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母亲抑郁症状轨迹与青少年早期后代风险行为的关系:来自 2004 年佩洛塔斯出生队列研究的数据。

Trajectories of maternal depressive symptoms and offspring's risk behavior in early adolescence: data from the 2004 Pelotas birth cohort study.

机构信息

Departamento de Medicina Preventiva, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.

Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.

出版信息

BMC Psychiatry. 2021 Jan 7;21(1):18. doi: 10.1186/s12888-020-03026-9.

Abstract

BACKGROUND

This longitudinal study explored the relationship between trajectories of maternal depressive symptoms and offspring's risk behavior in adolescence contributing to an extremely scarce literature about the impacts of maternal depression trajectories on offspring risk behaviors.

METHODS

We included 3437 11-year-old adolescents from the 2004 Pelotas Birth Cohort Study. Trajectories of maternal depressive symptoms were constructed using Edinburgh Postnatal Depression Scale (EDPS) from age 3 months to 11 years. We identified five trajectories of maternal depressive symptoms: "low" "moderate low", "increasing", "decreasing", and "chronic high". The following adolescent outcomes were identified via self-report questionnaire and analyzed as binary outcome -yes/no: involvement in fights and alcohol use at age 11. We used logistic regression models to examine the effects of trajectories of maternal depressive symptoms on offspring's risk behavior adjusting for potential confounding variable.

RESULTS

Alcohol use and/or abuse as well as involvement in fights during adolescence, were not significantly associated with any specific trajectory of maternal depressive symptoms neither in the crude nor in the adjusted analyses.

CONCLUSION

Alcohol use and involvement in fights at age 11 were not associated with any specific trajectory of maternal depression.

摘要

背景

本纵向研究探讨了母亲抑郁症状轨迹与青少年期子女风险行为之间的关系,为探讨母亲抑郁轨迹对子女风险行为的影响提供了极其匮乏的文献。

方法

我们纳入了来自 2004 年佩洛塔斯出生队列研究的 3437 名 11 岁青少年。使用 Edinburgh Postnatal Depression Scale(EDPS)从 3 个月到 11 岁评估母亲抑郁症状轨迹。我们确定了母亲抑郁症状的五种轨迹:“低”、“中度低”、“增加”、“减少”和“慢性高”。通过自我报告问卷确定以下青少年结局,并作为二元结局进行分析-是/否:11 岁时参与打架和饮酒。我们使用逻辑回归模型,在校正潜在混杂变量后,检查母亲抑郁症状轨迹对子女风险行为的影响。

结果

在未校正和校正分析中,青少年时期的饮酒和/或滥用以及参与打架均与母亲抑郁症状的任何特定轨迹均无显著关联。

结论

11 岁时的饮酒和参与打架与母亲抑郁的任何特定轨迹均无关。

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本文引用的文献

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Maternal depressive symptoms in childhood and risky behaviours in early adolescence.儿童期母亲抑郁症状与青少年早期危险行为。
Eur Child Adolesc Psychiatry. 2018 Mar;27(3):301-308. doi: 10.1007/s00787-017-1043-6. Epub 2017 Sep 13.
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