母亲产后抑郁症与儿童在幼儿时期的身体成长之间的关联:一个出生队列研究
Qiong He1,2, Gang Cheng1, Simin He1
1Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China.
Frontiers in pediatrics
|August 11, 2023
概括
产后抑郁症 (PPD) 并没有动态影响孩子的成长. 然而,较高的抑郁症状得分与3个月以下婴儿的体重和身高增长速度较慢有关,没有持久的影响.
科学领域:
- 儿童发展 儿童发展
- 孕产妇心理健康 孕产妇心理健康
- 儿科生长的成长 儿科的成长
背景情况:
- 已知未经治疗的产后抑郁症 (PPD) 会影响儿童的发育.
- 之前的研究没有检查PPD对儿童长期身体成长的长期影响.
- 这项研究调查了PPD对潜在出生队列中儿童身体成长的动态影响.
研究的目的:
- 评估母亲产后抑郁症 (PPD) 与儿童身体成长之间的动态关联.
- 评估PPD对婴儿至48个月儿童体重和身高变化的影响.
- 了解PPD对儿童成长的影响如何随着时间的推移而变化.
主要方法:
- 一项前性出生队列研究从2015年至2019年在中国长沙跟踪了960对母婴对.
- 在产后1个月使用爱丁堡产后抑郁量表 (EPDS) 评估了母亲的抑郁症状.
- 线性混合模型分析了PPD和EPDS分数与六个年龄组 (1-48个月) 的身体成长的关联.
主要成果:
- 诊断出PPD和儿童的体重或身高增长在任何年龄段之间没有发现显著的关联.
- 较高的EPDS分数与1至3个月的儿童体重增加 (β = -0.014) 和身高增长 (β = -0.044) 率的减少有关.
- 在年龄较大的儿童中,没有观察到EPDS得分和生长率之间的这些关联.
结论:
- 在调整混因子后,母亲的PPD与儿童的体重和身高增长没有动态关联.
- 婴儿体重和身高增长在产后前三个月受到母亲抑郁症状 (EPDS分数) 的负面影响.
- 抑郁症状对儿童成长的负面影响是短暂的,并没有持续到婴儿早期.
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