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父母抑郁症状在11年中的变化轨迹。

Trajectories of depressive symptoms of mothers and fathers over 11 years.

作者信息

Csajbók Zsófia, Fořt Jakub, Kearns Pavla Brennan

机构信息

Department of Psychology and Life Sciences, Faculty of Humanities, Charles University, Prague, Czech Republic.

Department of Zoology, Faculty of Science, Charles University, Prague, Czech Republic.

出版信息

Epidemiol Psychiatr Sci. 2025 Apr 10;34:e23. doi: 10.1017/S2045796025000174.


DOI:10.1017/S2045796025000174
PMID:40207920
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12037347/
Abstract

. Parental postpartum depressive symptoms have been extensively studied, but the combined longitudinal depression trajectories of parents and their long-term development beyond the postpartum period remain largely underexplored. We identified dyadic longitudinal depressive symptom trajectories in new parents, followed over an 11-year period, and compared parental characteristics, as well as child temperament and mental health factors, across different parental trajectory classes. . A prenatal cohort of 5,518 couples was studied. Depressive symptoms were measured using the Edinburgh Postnatal Depression Scale at eight time points: in the prenatal stage, in the newborn stage, and at 6 months, 18 months, 3 years, 5 years, 7 years and 11 years after the birth of the child. . Dyadic Latent Class Growth Modelling identified five classes of couples: (1) mother has elevated depressive symptoms, father is non-depressed (24%); (2) both mother and father have elevated depressive symptoms (20%); (3) both mother and father are constantly non-depressed (42%); (4) both mother and father are constantly depressed (5%); and (5) mother is constantly depressed, father has elevated depressive symptoms (9%). Relationship maintenance (particularly being married or separated) was the most strongly associated with the classes. Socio-economic resources, emotional well-being, health, obstetric history and parental background also served as meaningful covariates. Child temperament and mental health showed weak correlations with parental trajectory classes. . Parents with postpartum depressive symptoms often experience depressive symptoms long-term. Separated parents are particularly vulnerable to adverse depressive trajectories. Our findings underscore the importance of dyadic methods in estimating unique combinations of parental depression trajectories.

摘要

父母产后抑郁症状已得到广泛研究,但父母双方抑郁症状的联合纵向轨迹及其产后长期发展情况在很大程度上仍未得到充分探索。我们确定了初为人父母者长达11年的二元纵向抑郁症状轨迹,并比较了不同父母轨迹类别中的父母特征、孩子的气质和心理健康因素。 对5518对夫妇的产前队列进行了研究。使用爱丁堡产后抑郁量表在八个时间点测量抑郁症状:产前阶段、新生儿阶段、孩子出生后6个月、18个月、3岁、5岁、7岁和11岁。 二元潜在类别增长模型确定了五类夫妇:(1)母亲有抑郁症状,父亲无抑郁症状(24%);(2)母亲和父亲都有抑郁症状(20%);(3)母亲和父亲都一直无抑郁症状(42%);(4)母亲和父亲都一直抑郁(5%);(5)母亲一直抑郁,父亲有抑郁症状(9%)。关系维持情况(尤其是已婚或分居)与这些类别关联最为紧密。社会经济资源、情绪健康、健康状况、产科病史和父母背景也作为有意义的协变量。孩子的气质和心理健康与父母轨迹类别之间的相关性较弱。 有产后抑郁症状的父母往往长期经历抑郁症状。分居的父母尤其容易出现不良的抑郁轨迹。我们的研究结果强调了二元方法在估计父母抑郁轨迹独特组合方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43d8/12037347/6296436ee05f/S2045796025000174_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43d8/12037347/6296436ee05f/S2045796025000174_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43d8/12037347/6296436ee05f/S2045796025000174_fig1.jpg

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Trajectories of depressive symptoms of mothers and fathers over 11 years.

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本文引用的文献

[1]
Relationship between personality traits and postpartum depression in Pakistani fathers.

PLoS One. 2024

[2]
Risk psychosocial factors associated with postpartum depression trajectories from birth to six months.

Soc Psychiatry Psychiatr Epidemiol. 2024-10

[3]
The long-term course and prognosis of postpartum depression: a retrospective longitudinal cohort study.

Arch Womens Ment Health. 2024-2

[4]
Household crowding in childhood and trajectories of depressive symptoms in mid-life and older age.

J Affect Disord. 2023-11-1

[5]
Variation in depressive symptom trajectories in a large sample of couples.

Transl Psychiatry. 2022-5-18

[6]
Differential Trajectories of Fathers' Postpartum Depressed Mood: A Latent Class Growth Analysis Approach.

Int J Environ Res Public Health. 2022-2-8

[7]
Longitudinal reciprocal associations between depression, anxiety, and substance use disorders over three decades of life.

J Affect Disord. 2022-4-1

[8]
Risk factors of perinatal depression in women: a systematic review and meta-analysis.

BMC Psychiatry. 2022-1-27

[9]
Distinct trajectories of perinatal depression in Chinese women: application of latent growth mixture modelling.

BMC Pregnancy Childbirth. 2022-1-10

[10]
Severity of preterm birth and perinatal depressive symptoms in mothers and fathers: Trajectories over the first postpartum year.

J Affect Disord. 2022-2-1

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