Henry Lauren M, Manian Nanmathi, Esposito Gianluca, Bornstein Marc H
Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD 20892, USA.
Westat, Rockville, MD 20850, USA.
Children (Basel). 2023 Aug 29;10(9):1471. doi: 10.3390/children10091471.
The current study examines stability, continuity, and group and gender differences in the home environments of infants of mothers with early, remitted clinical depression and no postpartum depression, overcoming methodological variations in the extant literature. Fifty-five mothers diagnosed with clinical depression (major or minor depression, dysthymia, or depressive disorder not otherwise specified) at 5 months and fully remitted by 15 and 24 months, and 132 mothers with no postpartum depression ( = 32.47; 69.7% European American) completed the Home Observation for Measurement of the Environment (HOME) Inventory Infant/Toddler version when their infants were 15 and 24 months old. No differences in stability estimates of the HOME scales were found between the groups. In terms of continuity, controlling for maternal education and infant birth order, HOME responsivity, involvement, and total score decreased, while HOME acceptance increased between 15 and 24 months in the full sample. There were no effects of group or gender. Results may point to the home environment as a key protective factor for infants of mothers with early, remitted clinical depression, or findings may suggest improved maternal parenting cognitions and practices following remission.
本研究考察了患有早期已缓解临床抑郁症且无产后抑郁症的母亲所生婴儿家庭环境的稳定性、连续性以及群体和性别差异，克服了现有文献中的方法差异。55名母亲在5个月时被诊断为临床抑郁症（重度或轻度抑郁症、恶劣心境或未另行规定的抑郁症），并在15个月和24个月时完全缓解，132名无产后抑郁症的母亲（平均年龄=32.47岁；69.7%为非裔美国人）在其婴儿15个月和24个月大时完成了环境测量家庭观察（HOME）婴幼儿版问卷。两组之间在HOME量表稳定性估计方面未发现差异。在连续性方面，在全样本中，控制母亲教育程度和婴儿出生顺序后，HOME反应性、参与度和总分在15个月至24个月之间下降，而HOME接纳度增加。不存在群体或性别的影响。结果可能表明家庭环境是患有早期已缓解临床抑郁症母亲所生婴儿的关键保护因素，或者结果可能表明缓解后母亲的育儿认知和行为有所改善。
