Sperati Alessandra, Passaquindici Ilenia, Persico Melba Emilia, Di Matteo Cinzia, Fasolo Mirco, Lionetti Francesca, Spinelli Maria
Department of Neuroscience, Imaging and Clinical Sciences, University G. d'Annunzio Chieti-Pescara, Chieti, Italy.
Department of Psychology, University G. d'Annunzio Chieti-Pescara, Chieti, Italy.
Front Psychol. 2025 Mar 20;16:1551016. doi: 10.3389/fpsyg.2025.1551016. eCollection 2025.
The perinatal period is marked by significant physiological and psychological changes, making it a challenging time for many women. While some women are more vulnerable to depression during this period, research on perinatal depression trajectories and contributing factors remains mixed. This longitudinal study investigated how maternal depression changes during the perinatal period in a non-clinical sample, exploring the roles of individual factors, such as Sensory Processing Sensitivity (SPS), and contextual factors, such as global partner support. Based on the prenatal programming hypothesis, we also examined the role of prenatal depression on infants' negative affect temperament as an early marker of emotional adjustment.
Eighty-eight mothers ( = 35.03 years, = 4.92) completed online questionnaires during pregnancy, at 3, 6, and 9 months post-partum. Depression was assessed using the Edinburgh Postnatal Depression Scale, partner support was measured with an ad-hoc scale. SPS was reported during pregnancy using the Highly Sensitive Person Scale. At 3 months post-partum, infants' negative affect ( = 3.07 months, = 0.26) was measured using the Infant Behavior Questionnaire. Latent growth analyses and multivariate regression models were used to analyze the data.
Depression showed a significant linear decrease, with higher symptoms between pregnancy and 3 months postpartum, although overall levels were low and consistent with non-clinical populations. High SPS predicted greater depressive symptoms across all time points. Pregnancy partner support was associated with lower depressive symptoms during pregnancy ( = -0.42, < 0.01) and at 6 months postpartum ( = -0.32, = 0.03). Prenatal depression significantly predicted infants' negative affect ( = 0.34, = 0.03), particularly the fear temperament subscale ( = 0.46, = 0.001), accounting for 22% of its variance.
The findings clarify that a decline in mood is common in non-clinical populations during the perinatal period, with mothers high in sensitivity and mothers with lower partner support being more vulnerable to experience negative feelings. Moreover, prenatal maternal depression acts as a prenatal stressor, increasing infants' reactivity to stimuli, as reflected in heightened fear. Implications for tailored parenting programs are discussed.
围产期的特点是生理和心理发生重大变化,这对许多女性来说是一段充满挑战的时期。虽然有些女性在这一时期更容易患抑郁症,但关于围产期抑郁轨迹及其影响因素的研究结果仍不一致。这项纵向研究调查了非临床样本中母亲在围产期抑郁症状的变化情况,探讨了个体因素(如感官加工敏感性(SPS))和环境因素(如伴侣的全面支持)的作用。基于产前编程假说,我们还研究了产前抑郁作为情绪调节早期指标对婴儿消极情绪气质的影响。
88名母亲(平均年龄35.03岁,标准差4.92)在孕期、产后3个月、6个月和9个月完成了在线问卷调查。使用爱丁堡产后抑郁量表评估抑郁症状,用自编量表测量伴侣支持。孕期通过高敏感人群量表报告感官加工敏感性。产后3个月,使用婴儿行为问卷测量婴儿的消极情绪(平均年龄3.07个月,标准差0.26)。采用潜在增长分析和多元回归模型分析数据。
抑郁症状呈显著线性下降,孕期至产后3个月症状较高,不过总体水平较低,与非临床人群一致。高感官加工敏感性在所有时间点均预示着更严重的抑郁症状。孕期伴侣支持与孕期(β=-0.42,p<0.01)及产后6个月(β=-0.32,p=0.03)较低的抑郁症状相关。产前抑郁显著预测婴儿的消极情绪(β=0.34,p=0.03),尤其是恐惧气质子量表(β=0.46,p=0.001),解释了其22%的变异。
研究结果表明,围产期非临床人群中情绪下降很常见,高敏感性母亲和伴侣支持较低的母亲更容易产生消极情绪。此外,产前母亲抑郁作为一种产前应激源,会增加婴儿对刺激的反应性,表现为恐惧加剧。文中还讨论了对定制育儿项目的启示。