Faculty of Health Sciences, McMaster University, 1280 Main St W, Hamilton, ONL8S 4L8, Canada.
Department of Psychiatry and Behavioural Neurosciences, McMaster University, 1280 Main St W, Hamilton, ONL8S 4L8, Canada.
Dev Psychopathol. 2024 May;36(2):495-503. doi: 10.1017/S0954579422001353. Epub 2023 Jan 26.
It remains unclear how the COVID-19 pandemic has affected the mother-infant relationship and associations between maternal postpartum depression (PPD) and offspring temperament. This study examined the impact of the pandemic on these links and how maternal ratings of the mother-infant relationship mediated associations between PPD and infant temperament in a sample of treatment-seeking mothers in Ontario, Canada before and during the COVID-19 pandemic. Mothers with infants <12 months of age and Edinburgh Postnatal Depression Scale scores ≥10 enrolled in two separate randomized controlled trials of 1-day cognitive behavioral therapy-based workshops for PPD conducted before COVID-19 ( = 392) and during the pandemic ( = 403). Mothers reported on depressive symptomatology, infant temperament, and the mother-infant relationship. Maternal PPD was associated with more infant negative affectivity and mother-infant relationship difficulties. While associations between PPD and infant-focused anxiety were stronger during COVID-19, the pandemic did not otherwise affect associations between PPD and infant temperament. Mediation analyses suggested that aspects of the mother-infant relationship mediated associations between PPD and infant negative affectivity. Findings highlight the importance of detecting PPD and intervening to potentially improve outcomes for mothers and their children.
目前尚不清楚 COVID-19 大流行如何影响母婴关系,以及产妇产后抑郁症 (PPD) 与后代气质之间的关联。本研究在加拿大安大略省寻求治疗的母亲样本中,考察了大流行对这些联系的影响,以及母亲对母婴关系的评价如何在 PPD 和婴儿气质之间的关联中起中介作用,这些母亲的婴儿年龄均小于 12 个月,且爱丁堡产后抑郁量表 (Edinburgh Postnatal Depression Scale) 得分≥10。在 COVID-19 之前(n=392)和大流行期间(n=403),分别有参加为期 1 天的认知行为疗法为基础的 PPD 工作组的两项单独的随机对照试验的母亲入组。母亲报告了抑郁症状、婴儿气质和母婴关系。母亲的 PPD 与婴儿的负性情绪和母婴关系困难有关。虽然 PPD 与婴儿聚焦焦虑之间的关联在 COVID-19 期间更强,但大流行并没有影响 PPD 与婴儿气质之间的其他关联。中介分析表明,母婴关系的某些方面在 PPD 和婴儿负性情绪之间的关联中起中介作用。研究结果强调了检测 PPD 并进行干预以潜在改善母亲及其子女结局的重要性。