Department of Pediatrics.
Department of Psychology.
J Fam Psychol. 2022 Aug;36(5):681-691. doi: 10.1037/fam0000988. Epub 2022 Apr 7.
Links between global levels of maternal depressive symptoms and parenting behavior in early childhood are well established. However, depression is a heterogeneous disorder and little is known about how individual differences in depression symptoms may be differentially associated with different types of parenting behavior. We aimed to uncover nuance in the relationship between depression and parenting behavior by examining individual differences in symptoms of maternal depression and associations with parenting behavior with 2- and 3-year-old children. Participants included 714 diverse, low-income mothers and their 2-year-old children. Maternal depression symptoms were self-reported at child age 2. Three domains of parenting behavior (harsh, positive, and disengaged) were coded from mother-child interactions at ages 2 and 3. Individual differences in maternal depressive symptoms at child age 2 comprised five profiles: low, interpersonal rejection, moderate, high depressed affect and physical, and severe. Women with the high depressed affect and physical profile demonstrated the greatest risk for parenting challenges with higher levels of harsh parenting at child age 2 compared to all other profiles and higher levels of disengaged parenting at child age 3 compared to the low, moderate, and severe profiles. Unexpectedly, positive parenting did not differ by maternal depression profile at either age. There is wide heterogeneity in symptoms of depression among mothers of 2-year-old children that is clinically relevant for different dimensions of parenting. Physical and depressed affect symptoms in particular may present risk for harsh parenting. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
全球范围内产妇抑郁症状与儿童早期养育行为之间存在关联,这一点已得到充分证实。然而,抑郁是一种异质性疾病,对于抑郁症状的个体差异如何与不同类型的养育行为相关,人们知之甚少。我们旨在通过研究产妇抑郁症状的个体差异及其与 2 至 3 岁儿童养育行为的关联,揭示抑郁与养育行为之间关系的细微差别。参与者包括 714 名来自不同背景、收入较低的母亲及其 2 岁的孩子。母亲的抑郁症状在孩子 2 岁时由自我报告。在孩子 2 岁和 3 岁时,从母亲与孩子的互动中,对养育行为的三个领域(严厉、积极和冷漠)进行了编码。母亲在孩子 2 岁时的抑郁症状存在个体差异,包括五个特征:低、人际排斥、中等、高抑郁情绪和身体、严重。与其他所有特征相比,高抑郁情绪和身体特征的女性在孩子 2 岁时表现出最大的养育挑战风险,其严厉养育程度更高,与低、中、严重特征相比,其冷漠养育程度在孩子 3 岁时更高。出乎意料的是,在任何一个年龄,积极的养育方式都不因母亲的抑郁特征而有所不同。2 岁儿童的母亲的抑郁症状存在广泛的异质性,这对养育的不同维度具有临床相关性。特别是身体和抑郁情绪的症状可能会带来严厉养育的风险。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。