妊娠相关焦虑与 18 个月大儿童行为发育的关系：教养方式和母乳喂养方法的中介作用。
The association between pregnancy-related anxiety and behavioral development in 18-month-old children: The mediating effects of parenting styles and breastfeeding methods.
机构信息
Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China; Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People's Republic of China, No 81 Meishan Road, Hefei 230032, Anhui, China; NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, No 81 Meishan Road, Hefei 230032, Anhui, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University; No 81 Meishan Road, Hefei 230032, Anhui, China.
Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China; Maternal and Child Health Care Center of Ma'anshan, No 24 Jiashan Road, Ma'anshan 243011, Anhui, China.
出版信息
J Affect Disord. 2023 Jul 15;333:392-402. doi: 10.1016/j.jad.2023.04.014. Epub 2023 Apr 21.
BACKGROUND
Pregnancy-related anxiety (PRA) is a distinct type of anxiety from general anxiety, affects many pregnant women, and is correlated with poor behavioral development in children. However, the mediation paths were unclear.
METHODS
A total of 2032 mother-infant pairs from the Ma'anshan Birth Cohort were included in the current study. Maternal PRA was assessed in the second and third trimesters. Children's behavioral development was evaluated at the age of 18 months. In addition, information on parenting styles and breastfeeding methods was obtained at postpartum. Multivariate regression and structural equation modeling were used to examine the associations between maternal PRA and children's behavioral development.
RESULTS
Significant intercorrelations were found between maternal PRA, the potential mediators (parenting styles and breastfeeding methods), and 18-month-old children's ASQ scores. Parenting styles played an intermediary role in the relationship between maternal PRA and children's behavioral development (β = 0.030, 95 % confidence interval: 0.017-0.051), and the mediating effect accounted for 29.1 % of the total effect. However, breastfeeding methods did not mediate the link between PRA and children's behavior.
LIMITATIONS
Depression and postpartum anxiety were not controlled for in our analysis, which left us unable to estimate the independent impact of PRA on children's behavior.
CONCLUSIONS
Parenting rather than breastfeeding is the mediating factor of behavioral problems in children caused by PRA.
背景
与妊娠相关的焦虑（PRA）是一种与一般焦虑不同的焦虑类型，影响许多孕妇，并且与儿童的不良行为发展有关。但是，中介途径尚不清楚。
方法
本研究共纳入了来自马鞍山出生队列的 2032 对母婴。在妊娠第二和第三个三个月评估了母亲的 PRA。在 18 个月大时评估了儿童的行为发展。此外，还在产后获得了有关养育方式和母乳喂养方法的信息。多元回归和结构方程模型用于检查母亲的 PRA 与儿童行为发展之间的关联。
结果
母亲的 PRA、潜在的中介变量（养育方式和母乳喂养方法）以及 18 个月大的儿童的 ASQ 评分之间存在显著的相互关系。养育方式在母亲的 PRA 与儿童行为发展之间的关系中起中介作用（β=0.030，95%置信区间：0.017-0.051），并且中介效应占总效应的 29.1%。但是，母乳喂养方法并不能介导 PRA 与儿童行为之间的联系。
局限性
我们的分析未控制抑郁和产后焦虑，因此无法估计 PRA 对儿童行为的独立影响。
结论
与 PRA 引起的儿童行为问题有关的是养育方式，而不是母乳喂养。
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