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厘清为人父母转变期母亲抑郁症状和伴侣关系问题的发展轨迹及其对儿童适应困难的影响。

Disentangling the trajectories of maternal depressive symptoms and partnership problems in the transition to parenthood and their impact on child adjustment difficulties.

作者信息

Ray J K, Stürmlinger L L, von Krause M, Lux U, Zietlow A-L

机构信息

Faculty of Psychology, Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany.

Department of Psychology, School of Social Sciences, University of Mannheim, Mannheim, Germany.

出版信息

Dev Psychopathol. 2024 Oct;36(4):1988-2003. doi: 10.1017/S0954579423001335. Epub 2023 Nov 17.

DOI:10.1017/S0954579423001335
PMID:37974466
Abstract

Maternal perinatal depression (PND) and partnership problems have been identified to influence the development of later child adjustment difficulties. However, PND and partnership problems are closely linked which makes it difficult to draw conclusions about the exact transmission pathways. The aim of the present study was to investigate to what extent PND symptoms and partnership problems influence each other longitudinally and to examine the influence of their trajectories on child adjustment difficulties at the age of three. Analyses were based on publicly available data from the German family panel "pairfam". = 354 mothers were surveyed on depressive symptoms and partnership problems annually from pregnancy (T0) until child age three (T4). Child adjustment difficulties were assessed at age three. Results of latent change score modeling showed that partnership problems predicted change in PND symptoms at T0 and T3 while PND symptoms did not predict change in partnership problems. Child adjustment difficulties at age three were predicted by PND symptoms, but not by partnership problems. Partnership problems predicted externalizing, but not internalizing symptoms. Results underline the effects of family factors for the development of child adjustment difficulties and emphasize the importance of early interventions from pregnancy onwards.

摘要

已确定孕产妇围产期抑郁症(PND)和伴侣关系问题会影响儿童后期适应困难的发展。然而,PND和伴侣关系问题紧密相连,这使得难以就确切的传播途径得出结论。本研究的目的是调查PND症状和伴侣关系问题在纵向层面上相互影响的程度,并检验它们的轨迹对三岁儿童适应困难的影响。分析基于德国家庭面板“pairfam”的公开数据。对354名母亲从怀孕(T0)到孩子三岁(T4)每年进行抑郁症状和伴侣关系问题的调查。在孩子三岁时评估其适应困难情况。潜在变化分数模型的结果表明,伴侣关系问题可预测T0和T3时PND症状的变化,而PND症状不能预测伴侣关系问题的变化。三岁儿童的适应困难可由PND症状预测,但不能由伴侣关系问题预测。伴侣关系问题可预测外化症状,但不能预测内化症状。结果强调了家庭因素对儿童适应困难发展的影响,并强调了从怀孕起进行早期干预的重要性。

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