy infants at psychosocial risk.
Analytical cross-sectional study in 181 mothers at psychosocial risk and their children aged under one year seen in Primary Health Care. The presence of risk of PDD was deter mined using the Ages & Stages Questionnaire and its association with interaction quality (CARE In dex), postpartum depressive symptoms (Edinburgh Postpartum Depression Scale), and other factors related to environment and care (questionnaire applied to the mother) was studied through bivariate and multivariate analyses, adjusting for confusing variables.
20% of infants were at risk of PDD. There was an increased risk of presenting risk of PDD after adjusting for predefined control variables with: low-quality mother-child interaction (OR = 2.46, p = 0.03), exclusive breastfeeding (EBF) <6 months (OR = 2.58, p = 0.01), and partner does not help with childcare (OR = 2.97, p = 0.03). No significant association was observed with postpartum depressive symptoms.
In healthy infants at psychosocial risk, low-quality mother-child interaction, EBF <6 months, and the non-involvement of the father in the childcare are associated with a higher risk of PDD.
幼儿期是儿童发育的关键时期，很大程度上取决于他们与主要照顾者的互动。
评估心理社会风险的健康婴儿中，心理运动发育迟缓（PDD）风险与母婴互动质量、产后抑郁症状以及其他与照顾和环境相关因素之间的关联。
对181名有心理社会风险的母亲及其一岁以下儿童进行分析性横断面研究，这些儿童在初级卫生保健机构接受检查。使用年龄与发育阶段问卷确定PDD风险的存在，并通过双变量和多变量分析研究其与互动质量（CARE指数）、产后抑郁症状（爱丁堡产后抑郁量表）以及其他与环境和照顾相关因素（应用于母亲的问卷）之间的关联，同时对混杂变量进行调整。
20%的婴儿有PDD风险。在对预先定义的控制变量进行调整后，出现PDD风险增加的情况有：母婴互动质量低（OR = 2.46，p = 0.03）、纯母乳喂养（EBF）<6个月（OR = 2.58，p = 0.01）以及伴侣不协助照顾孩子（OR = 2.97，p = 0.03）。未观察到与产后抑郁症状有显著关联。
在有心理社会风险的健康婴儿中，母婴互动质量低、EBF<6个月以及父亲不参与照顾孩子与PDD风险较高相关。
