患有早期缓解的临床抑郁症的母亲和没有产后抑郁症的母亲所生的婴儿:出生后第二年的适应功能。

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-04-01 DOI:10.1002/imhj.22110
Marc H. Bornstein, Nanmathi Manian, Lauren M. Henry
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引用次数: 0

摘要

产后母亲的临床抑郁症缓解是否会导致婴儿适应功能低下,以及如何导致婴儿适应功能低下,目前尚无定论。本纵向研究对母亲在 5 个月时被诊断为临床抑郁症,但在 15 个月和 24 个月时病情得到缓解的婴儿的适应功能进行了调查。55 名患有早期缓解的临床抑郁症的美国母亲和 132 名没有产后抑郁症的母亲在 15 个月和 24 个月时完成了有关婴儿的维尼兰适应行为量表。各组之间,母亲的年龄、种族、婚姻状况和接受词汇量(代表语言智能)相当,婴儿的年龄和性别分布也相当。在控制了母亲的教育程度和胎次后,患有早期缓解型临床抑郁症的母亲和未患产后抑郁症的母亲对其婴儿在沟通、日常生活技能和社交方面的评价相似。患有早期缓解型临床抑郁症的母亲对婴儿运动技能的评分较低。在 24 个月大时,女婴的沟通能力比男婴高,在 15 个月大和 24 个月大时,女婴的日常生活技能比男婴高。从 15 个月到 24 个月,婴儿适应行为能力的评分有所提高。除个别情况外,婴儿的适应功能可能会对早期缓解的母亲抑郁情绪产生影响,而适应功能是促进这一弱势群体积极发展的一个领域。
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Infants of mothers with early remitted clinical depression and mothers with no postpartum depression: Adaptive functioning in the second year of life

Whether and how remitted clinical depression in postpartum motherhood contributes to poor infant adaptive functioning is inconclusive. The present longitudinal study examines adaptive functioning in infants of mothers diagnosed as clinically depressed at 5 months but remitted at 15 and 24 months. Fifty-five U. S. mothers with early, remitted clinical depression and 132 mothers without postpartum depression completed the Vineland Adaptive Behavior Scales about their infants at 15 and 24 months. Between groups, mothers were equivalent in age, ethnicity, marital status, and receptive vocabulary (a proxy for verbal intelligence), and infants were equivalent in age and distribution of gender. Controlling for maternal education and parity, mothers with early, remitted clinical depression and mothers with no postpartum depression rated their infants similarly on communication, daily living skills, and socialization. Mothers with early, remitted clinical depression rated their infants poorer in motor skills. Girls were rated more advanced than boys in communication at 24 months and daily living skills at 15 and 24 months. Rated infant adaptive behavior skills increased from 15 to 24 months. With exceptions, adaptive functioning in infants may be robust to early, remitted maternal depression, and adaptive functioning presents a domain to promote positive development in this otherwise vulnerable population.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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