儿童时期父母离异并不会独立预测母亲在怀孕期间的抑郁症状。
Parental divorce in childhood does not independently predict maternal depressive symptoms during pregnancy.
机构信息
FinnBrain Birth Cohort Study, Turku Brain and Mind Center and Centre for Population Health Research, Department of Clinical Medicine, University of Turku, Lemminkäisenkatu 3, 20520, Turku, Finland.
Faculty of Social Sciences, Department of Social Research, University of Turku, Turku, Finland.
出版信息
BMC Pregnancy Childbirth. 2020 Sep 7;20(1):520. doi: 10.1186/s12884-020-03227-w.
BACKGROUND
This study sought to investigate if parental divorce in childhood increases the risk for depressive symptoms in pregnancy.
METHODS
Women were recruited during their ultrasound screening in gestational week (gwk) 12. The final study sample consisted of 2,899 pregnant women. Questionnaires (including the Edinburgh Postnatal Depression Scale) were completed at three measurement points (gwk 14, 24 and 34). Prenatal depressive symptoms were defined as Edinburgh Postnatal Depression Scale score ≥ 13. Parental divorce and other stressful life events in childhood were assessed at gwk 14. Parental divorce was defined as separation of parents who were married or cohabiting. Questionnaire data was supplemented with data from Statistics Finland and the Finnish Medical Birth Register.
RESULTS
Parental divorce in childhood increased the risk for depressive symptoms during pregnancy (OR 1.47; 95% CI 1.02-2.13), but the connection was no longer significant after adjusting for socioeconomic status, family conflicts and witnessing domestic violence in the childhood family (OR 0.80; 95% CI 0.54-1.18).
CONCLUSIONS
Parental divorce alone does not predict depressive symptoms during pregnancy.
背景
本研究旨在探讨儿童时期父母离异是否会增加孕期抑郁症状的风险。
方法
在妊娠第 12 周的超声筛查期间招募女性。最终研究样本包括 2899 名孕妇。在三个测量点（妊娠第 14、24 和 34 周）完成了问卷调查（包括爱丁堡产后抑郁量表）。产前抑郁症状定义为爱丁堡产后抑郁量表评分≥13。在妊娠第 14 周评估了儿童时期父母离异和其他生活压力事件。父母离异被定义为已婚或同居父母的分居。问卷调查数据补充了来自芬兰统计局和芬兰医疗出生登记处的数据。
结果
儿童时期父母离异会增加孕期抑郁症状的风险（OR 1.47；95%CI 1.02-2.13），但在调整社会经济地位、家庭冲突和目睹童年家庭中的家庭暴力后，这种关联不再显著（OR 0.80；95%CI 0.54-1.18）。
结论
单独的父母离异并不能预测孕期的抑郁症状。
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