Tavormina Maurilio Giuseppe Maria, Tavormina Romina
CEN.STU.PSI & EDA Italia Onlus (BS), Viale Leone 4/F 80055 Portici (NA), Italy,
Psychiatr Danub. 2022 Sep;34(Suppl 8):64-70.
According to data from the WHO, the COVID-19 pandemic has created an increase in anxiety and depression around the world. In particular, there has been an increase in Depressive Disorder in childhood: the closure of childcare centers has caused great stress in parents, especially in mothers who have developed more depressive disorders. Maternal depression appears to have created problematic behaviors in preschool children. This phenomenon is explained by several studies that over the years have shown that a good mother-child interaction is essential for the child's psychophysical health and that interactions with depressed mothers have caused depression in children already in early childhood. The purpose of this work is a review of the scientific literature, from 1927 to 2022, on depression in early childhood, from 0 to 5 years of age. Research has been carried out on Medline PubMed, Google Scholar and specialist scientific journals of psychiatry, psychology and child neuropsychiatry, using the following keywords: infant depression, anaclitic depression, hospitalism, early chilhood depression, depressive position, attachement and mother-infant dyad. The depressive illness of the mother, the lack of care, attention and stimulation to the vocalizations of the young child can induce negative reactions in the relationship between mother and child. Early identification and treatment of perinatal depression is critical to ensuring the child's optimal development and future mental health. In addition to maternal depression there are also other factors that can generate depression in the child as well as a prolonged separation from her. The authors' conclusions are that it is essential to train and inform educators and family members on depression in childhood to allow for the recognition of the child's suffering and for it to be examined by the doctor. It is important an early intervention both on the family and on the child to avoid relapses, chronicity and any serious damage.
根据世界卫生组织的数据,新冠疫情导致全球焦虑和抑郁情绪增加。特别是儿童期抑郁症有所增加:育儿中心关闭给父母带来了巨大压力,尤其是母亲,她们患抑郁症的情况增多。母亲抑郁似乎导致了学龄前儿童出现问题行为。多年来的多项研究解释了这一现象,这些研究表明良好的母婴互动对孩子的身心健康至关重要,而与抑郁母亲的互动在儿童早期就已导致孩子抑郁。这项工作的目的是回顾1927年至2022年关于0至5岁幼儿期抑郁症的科学文献。研究在Medline PubMed、谷歌学术以及精神病学、心理学和儿童神经精神病学的专业科学期刊上进行,使用了以下关键词:婴儿抑郁症、依赖型抑郁症、住院综合征、幼儿期抑郁症、抑郁状态、依恋和母婴二元组。母亲的抑郁疾病、对幼儿发声缺乏关爱、关注和刺激会在母婴关系中引发负面反应。围产期抑郁症的早期识别和治疗对于确保孩子的最佳发育和未来心理健康至关重要。除了母亲抑郁外,还有其他因素会导致孩子抑郁以及与母亲长期分离。作者的结论是,必须对教育工作者和家庭成员进行关于儿童抑郁症的培训并提供相关信息,以便识别孩子的痛苦并让医生进行检查。对家庭和孩子进行早期干预很重要,以避免复发、慢性病以及任何严重损害。