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母婴产后抑郁症状、胎龄与婴儿社会退缩之间的关联:社区队列的纵向研究。

Associations between symptoms of maternal postpartum depression, gestational age and infant social withdrawal: A longitudinal study in a community cohort.

机构信息

Department of Psychology, University of Copenhagen, Copenhagen, Denmark.

Université de Paris et Hôpital Bichat Claude Bernard APHP, Paris, France.

出版信息

Br J Dev Psychol. 2022 Sep;40(3):371-383. doi: 10.1111/bjdp.12414. Epub 2022 Apr 29.

DOI:10.1111/bjdp.12414
PMID:35485876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9545777/
Abstract

Infant social withdrawal is a risk factor for non-optimal child development; thus, it is important to identify risk factors associated with withdrawal. In a large community sample (N = 19,017), we investigate whether symptoms of maternal and partner postpartum depression (PPD; measured with the Edinburgh Postnatal Depression Scale) and prematurity are predictors of infant social withdrawal (measured with the Alarm Distress Baby Scale). Withdrawal was assessed at 2-3, 4-7 and 8-12 months postpartum. Linear regressions showed that prematurity predicted higher infant social withdrawal at all time points, and maternal symptoms of PPD were positively associated with withdrawal at 2-3 months. Logistic regressions showed that odds for elevated social withdrawal were increased with elevated levels of maternal symptoms of PPD at 2-3 and 8-12 months. Partner's symptoms of PPD were not associated with withdrawal. Future studies should investigate how PPD symptoms and prematurity may impact the individual development of social withdrawal.

摘要

婴儿社会退缩是儿童发育非最佳的一个风险因素;因此,识别与退缩相关的风险因素很重要。在一个大型社区样本中(N=19017),我们研究了产后抑郁(PPD)的母亲和伴侣的症状(使用爱丁堡产后抑郁量表测量)以及早产是否会预测婴儿社会退缩(使用婴儿警报 distress 量表测量)。退缩在产后 2-3、4-7 和 8-12 个月时进行评估。线性回归显示,早产在所有时间点都预示着婴儿社会退缩程度更高,而母亲产后抑郁症状在 2-3 个月时与退缩呈正相关。Logistic 回归显示,母亲产后抑郁症状在 2-3 和 8-12 个月时升高,与社会退缩程度升高的几率增加有关。伴侣的产后抑郁症状与退缩无关。未来的研究应该调查 PPD 症状和早产如何可能影响社会退缩的个体发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea11/9545777/940b323ba69b/BJDP-40-371-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea11/9545777/940b323ba69b/BJDP-40-371-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea11/9545777/940b323ba69b/BJDP-40-371-g001.jpg

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