Merrick Jillian S, Narayan Angela J
Department of Psychology, University of Denver, Denver, CO, USA.
Pritzker Department of Psychiatry and Behavioral Health, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Dev Psychopathol. 2024 Aug 22:1-14. doi: 10.1017/S095457942400097X.
This study replicated and extended Narayan and colleagues' (2018) original benevolent childhood experiences (BCEs) study. We examined associations between adverse and positive childhood experiences and mental health problems in a second sample of low-income, ethnically diverse pregnant individuals (replication). We also examined effects of childhood experiences on perinatal mental health problems while accounting for contemporaneous support and stress (extension). Participants were 175 pregnant individuals ( = 28.07 years, SD = 5.68, range = 18-40; 38.9% White, 25.7% Latina, 16.6% Black, 12.0% biracial/multiracial, 6.8% other) who completed standardized instruments on BCEs, childhood maltreatment and exposure to family dysfunction, sociodemographic stress, and perinatal depression and post-traumatic stress disorder (PTSD) symptoms. They completed the Five-Minute Speech Sample at pregnancy and postpartum to assess social support from the other biological parent. Higher family dysfunction predicted higher prenatal depression symptoms, while higher BCEs and prenatal social support predicted lower prenatal PTSD symptoms. Prenatal depression and prenatal PTSD symptoms were the most robust predictors of postnatal depression and PTSD symptoms, respectively, although higher postnatal social support also predicted lower postnatal PTSD symptoms. Findings replicated many patterns found in the original BCEs study and indicated that contemporaneous experiences are also associated with perinatal mental health problems.
本研究重复并扩展了纳拉扬及其同事（2018年）最初的良性童年经历（BCEs）研究。我们在另一组低收入、种族多样的孕妇样本中，考察了不良童年经历和积极童年经历与心理健康问题之间的关联（重复研究）。我们还考察了童年经历对围产期心理健康问题的影响，同时考虑了同期的支持和压力（扩展研究）。参与者为175名孕妇（平均年龄=28.07岁，标准差=5.68，年龄范围=18 - 40岁；白人占38.9%，拉丁裔占25.7%，黑人占16.6%，混血/多种族占12.0%，其他占6.8%），她们完成了关于良性童年经历、童年期虐待和家庭功能障碍暴露、社会人口学压力以及围产期抑郁和创伤后应激障碍（PTSD）症状的标准化量表。她们在孕期和产后完成了五分钟言语样本，以评估来自另一方亲生父母的社会支持。更高的家庭功能障碍预示着更高的产前抑郁症状，而更高的良性童年经历和产前社会支持预示着更低的产前创伤后应激障碍症状。产前抑郁和产前创伤后应激障碍症状分别是产后抑郁和创伤后应激障碍症状最有力的预测因素，不过更高的产后社会支持也预示着更低的产后创伤后应激障碍症状。研究结果重复了最初良性童年经历研究中发现的许多模式，并表明同期经历也与围产期心理健康问题有关。
