孕期间隔与儿童行为结果:一项基于人口的纵向研究。

IF 3.7 2区 医学 Q1 PSYCHIATRY Journal of psychiatric research Pub Date : 2024-09-23 DOI:10.1016/j.jpsychires.2024.09.037
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引用次数: 0

摘要

背景:虽然短间隔期(IPIs)对身体健康的影响已被充分证实,但其对心理健康的影响却没有得到很好的探讨。本研究的目的是在 7 至 16 岁的四个发育时间点上,研究 IPI 与间隔期后出生的儿童的行为结果之间的关联:我们的研究样本包括雅芳父母与子女纵向研究(ALSPAC)队列中的参与者,这是英国雅芳布里斯托尔正在进行的一项基于人口的纵向出生队列研究。行为问题,包括总行为困难、多动、情绪症状、行为问题、同伴问题和亲社会行为问题,均采用优势与困难问卷(SDQ)进行评估。这项研究共纳入了 2300 多名母亲及其单胎子女。研究采用广义估计方程(GEE)来估计相关的几率比:结果:母亲 IPI 偏短的婴儿(结论:母亲 IPI 偏短的婴儿(结论:母亲 IPI 偏短的婴儿(结论:母亲 IPI 偏短的婴儿(结论短 IPI (
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Interpregnancy intervals and behavioural outcomes in children: A population-based longitudinal study

Background

While the physical health consequence of short interpregnancy intervals (IPIs) is well documented, its mental health impact is not well explored. This study aimed to examine the associations between IPIs and behavioural outcomes in children born following the interval at four developmental time points between ages 7 and 16.

Methods

Our study sample comprised participants in the Avon Longitudinal Study of Parents and Children (ALSPAC) cohort, an ongoing population-based longitudinal birth cohort in Bristol, Avon, United Kingdom. Behavioural problems, including total behavioural difficulties, hyperactivity, emotional symptoms, conduct problems, peer-problems, and problems of pro-social behaviour, were assessed using the Strengths and Difficulties Questionnaire (SDQ). Over 2300 mothers and their singleton children were included in this study. Generalized Estimating Equations (GEE) were used to estimate odds ratios for the associations.

Results

Children born to mothers with short IPI (<6 months) were 1.54 (95%CI: 1.12–2.11), 1.42 (95% CI: 1.12–1.81) and 1.37 (95%CI: 1.04–1.79) times more likely to have total behavioural difficulties, conduct problems and hyperactivity/inattention problems across the child's age, respectively, compared with children of mothers with IPIs of 18–23 months. We found no evidence of associations between short IPI (<6 months) and emotional symptoms, peer-relationship problems and pro-social behaviour problems.

Conclusion

Short IPI (<6 months) was associated with externalising (conduct and hyperactivity/inattention) but not internalising (emotional and peer-relationship problems) problems. Further studies are needed to confirm this association and elucidate the underlying mechanisms.
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来源期刊
Journal of psychiatric research
Journal of psychiatric research 医学-精神病学
CiteScore
7.30
自引率
2.10%
发文量
622
审稿时长
130 days
期刊介绍: Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;
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