Adolescent and young adult mental health problems and infant offspring behavior: Findings from a prospective intergenerational cohort study.

Autor: Letcher P; The University of Melbourne, Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The Royal Children's Hospital Campus, Parkville Victoria Australia. Electronic address: pletcher@unimelb.edu.au., Greenwood CJ; Deakin University Geelong, Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Victoria Australia; Murdoch Children's Research Institute, Centre for Adolescent Health, The Royal Children's Hospital Campus, Parkville, Victoria, Australia., Romaniuk H; Deakin University Geelong, Biostatistics Unit, Faculty of Health, Victoria Australia., Spry E; Deakin University Geelong, Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Victoria Australia; Murdoch Children's Research Institute, Centre for Adolescent Health, The Royal Children's Hospital Campus, Parkville, Victoria, Australia., Macdonald JA; The University of Melbourne, Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The Royal Children's Hospital Campus, Parkville Victoria Australia; Deakin University Geelong, Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Victoria Australia; Murdoch Children's Research Institute, Centre for Adolescent Health, The Royal Children's Hospital Campus, Parkville, Victoria, Australia., McAnally H; University of Otago, Department of Preventive and Social Medicine, Dunedin, New Zealand., Thomson KC; The University of Melbourne, Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The Royal Children's Hospital Campus, Parkville Victoria Australia; Deakin University Geelong, Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Victoria Australia., Youssef G; Deakin University Geelong, Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Victoria Australia; Murdoch Children's Research Institute, Centre for Adolescent Health, The Royal Children's Hospital Campus, Parkville, Victoria, Australia., Hutchinson D; The University of Melbourne, Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The Royal Children's Hospital Campus, Parkville Victoria Australia; Deakin University Geelong, Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Victoria Australia; Murdoch Children's Research Institute, Centre for Adolescent Health, The Royal Children's Hospital Campus, Parkville, Victoria, Australia; The University of New South Wales, National Drug and Alcohol Research Centre, Faculty of Medicine, New South Wales, Australia., McIntosh J; The University of Melbourne, Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The Royal Children's Hospital Campus, Parkville Victoria Australia; Deakin University Geelong, Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Victoria Australia; Murdoch Children's Research Institute, Centre for Adolescent Health, The Royal Children's Hospital Campus, Parkville, Victoria, Australia., Sanson A; The University of Melbourne, Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The Royal Children's Hospital Campus, Parkville Victoria Australia., Ryan J; The University of Melbourne, Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The Royal Children's Hospital Campus, Parkville Victoria Australia; Murdoch Children's Research Institute, Centre for Adolescent Health, The Royal Children's Hospital Campus, Parkville, Victoria, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Edwards B; ANU Centre for Social Research and Methods, Australian National University, Canberra, Australia., Sligo J; University of Otago, Department of Preventive and Social Medicine, Dunedin, New Zealand., Hancox RJ; University of Otago, Department of Preventive and Social Medicine, Dunedin, New Zealand., Patton GC; The University of Melbourne, Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The Royal Children's Hospital Campus, Parkville Victoria Australia; Murdoch Children's Research Institute, Centre for Adolescent Health, The Royal Children's Hospital Campus, Parkville, Victoria, Australia., Olsson CA; The University of Melbourne, Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The Royal Children's Hospital Campus, Parkville Victoria Australia; Deakin University Geelong, Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Victoria Australia; Murdoch Children's Research Institute, Centre for Adolescent Health, The Royal Children's Hospital Campus, Parkville, Victoria, Australia.
Jazyk: angličtina
Zdroj: Journal of affective disorders [J Affect Disord] 2020 Jul 01; Vol. 272, pp. 521-528. Date of Electronic Publication: 2020 Apr 29.
DOI: 10.1016/j.jad.2020.03.101
Abstrakt: Background: Parental depression and anxiety have been consistently linked to offspring behavior problems across childhood. However, many of the risks for these common mental health problems are established well before pregnancy. This study takes advantage of rare, prospective data to examine relations between parental mental health histories (from adolescence onwards) and next generation offspring behavior problems.
Methods: Data were drawn from a multi-generational cohort study that has followed Australians from infancy to adulthood since 1983, and 1171 of their offspring assessed prospectively from pregnancy. Generalized estimating equation models were used to estimate associations between parents' depression/anxiety symptoms in adolescence and young adulthood and offspring behavior problems at 1 year.
Results: In analyses of 648 mother-infant and 423 father-infant dyads, after adjustment for confounders and concurrent mental health problems, mean behavior problem scores in infants of mothers with a history of mental health problems in both adolescence and young adulthood were over half a standard deviation higher than those of mothers without problems during these periods, B = 2.19, 95% CI 1.21 - 3.17, β = 0.52. No association was observed for fathers.
Limitations: We only included infants born to participants aged 29-35 years and we assessed behavior problems via parent-report.
Conclusions: A mother's history of persistent depression and anxiety from adolescence to young adulthood can predict higher levels of behavior problems in her infant. Findings support calls for greater policy and prevention focus on preconception and postnatal mental health, particularly a mother's early emotional health history, prior to parenthood.
Competing Interests: Declaration of Competing Interest There are no conflicts of interest.
(Copyright © 2020 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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