父亲周产期抑郁症,焦虑和压力以及儿童发展:系统性审查和元分析
Genevieve Le Bas1, Stephanie R Aarsman1,2, Alana Rogers1
1SEED Lifespan Strategic Research Centre, School of Psychology, Faculty of Health, Deakin University, Burwood, Australia.
JAMA pediatrics
|June 16, 2025
概括
父亲产期精神困扰会对儿童发育产生负面影响,影响全球,社会情感,认知,语言和身体的结果. 针对父亲的干预措施
科学领域:
- 心理学和儿童发展
- 围产期心理健康 围产期心理健康
- 纵向研究 纵向研究
背景情况:
- 越来越多的人认为,父亲产后的精神困扰,包括抑郁,焦虑和压力,是影响儿童发育的重要因素.
- 现有文献强调需要进行全面的综合分析,以了解父亲心理健康对从出生到青春期后代结果的范围和影响.
研究的目的:
- 系统地审查和元分析父亲围产期精神困扰与子女发展到18岁之间的关联.
- 量化父心理健康在产前期对儿童发展的各个领域的影响,包括全球,社会情感,认知,语言和身体结果.
主要方法:
- 在多个数据库 (MEDLINE,Embase,PsycINFO,CINAHL) 和灰色文献中进行了全面的搜索,搜索到2024年11月发表的研究.
- 纳入标准包括英语,人体样本,定量数据,纵向设计,以及对父亲周产期精神困扰和后代发育的测量.
- 来自48个队列 (84项研究) 的数据使用单变随机效应模型进行了定量合成,使用NIH质量评估工具评估研究质量.
主要成果:
- 父亲产期精神困扰与后代的全球性 (r = -0.12),社会情绪 (r = 0.09),认知 (r = -0.07),语言 (r = -0.15) 和身体发展 (r = 0.04) 较差有关.
- 与产前困境相比,产后父亲精神困境的关联通常更强.
- 对于适应性或运动发育结果,没有发现有意义的关联.
结论:
- 父亲产期精神困扰是儿童发育的可修改预测因素,强调其在公共卫生中的重要性.
- 通过预防性干预,在产前期针对父亲的精神困扰对于支持父亲和促进下一代健康和福祉至关重要.
相关概念视频
Socioemotional Development during Infancy
113
Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
Primary Temperament Types
113
Stress and Mental Health
211
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
211
Depressive Disorders: Etiology
165
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
165
Depression: Overview
331
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
331
Parenting Styles
126
Diana Baumrind's four parenting styles — authoritarian, authoritative, neglectful, and permissive — each influence children's socio-emotional development differently.
Authoritarian Parenting
This style is strict and controlling, with little room for open dialogue. Authoritarian parents demand obedience and often enforce rules with minimal warmth. Children raised this way may lack social skills and initiative, usually comparing themselves to others unfavorably.
Authoritative...
Authoritarian Parenting
This style is strict and controlling, with little room for open dialogue. Authoritarian parents demand obedience and often enforce rules with minimal warmth. Children raised this way may lack social skills and initiative, usually comparing themselves to others unfavorably.
Authoritative...
126
Psychoneuroimmunology: Cardiovascular Disease
77
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
77


