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孕期与疫情相关的担忧对12个月大儿童发育的影响。

The Influence of Pandemic-Related Worries During Pregnancy on Child Development at 12 Months.

作者信息

White Lauren K, Himes Megan M, Waller Rebecca, Njoroge Wanjikũ F M, Chaiyachati Barbara H, Barzilay Ran, Kornfield Sara L, Burris Heather H, Seidlitz Jakob, Parish-Morris Julia, Brady Rebecca G, Gerstein Emily D, Laney Nina, Gur Raquel E, Duncan Andrea

机构信息

Children's Hospital of Philadelphia.

University of Pennsylvania.

出版信息

Res Sq. 2023 Mar 22:rs.3.rs-2682358. doi: 10.21203/rs.3.rs-2682358/v1.

Abstract

The COVID-19 pandemic has been linked to increased risk for perinatal anxiety and depression among parents, as well as negative consequences for child development. Less is known about how worries arising from the pandemic during pregnancy are related to later child development, nor if resilience factors buffer negative consequences. The current study addresses this question in a prospective longitudinal design. Data was collected from a sub-study (  = 184) of a longitudinal study of pregnant individuals (total  = 1,173). During pregnancy (April 17-July 8, 2020) and the early postpartum period (August 11, 2020-March 2, 2021), participants completed online surveys. At 12 months postpartum (June 17, 2021-March 23, 2022), participants completed online surveys and a virtual laboratory visit, which included parent-child interaction tasks. We found more pregnancy-specific pandemic worries were prospectively related to lower levels of child socioemotional development based on parent report (B=-1.13, SE = .43,  = .007) and observer ratings (B=-0.13, SE = .07,  = .045), but not to parent-reported general developmental milestones. Parental emotion regulation in the early postpartum period moderated the association between pregnancy-specific pandemic worries and child socioemotional development such that pregnancy-specific pandemic worries did not related to worse child socioemotional development among parents with high (B=-.02, SE = .10, t=-.14, p = .89) levels of emotion regulation. Findings suggest the negative consequences of parental worry and distress during pregnancy on the early socioemotional development of children in the context of the COVID-19 pandemic. Results highlight that parental emotion regulation may represent a target for intervention to promote parental resilience and support optimized child development.

摘要

新冠疫情与父母围产期焦虑和抑郁风险增加以及儿童发育的负面后果有关。对于孕期因疫情引发的担忧如何与儿童后期发育相关,以及复原力因素是否能缓冲负面后果,我们了解得较少。本研究以前瞻性纵向设计解决了这个问题。数据来自一项针对孕妇的纵向研究的子研究(n = 184)(总样本量n = 1173)。在孕期(2020年4月17日至7月8日)和产后早期(2020年8月11日至2021年3月2日),参与者完成了在线调查。在产后12个月(2021年6月17日至2022年3月23日),参与者完成了在线调查和一次虚拟实验室访问,其中包括亲子互动任务。我们发现,根据父母报告(B = -1.13,SE = 0.43,p = 0.007)和观察者评分(B = -0.13,SE = 0.07,p = 0.045),更多特定于孕期的疫情担忧与儿童社会情感发育水平较低存在前瞻性关联,但与父母报告的一般发育里程碑无关。产后早期父母的情绪调节调节了特定于孕期的疫情担忧与儿童社会情感发育之间的关联,使得在情绪调节水平较高的父母中(B = -0.02,SE = 0.10,t = -0.14,p = 0.89),特定于孕期的疫情担忧与较差的儿童社会情感发育无关。研究结果表明了在新冠疫情背景下,孕期父母的担忧和困扰对儿童早期社会情感发育的负面后果。结果突出表明,父母的情绪调节可能是促进父母复原力和支持儿童优化发育的干预目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb4/10055645/4e87be88505a/nihpp-rs2682358v1-f0001.jpg

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