Department of Occupational and Environmental Health, Graduate School of Medical Sciences, Nagoya City University, Japan.
Department of Occupational and Environmental Health, Graduate School of Medical Sciences, Nagoya City University, Japan.
Child Abuse Negl. 2022 May;127:105581. doi: 10.1016/j.chiabu.2022.105581. Epub 2022 Mar 5.
Longitudinal adverse effects of neglect-related behaviors during postpartum, especially repeated maternal non-responsiveness to the crying baby on their neuropsychological developmental trajectory, have not been fully clarified.
This study aimed to examine the association between postpartum maternal neglect-related behaviors and infant neuropsychological outcomes using the Japan Environment and Children's Study (JECS).
JECS data on 100,286 mother-child pairs were analyzed. Explanatory variables were "frequency of leaving the baby alone at home" (i.e., leaving the baby alone at home) and "frequency of ignoring the baby when he or she cries" (i.e., ignoring the crying baby) at one month postpartum. The outcomes were measured using the Japanese version of the Ages & Stages Questionnaires-Third Edition (J-ASQ-3).
After multiple imputations, logistic regression analysis was performed to evaluate the association between neglect-related behaviors and the J-ASQ-3 domains at each age.
The "sometimes or more" group of "ignoring the crying baby" from six months to three years reported relatively consistent significant associations with developmental delay in communication (maximum adjusted odds ratio [aOR]: 1.456, 95% confidence interval [CI]: 1.261-1.682), gross motor (maximum aOR: 1.279, 95% CI: 1.159-1.411), fine motor (maximum aOR: 1.274, 95% CI: 1.113-1.457), problem-solving (maximum aOR: 1.178, 95% CI: 1.104-1.256), and personal-social domains (maximum aOR: 1.326, 95% CI: 1.255-1.402). The adverse effects of "leaving the baby alone at home" disappeared in many domains by the age of one.
Repeated maternal non-responsiveness to baby's crying during postpartum may suppress multiple neuropsychological development during early childhood.
产后忽视相关行为的纵向不良影响，尤其是母亲反复对婴儿哭泣无反应，对其神经心理发育轨迹的影响尚未完全阐明。
本研究旨在使用日本环境与儿童研究（JECS）探讨产后母亲忽视相关行为与婴儿神经心理结局之间的关系。
分析了 100286 对母婴数据。解释变量为产后 1 个月时“经常将婴儿独自留在家中”（即让婴儿独自在家）和“经常忽略婴儿哭泣”（即忽略哭泣的婴儿）的频率。结局采用日本版年龄与阶段问卷第三版（J-ASQ-3）进行测量。
采用多次插补后，进行逻辑回归分析，评估忽视相关行为与 J-ASQ-3 各年龄组之间的关系。
6 个月至 3 岁时“经常忽略婴儿哭泣”的“有时或更多”组与沟通（最大调整优势比[aOR]：1.456，95%置信区间[CI]：1.261-1.682）、粗大运动（最大 aOR：1.279，95% CI：1.159-1.411）、精细运动（最大 aOR：1.274，95% CI：1.113-1.457）、解决问题（最大 aOR：1.178，95% CI：1.104-1.256）和个人-社会领域（最大 aOR：1.326，95% CI：1.255-1.402）发育延迟均存在显著关联。到 1 岁时，“将婴儿独自留在家中”的不良影响在许多领域消失。
产后母亲对婴儿哭泣的反复无反应可能会抑制幼儿期的多项神经心理发育。
