剖腹产分娩与儿童行为之间的关联:它是由母亲的创伤后应激障碍和母亲的产后抑郁症介导的吗?
Marie-Andrée Grisbrook1, Deborah Dewey2,3,4,5, Colleen Cuthbert1,3,6
1Faculty of Nursing, University of Calgary, Calgary, AB T2N 4N1, Canada.
Behavioral sciences (Basel, Switzerland)
|January 22, 2024
概括
紧急剖腹产并没有直接增加儿童的行为问题. 然而,母亲的PTSD调解了紧急剖腹产和产后抑郁症症状之间的联系,间接影响了孩子的行为.
科学领域:
- 产科和妇科 产科和妇科
- 儿童心理学 儿童心理学
- 孕产妇心理健康 孕产妇心理健康
背景情况:
- 剖腹产 (C-sections) 占全球分娩的21%左右.
- 剖腹产与孩子的行为问题增加有关,母亲产后抑郁症 (PPD) 的潜在调解.
- 之前的研究显示出混合的结果,可能是由于没有区分剖腹产类型,因为紧急剖腹产与创伤后应激障碍 (PTSD) 相关,这是PPD的危险因素.
研究的目的:
- 调查非计划/紧急剖腹产与自发性阴道分娩 (SVD) 和计划剖腹产相比,是否与更多的儿童行为问题有关.
- 检查母亲PTSD和PPD在分娩类型和儿童行为问题之间的关系中的调解作用.
主要方法:
- 从阿尔伯塔怀孕结果和营养 (APrON) 研究中对938个母婴二的二次数据分析.
- 使用条件过程建模来分析数据.
- 使用儿童行为检查清单 (CBCL) 评估儿童行为,而使用精神病诊断查问卷 (PDSQ) 和爱丁堡产后抑郁量表 (EPDS) 测量母亲的PTSD和PPD.
主要成果:
- 在分娩类型和2至3岁儿童行为问题之间没有发现直接关联.
- 紧急剖腹产对儿童行为问题的间接影响是显著的,由母亲的PTSD影响PPD症状.
结论:
- 虽然紧急剖腹产不能直接预测孩子的行为问题,但通过母亲的PTSD和随后的PPD症状的途径是一个重要的间接联系.
- 了解这些调解因素对于支持不同出生方式后的母亲心理健康和儿童发育至关重要.
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