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父母的产前和产后抑郁:与儿童消极情感及母婴功能失调喂养互动的纵向关联

Parental Pre and Postnatal Depression: The Longitudinal Associations with Child Negative Affectivity and Dysfunctional Mother-Child Feeding Interactions.

作者信息

Lucarelli Loredana, Vismara Laura, Chatoor Irene, Sechi Cristina

机构信息

Department of Pedagogy, Psychology, Philosophy, University of Cagliari, 09123 Cagliari, Italy.

Department of Psychiatry and Behavioral Sciences, The George Washington University, Washington, DC 20052, USA.

出版信息

Children (Basel). 2023 Mar 16;10(3):565. doi: 10.3390/children10030565.

DOI:10.3390/children10030565
PMID:36980124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10047090/
Abstract

BACKGROUND

Many studies have shown the influence of maternal perinatal depression on a child's emotional and behavioral regulation ability; yet there is scarce research on the impact of the father's perinatal depression on the caregiver-infant relationship and the child's development.

METHODS

Through a longitudinal study, we investigated maternal and paternal depression and its association with infants' emotionality and mother-infant feeding interactions The sample was constituted of 136 first-time parents (68 couples, and their full-term babies at 3 and 6 months old). At T1 (28th week of pregnancy), T2 (three months old), and T3 (at six months age) parents responded to the Edinburgh Postpartum Depression Scale. At Times 2 and 3, mothers and fathers completed the Infant Behavior Questionnaire, and recorded mother-infant interactions were coded by means of the Feeding Scale.

RESULTS

Statistical analyses indicated stability of maternal and paternal depression over time. Correlations emerged between mother's higher depression scores, negative affective state during interactions at three months age, infant food refusal and mother-infant interactional conflict at six months age. Paternal higher depressive scores were associated with the mother-child interactional conflict. To finish, higher parental depression scores were related with infant negative emotionality.

CONCLUSION

The current study confirms the relevance of embracing a cumulative risk model to support the child's development with early caregiver-child interventions.

摘要

背景

许多研究表明,母亲围产期抑郁会对孩子的情绪和行为调节能力产生影响;然而,关于父亲围产期抑郁对母婴关系及孩子发育的影响的研究却很少。

方法

通过一项纵向研究,我们调查了母亲和父亲的抑郁情况及其与婴儿情绪和母婴喂养互动的关系。样本由136对初为父母的人(68对夫妇及其3个月和6个月大的足月儿)组成。在T1(怀孕第28周)、T2(3个月大)和T3(6个月大)时,父母填写爱丁堡产后抑郁量表。在T2和T3时,母亲和父亲完成婴儿行为问卷,并通过喂养量表对记录的母婴互动进行编码。

结果

统计分析表明,母亲和父亲的抑郁情况随时间推移具有稳定性。母亲较高的抑郁得分、3个月大时互动中的消极情绪状态、婴儿食物拒绝以及6个月大时母婴互动冲突之间存在相关性。父亲较高的抑郁得分与母婴互动冲突有关。最后,父母较高的抑郁得分与婴儿的消极情绪有关。

结论

当前研究证实了采用累积风险模型通过早期的照顾者 - 儿童干预来支持儿童发展的相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea5/10047090/87b948b13009/children-10-00565-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea5/10047090/87b948b13009/children-10-00565-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea5/10047090/87b948b13009/children-10-00565-g001.jpg

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