Eunice Kennedy Shriver National Institute of Child Health and Human Development.
Department of Psychology and Human Development, Vanderbilt University.
Dev Psychol. 2021 Jun;57(6):876-887. doi: 10.1037/dev0001182.
We compared language comprehension and production across the second year of life in children of clinically depressed mothers who later remitted with children of nondepressed mothers. Altogether, 157 mother-child dyads participated: 46 with mothers diagnosed at infant age 5 months as having major, minor, or other depressive disorders who fully remitted by 15 and 24 months and 111 with nondepressed mothers. The majority of mothers (mean [M] age = 32.8 years) were married, European American, and college educated. The groups did not differ on most sociodemographic indices, and analyses controlled for residual group differences in maternal education and child birth order. Children of early clinically depressed mothers understood fewer words at 15 months (by maternal report on the MacArthur Communicative Development Inventory [MCDI]) and 24 months (by experimenter-administered Reynell Developmental Language Scales [RDLS]) than children of nondepressed mothers. Children of nondepressed mothers increased in language comprehension from 15 to 24 months, whereas children of early clinically depressed mothers did not. Aggregating over 15 and 24 months, nondepressed mothers reported that their children expressed more words than clinically depressed mothers reported their children expressed; experimenter assessment revealed no difference between the two groups. Maternal clinical depression in the first 5 months is related to reduced language comprehension and production during the second year of life even in children whose mothers remit, indicating an early experience effect of maternal clinical depression in muting child language development. Future research should identify the mechanisms by which this early experience effect occurs to inform targeted early preventative interventions for at-risk children. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
我们比较了患有临床抑郁症的母亲在孩子生命的第二年中的语言理解和产生能力,这些母亲后来都已经康复,同时也比较了没有抑郁的母亲的孩子。共有 157 对母婴参与:46 对母婴中,母亲在婴儿 5 个月时被诊断患有严重、轻度或其他抑郁障碍,并在 15 个月和 24 个月时完全康复,111 对母婴的母亲没有抑郁。大多数母亲(平均年龄 [M]为 32.8 岁)已婚、欧洲裔美国人、大学学历。两组在大多数社会人口统计学指标上没有差异,分析控制了母亲教育和孩子出生顺序的残余组差异。早期患有临床抑郁症的母亲的孩子在 15 个月(通过母亲在麦克阿瑟沟通发展量表 [MCDI]上的报告)和 24 个月(通过实验者管理的 Reynell 发展语言量表 [RDLS])理解的单词较少,比没有抑郁的母亲的孩子。没有抑郁的母亲的孩子从 15 个月到 24 个月语言理解能力提高,而早期患有临床抑郁症的母亲的孩子没有。在 15 个月和 24 个月的时间里,没有抑郁的母亲报告说她们的孩子表达的单词比临床抑郁的母亲报告的孩子多;实验者评估显示两组之间没有差异。母亲在出生后的前 5 个月的临床抑郁症与孩子生命第二年的语言理解和表达能力下降有关,即使孩子的母亲康复了,这表明母亲临床抑郁症的早期经历会影响孩子的语言发展。未来的研究应该确定这种早期经历效应发生的机制,为有风险的儿童提供有针对性的早期预防干预措施。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。