Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Matern Child Health J. 2021 May;25(5):731-740. doi: 10.1007/s10995-020-03040-z. Epub 2020 Nov 13.
We examined the association of exposure to maternal depression during year 2 of a child's life with future child problem behavior. We conducted a secondary analysis to investigate whether race/ethnicity is a moderator of this relationship.
We used Fragile Families and Child Well-Being Study data (age 3 N = 3288 and 49% Black, 26% Hispanic, 22% non-Hispanic White; age 5 N = 3001 and 51% Black, 25% Hispanic, 21% non-Hispanic White; age 9 N = 3630 and 50% Black, 25% Hispanic, 21% non-Hispanic White) and ordinal logistic regression to model problem behavior at ages 3, 5, and 9 on maternal depression status during year 2.
At age 9, children whose mother was depressed during year 2 were significantly more likely to have higher internalizing (AOR = 1.92, 95% CI: 1.42,2.61) and externalizing (AOR = 1.65, 95% CI: 1.10,2.48) problem behavior scores. In our secondary analysis, race/ethnicity did not have moderating effects, potentially due to a limitation of the data that required use of maternal self-reported race/ethnicity as a proxy for child race/ethnicity.
Exposure to maternal depression after the prenatal and perinatal periods may have a negative association with children's behavioral development through age 9. Interventions that directly target maternal depression during this time should be developed. Additional research is needed to further elucidate the role of race/ethnicity in the relationship between maternal depression and child problem behavior.
我们研究了儿童生命的第二年中母亲抑郁暴露与未来儿童问题行为之间的关联。我们进行了二次分析,以调查种族/民族是否是这种关系的调节因素。
我们使用脆弱家庭和儿童福利研究数据(3 岁时 N=3288,其中 49%为黑人,26%为西班牙裔,22%为非西班牙裔白人;5 岁时 N=3001,其中 51%为黑人,25%为西班牙裔,21%为非西班牙裔白人;9 岁时 N=3630,其中 50%为黑人,25%为西班牙裔,21%为非西班牙裔白人)和有序逻辑回归来模拟 3、5 和 9 岁时的问题行为与第二年母亲抑郁状态之间的关系。
在 9 岁时,母亲在第二年抑郁的儿童更有可能表现出更高的内化问题行为(AOR=1.92,95%CI:1.42,2.61)和外化问题行为(AOR=1.65,95%CI:1.10,2.48)得分。在我们的二次分析中,种族/民族没有调节作用,这可能是由于数据的局限性,需要使用母亲自我报告的种族/民族来代替儿童的种族/民族。
在产前和围产期之后,接触母亲的抑郁可能与儿童的行为发展到 9 岁之间存在负面关联。应该开发在此期间直接针对母亲抑郁的干预措施。需要进一步研究以阐明种族/民族在母亲抑郁与儿童问题行为之间的关系中的作用。