Université de Sherbrooke, Sherbrooke, Quebec, Canada.
The Ohio State University, Columbus, OH, USA.
Health Educ Behav. 2023 Dec;50(6):792-801. doi: 10.1177/10901981231188137. Epub 2023 Jul 31.
Separation anxiety symptoms are frequent among preschool-aged children, but it is also a possible gateway for diagnosis of separation anxiety disorder. Early maternal employment after childbirth can increase the risk for the development of separation anxiety symptoms. From an economic perspective, however, securing employment is one effective strategy to ensure child well-being. This study investigated how mothers' participation in the labor force (vs. maternal leave) and the financial state of families when the child was 5 months old was prospectively associated with separation anxiety symptoms. This study is based on 1,295 Canadian families with children assessed longitudinally from 17 months to age 6 on their levels of separation anxiety. Separation anxiety was measured during face-to-face interviews with the mothers. Maternal labor force participation, financial status, and risk factors were measured at 5 months. Results adjusted for propensity scores and for sample weight revealed that children of working mothers, despite having sufficient income ( = 245, 18.9%), were at higher risk of separation anxiety during early childhood. In contrast, maternity leave was most beneficial for children's separation anxiety, whether they were in a family with sufficient income ( = 950, 73.4%) or temporary low income ( = 100, 7.7%). Children of mothers in maternity leave were at risk of heightened separation anxiety only if they experienced chronic economic hardship. Therefore, maternity leave uptake could help prevent the development of separation anxiety. Providing families with opportunity to care for the baby as their main occupation during this sensitive developmental period could help improve children's mental health.
分离焦虑症状在学龄前儿童中很常见,但也可能是分离焦虑障碍的诊断依据。产后母亲早期就业可能会增加分离焦虑症状的发展风险。然而,从经济角度来看,确保就业是保障儿童福祉的有效策略之一。本研究调查了母亲的劳动力参与(与产假相比)以及孩子 5 个月时家庭的财务状况如何与分离焦虑症状前瞻性相关。这项研究基于 1295 个加拿大家庭,这些家庭的孩子从 17 个月到 6 岁进行了纵向评估,评估他们的分离焦虑水平。通过与母亲进行面对面访谈来测量分离焦虑。劳动力参与、财务状况和风险因素在 5 个月时进行测量。调整倾向评分和样本权重后的结果表明,尽管工作母亲的孩子有足够的收入(=245,18.9%),但他们在幼儿期患分离焦虑的风险更高。相比之下,产假对孩子的分离焦虑最有益,无论是在收入充足的家庭(=950,73.4%)还是临时收入较低的家庭(=100,7.7%)中。只有在经历长期经济困难的情况下,休产假的母亲的孩子才会面临分离焦虑风险增加的情况。因此,休产假可以帮助预防分离焦虑的发展。为家庭提供在这个敏感的发育阶段以照顾婴儿为主要职业的机会,可能有助于改善儿童的心理健康。