Rocky Mountain Prevention Research Center, Colorado School of Public Health, University of Colorado Denver, Aurora, Colorado, 80045, USA.
Infant Ment Health J. 2021 Jul;42(4):603-615. doi: 10.1002/imhj.21925. Epub 2021 May 16.
The objective of this study was to explore associations between maternal depression and anxiety during early sensitive periods, child social-emotional and behavioral problems and the moderating roles of financial, instrumental, and partner emotional support.
Analyses was conducted using data from the Fragile Families and Child Wellbeing Study. Hierarchical linear regression modeling was used to explore associations between maternal depression and anxiety at 1- and 3-years postpartum, three unique types of social support, and childhood behavioral problems at 5-years of age (n = 2,827).
Mothers who were depressed at one or both timepoints, compared to nondepressed mothers, reported higher externalizing behavioral problems scores of 1.96 and 2.90, and internalizing behavioral problems scores of 1.16 and 2.20, respectively, at 5-years of age (both p < .01), after controlling for covariates. Financial, instrumental, and partner emotional support were independently and inversely associated with behavioral problems (p < .05); however, none of these types of support moderated the relationship between maternal depression and behavioral problems, after controlling for covariates.
Promoting maternal mental health as well as different sources of support throughout the first five years of life, instead of one critical period, may help to reduce the burden of chronic disease in the next generation.
本研究旨在探讨母亲在早期敏感时期的抑郁和焦虑与儿童社会情感和行为问题之间的关系，以及经济支持、工具性支持和伴侣情感支持的调节作用。
本研究使用脆弱家庭与儿童福利研究的数据进行分析。采用分层线性回归模型，探讨了产后 1 年和 3 年母亲抑郁和焦虑与三种不同类型的社会支持，以及 5 岁儿童行为问题之间的关系（n=2827）。
与非抑郁母亲相比，在一个或两个时间点抑郁的母亲在 5 岁时报告的外部行为问题评分分别高出 1.96 和 2.90，内部行为问题评分分别高出 1.16 和 2.20（均 p<.01），控制了协变量后。经济支持、工具性支持和伴侣情感支持与行为问题呈独立负相关（p<.05）；然而，在控制了协变量后，这些类型的支持都没有调节母亲抑郁与行为问题之间的关系。
在儿童生命的头五年中，促进母亲的心理健康和获得不同来源的支持，而不是仅关注一个关键时期，可能有助于减少下一代慢性疾病的负担。
