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24至59个月儿童的母亲抑郁与早期儿童发育:敏感性照料的中介作用

Maternal depression and early childhood development among children aged 24-59 months: the mediating effect of responsive caregiving.

作者信息

Zou Siyu, Zou Xinye, Zhang Ruolin, Xue Kefan, Xiao Angela Y, Zhou Mo, Fu Ziyuan, Zhou Hong

机构信息

Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, 21205, USA.

Department of Maternal and Child Health, School of Public Health, Peking University, 38 Xueyuan Road, Haidian District, Beijing, 100191, China.

出版信息

Ann Gen Psychiatry. 2024 Aug 20;23(1):30. doi: 10.1186/s12991-024-00515-z.

Abstract

This study examined whether maternal depression is related to Early Childhood Developmental (ECD) delay among children by quantifying the mediating contribution of responsive caregiving. We used data from 1235 children (Children's mean age = 50.4 months; 582 girls, 653 boys, 93.9% were Han), selected through convenience sampling, in 2021. 4.7% of children had ECD delay, 34.3% of mothers had depression. Children with depressed mothers were less likely to receive responsive caregiving (OR 4.35, 95% CI 2.60-7.27), and those who did not receive responsive caregiving were more likely to experience ECD delay (OR 3.89, 95% CI 1.89-8.02). Responsive caregiving partly mediated the relationship between maternal depression and ECD. Early intervention for children with depressed mothers is worthy of further investigation.

摘要

本研究通过量化敏感照护的中介作用,探讨了母亲抑郁与儿童早期发育(ECD)延迟之间的关系。我们使用了2021年通过便利抽样选取的1235名儿童的数据(儿童平均年龄=50.4个月;582名女孩,653名男孩,93.9%为汉族)。4.7%的儿童有ECD延迟,34.3%的母亲有抑郁症。母亲患有抑郁症的儿童接受敏感照护的可能性较小(比值比4.35,95%置信区间2.60-7.27),而未接受敏感照护的儿童更有可能经历ECD延迟(比值比3.89,95%置信区间1.89-8.02)。敏感照护部分介导了母亲抑郁与ECD之间的关系。对母亲患有抑郁症的儿童进行早期干预值得进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13ba/11334398/56fbadef068c/12991_2024_515_Fig1_HTML.jpg

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