母亲围产期抑郁轨迹特征能否预测儿童5岁时的外化和内化行为?

Are Children's Externalizing and Internalizing Behaviours at 5 Years Predicted by Maternal Perinatal Depression Trajectory Profiles?

作者信息

Kurbatfinski Stefan, Ntanda Henry, Mullin Jackson, Dewey Deborah, Leung Brenda M Y, Letourneau Nicole

机构信息

Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada.

Alberta Children's Hospital Research Institute, Owerko Centre, Calgary, AB T2N 1N4, Canada.

出版信息

Children (Basel). 2025 Apr 23;12(5):535. doi: 10.3390/children12050535.

Abstract

Mothers' depressive symptoms are associated with their children's internalizing and externalizing behavioural problems. Because mothers' depressive symptoms can vary across the prenatal and postnatal periods, considering their trajectories is important when predicting children's behavioural problems. The purposes of this study were to: (1) identify profiles of mothers characterized by their prenatal and postnatal (up to 3 years postpartum) depressive symptom trajectories and (2) examine the associations between maternal depressive symptom profile trajectories and preschool children's internalizing and externalizing behavioural problems at 5 years of age. This study used data derived from the APrON Study. The Edinburgh Postnatal Depression Scale measured mothers' depressive symptoms in early (<27 weeks) and late (≥27 weeks) pregnancy and at 3, 6, 12, 24, and 36 months postpartum. The Behavioural Assessment Scales for Children, 2nd Edition, quantified children's internalizing and externalizing problems at approximately 60 months of age. Non-growth latent profile analysis determined the most suitable and parsimonious number of maternal depressive symptom profiles, and linear regression analysis quantified their associations with their 5-year-old-children's behavioural problems. A three-profile structure characterized maternal depressive symptom trajectories: minimal, subclinical, and high. Unadjusted (n = 704) and adjusted (n = 621) analyses showed that: 1) mothers' subclinical and high depressive symptom profiles ( < 0.01) predicted children's internalizing problems and 2) mothers' subclinical depressive symptom profiles ( < 0.01) predicted externalizing problems. Maternal subclinical depressive symptoms were equally, if not more, important compared to high depressive symptoms in predicting children's behavioural problems. Overlooking mothers with subclinical depressive symptoms could have implications for their children's behavioural/mental health.

摘要

母亲的抑郁症状与孩子的内化和外化行为问题相关。由于母亲的抑郁症状在产前和产后阶段可能有所不同,因此在预测孩子的行为问题时,考虑其症状轨迹很重要。本研究的目的是:(1)识别以产前和产后(产后3年)抑郁症状轨迹为特征的母亲概况,以及(2)研究母亲抑郁症状概况轨迹与5岁学龄前儿童内化和外化行为问题之间的关联。本研究使用了来自APrON研究的数据。爱丁堡产后抑郁量表测量了母亲在怀孕早期(<27周)和晚期(≥27周)以及产后3、6、12、24和36个月时的抑郁症状。儿童行为评估量表第二版量化了儿童在大约60个月大时的内化和外化问题。非增长潜在概况分析确定了最适合且最简约的母亲抑郁症状概况数量,线性回归分析量化了它们与5岁儿童行为问题之间的关联。母亲的抑郁症状轨迹呈现出三种概况结构:轻度、亚临床和重度。未调整(n = 704)和调整后(n = 621)的分析表明:1)母亲的亚临床和重度抑郁症状概况(<0.01)可预测孩子的内化问题;2)母亲的亚临床抑郁症状概况(<0.01)可预测外化问题。在预测孩子的行为问题方面,母亲的亚临床抑郁症状即便不比重度抑郁症状更重要,至少也是同等重要。忽视有亚临床抑郁症状的母亲可能会对其孩子的行为/心理健康产生影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ce/12110483/7a0df3d31cba/children-12-00535-g001.jpg

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