5岁的母亲抑郁症和后代心理健康:MINA-巴西队列研究
Alicia Matijasevich1, Alexandre Faisal-Cury1, Isabel Giacomini2
1Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Preventiva. São Paulo, SP, Brasil.
Revista de saude publica
|February 29, 2024
概括
母亲抑郁的轨迹会影响孩子的心理健康. 增加或慢性/严重抑郁症状的母亲的孩子在5岁时有更高的心理健康问题的风险.
科学领域:
- 围产期心理健康问题
- 儿童心理学 儿童心理学
- 流行病学 流行病学
背景情况:
- 孕产妇抑郁症是一个重大的公共卫生问题.
- 了解母亲抑郁症的纵向模式对于早期干预至关重要.
- 母亲抑郁症对儿童发育的长期影响需要进一步研究.
研究的目的:
- 为了确定产后3个月至5年的母亲抑郁症的纵向模式.
- 检查这些母亲抑郁轨迹的预测因素.
- 评估不同的母亲抑郁轨迹是否预测5岁后代的心理健康问题.
主要方法:
- 利用了MINA-巴西研究的数据,这是一个基于人口的出生队列.
- 在多个时间点使用爱丁堡产后抑郁量表 (EPDS) 评估母亲的抑郁症状.
- 在5岁时,儿童的心理健康被评估,使用优势和困难问卷 (SDQ).
主要成果:
- 确定了四种母亲抑郁症状轨迹:低 (67.1%),增加 (11.5%),减少 (17.4%) 和高度慢性 (4.0%).
- "高慢性"组包括最贫穷,受教育程度最低和年龄最大的母亲,多夫多妻,吸烟率较高,产前访问较少.
- 与"低"组相比,在"增长"和"高慢性"轨迹的母亲的孩子有明显更高的可能性出现任何强项和困难问卷障碍 (分别为OR=3.23和OR=2.87).
结论:
- 母亲抑郁的轨迹显著影响后代的心理健康结果.
- 患有"加剧"或"慢性/严重"抑郁症状的母亲的孩子面临着更糟糕的心理健康.
- 针对这些轨迹中的母亲进行有针对性的预防和治疗对于减轻对儿童发育的不良影响至关重要.
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