Duguay Gabrielle, Garon-Bissonnette Julia, Lemieux Roxanne, Dubois-Comtois Karine, Mayrand Kristel, Berthelot Nicolas
Departement of Psychology, Université du Québec À Trois-Rivières, 3351 Boulevard des Forges, C.P. 500, Trois-Rivières, Québec, G9A 5H7, Canada.
Centre d'études Interdisciplinaires Sur le Développement de L'enfant et la Famille, Québec, Canada.
Child Adolesc Psychiatry Ment Health. 2022 Mar 31;16(1):28. doi: 10.1186/s13034-022-00458-x.
An upsurge in psychological distress was documented in pregnant women during the COVID-19 pandemic. We investigated with a longitudinal design whether prenatal and postnatal maternal distress during the COVID-19 pandemic was associated with lower infant socioemotional development.
Pregnant women (N = 468, M = 30,00, 97.6% White) were recruited during the first COVID-19 mandatory lockdown in Quebec, Canada, from April 2nd to April 13th 2020 and were re-contacted at two months postpartum to complete self-reported measures of general (i.e. not specifically related to the COVID-19 pandemic) anxio-depressive symptoms and infant development. Structural equation modeling analyses were performed using maximum likelihood parameter estimation.
Higher maternal prenatal distress significantly contributed to poorer infant socioemotional development. A mediation model showed that postnatal distress significantly mediated the association between prenatal distress and infant socioemotional development, whereas the direct effect of prenatal distress was no longer significant. Prenatal and postnatal maternal distress accounted for 13.7% of the variance in infant socioemotional development.
Our results call for special means of clinical surveillance in mothers and for innovative (online) interventions aiming to support maternal mental health during pregnancy and after delivery.
在新冠疫情期间，孕妇的心理困扰有所增加。我们采用纵向设计，研究了新冠疫情期间产前和产后母亲的心理困扰是否与婴儿较低的社会情感发展有关。
在加拿大魁北克首次实施新冠强制封锁期间，即2020年4月2日至4月13日，招募了孕妇（N = 468，平均年龄30.00岁，97.6%为白人），并在产后两个月再次联系她们，以完成关于一般（即与新冠疫情无特定关联）焦虑抑郁症状和婴儿发育的自我报告测量。使用最大似然参数估计进行结构方程模型分析。
母亲产前心理困扰程度越高，婴儿的社会情感发展越差。一个中介模型表明，产后心理困扰显著中介了产前心理困扰与婴儿社会情感发展之间的关联，而产前心理困扰的直接效应不再显著。产前和产后母亲的心理困扰占婴儿社会情感发展方差的13.7%。
我们的研究结果呼吁对母亲进行特殊的临床监测手段，并开展旨在支持孕期和产后母亲心理健康的创新（在线）干预措施。
