Department of Psychology, Université du Québec à Montréal, Montréal, Québec, Canada.
Centre de Recherche du Centre Hospitalier Universitaire Sainte-Justine, Montréal, Québec, Canada.
Dev Psychopathol. 2020 Aug;32(3):831-844. doi: 10.1017/S0954579419000956.
Among children exposed to elevated maternal depression symptoms (MDS), recent studies have demonstrated reduced internalizing and externalizing problems for those who have attended formal childcare (i.e., center-based, family-based childcare). However, these studies did not consider whether childcare attendance is associated with benefits for the child only or also with reduced MDS. Using a four-wave longitudinal cross-lagged model, we evaluated whether formal childcare attendance was associated with MDS or child behavior problems and whether it moderated longitudinal associations between MDS and child behavior problems and between child behavior problems and MDS. The sample was drawn from a population-based cohort study and consisted of 908 biologically related mother-child dyads, followed from 5 months to 5 years. Attending formal childcare was not associated with MDS or child behavior problems but moderated the association between MDS at 3.5 years and child internalizing and externalizing problems at 5 years as well as between girls' externalizing problems at 3.5 years and MDS at 5 years. No other moderation of formal childcare was found. Findings suggest that attending formal childcare reduces the risks of behavior problems in the context of MDS but also the risk of MDS in the context of girls' externalizing problems.
在暴露于母亲抑郁症状（MDS）升高的儿童中，最近的研究表明，那些参加正规儿童保育（即基于中心的、基于家庭的儿童保育）的儿童，其内化和外化问题减少。然而，这些研究并没有考虑儿童保育的参与是否仅与儿童的利益相关，还是也与 MDS 的减少相关。我们使用四波纵向交叉滞后模型，评估了正规儿童保育的参与是否与 MDS 或儿童行为问题相关，以及它是否调节了 MDS 和儿童行为问题之间以及儿童行为问题和 MDS 之间的纵向关联。该样本来自一项基于人群的队列研究，包括 908 对具有生物学关系的母婴对子，从 5 个月到 5 岁进行随访。参加正规儿童保育与 MDS 或儿童行为问题无关，但调节了 3.5 岁时 MDS 与 5 岁时儿童内化和外化问题之间的关联，以及 3.5 岁时女孩外化问题与 5 岁时 MDS 之间的关联。没有发现正规儿童保育的其他调节作用。研究结果表明，参加正规儿童保育可以降低 MDS 背景下行为问题的风险，但也可以降低女孩外化问题背景下 MDS 的风险。
