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极早产儿出生时母亲早期抑郁和焦虑与儿童语言能力的关系。

Language Outcomes of Children Born Very Preterm in Relation to Early Maternal Depression and Anxiety.

作者信息

Cuervo Sisan, Creaghead Nancy, Vannest Jennifer, Hunter Lisa, Ionio Chiara, Altaye Mekibib, Parikh Nehal A

机构信息

Department of Communication Sciences and Disorders, University of Cincinnati, Cincinnati, OH 45267, USA.

Communication Sciences Research Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.

出版信息

Brain Sci. 2023 Sep 22;13(10):1355. doi: 10.3390/brainsci13101355.

Abstract

Unaddressed maternal psychological distress within the first year postpartum is known to have numerous negative consequences on the child's developmental outcomes, including language acquisition. This study examined the relationship between early maternal psychosocial factors and the language outcomes of children born very preterm (VPT; ≤32 weeks gestational age). It used data from the Cincinnati Infant Neurodevelopment Early Prediction Study, an ongoing National-Institutes-of-Health-funded prospective, multicenter cohort investigation of VPT infants. A total of 243 (125 boys; 118 girls) children born VPT (M = 29.03 weeks of gestation; SD = 2.47) and their corresponding 207 mothers (34 with multiple infants) were included in this study. We did not find an association between maternal depression or anxiety and Bayley-III (M = 92.3, SD = 18.9) language scores. Additionally, maternal grit and self-efficacy did not modify the relationship between depression and anxiety and language scores. A higher level of maternal education and infant female sex were significantly associated with higher language scores. While preterm birth typically results in higher rates of depression and anxiety for parents, the findings suggest that maternal depression, anxiety, and grit and the self-efficacy of the mothers in this sample did not relate to the language development of their children, independent of maternal education and infant female sex.

摘要

产后第一年未得到解决的产妇心理困扰已知会对儿童的发育结果产生许多负面影响,包括语言习得。本研究调查了早期产妇心理社会因素与极早产儿(VPT;胎龄≤32周)语言发育结果之间的关系。研究使用了来自辛辛那提婴儿神经发育早期预测研究的数据,这是一项由美国国立卫生研究院资助的正在进行的前瞻性、多中心队列研究,对象为极早产儿。本研究共纳入了243名(125名男孩;118名女孩)极早产儿(平均胎龄M = 29.03周;标准差SD = 2.47)及其对应的207名母亲(34名母亲生育多胞胎)。我们没有发现产妇抑郁或焦虑与贝利婴幼儿发展量表第三版(Bayley-III,平均得分M = 92.3,标准差SD = 18.9)语言得分之间存在关联。此外,产妇的坚毅和自我效能并没有改变抑郁、焦虑与语言得分之间的关系。产妇较高的教育水平和婴儿为女性与较高的语言得分显著相关。虽然早产通常会导致父母抑郁和焦虑的发生率更高,但研究结果表明,在这个样本中,产妇的抑郁、焦虑、坚毅以及母亲的自我效能与孩子的语言发育无关,不受产妇教育水平和婴儿性别的影响。

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