母亲抑郁和育儿实践之间的关联:一项对来自低收入家庭的儿童进行的纵向研究
Eduarda Martins Lages1, Fernanda Cunha Soares2, Iná S Santos3
1Postgraduate Program in Psychology (PPGPsi), Federal University of Rio Grande, Brazil; Center for Mental Health, Cognition and Behavior, Federal University of Pelotas, Brazil.
Journal of affective disorders
|March 1, 2026
概括
婴儿和幼儿时期的孕产妇抑郁症状与巴西低收入家庭的较差育儿习惯有关. 早期干预,包括心理健康和育儿支持,对于儿童的发展至关重要.
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
- 公共卫生干预 公共卫生干预
背景情况:
- 孕产妇抑郁症状 (MDS) 在低收入的巴西环境中很普遍.
- 有限的纵向数据存在于MDS和育儿实践之间的关联.
- 这项研究通过检查婴儿期和学龄早期的MDS来解决这一差距.
研究的目的:
- 调查母亲抑郁症状 (MDS) 与育儿实践之间的纵向关联.
- 评估儿童进入学校时 (~5.5岁) 的育儿实践,与婴儿和幼儿学龄段测量的MDS相关.
- 在资源有限的环境中为干预提供信息.
主要方法:
- 来自巴西快乐儿童计划 (PCF) 队列中的3242个家庭的纵向数据.
- 在基线 (T0) 和随访 (T4) 时使用爱丁堡产后抑郁量表 (EPDS) 评估的母亲抑郁症状.
- 在T4时使用育儿和家庭调整量表 (PAFAS) 评估育儿实践;进行了多变量回归和灵敏度分析.
主要成果:
- 孕产妇抑郁的患病率在T0时为14.6%,在T4时为19.0%.
- 对于T0和T4的母亲抑郁症,与更糟糕的整体育儿成绩相关,包括强制性做法和亲子关系.
- 积极鼓励的关联较弱,但存在,特别是在T4;结果很强.
结论:
- 婴儿期和学龄早期的母亲抑郁症状与不太有利的育儿习惯有关.
- 调查结果强调了需要综合照顾模式来解决母亲抑郁症和育儿支持的问题.
- 干预措施可以改善低收入,资源有限的环境中的儿童发展结果.
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