Maternal Depressive Symptoms and Developmental Delay at Age 2: A Diverse Population-Based Longitudinal Study
Autor: | Alexis Deavenport-Saman, Shin Margaret Chao, Irene Koolwijk, Jeffrey H. Yang, Douglas L. Vanderbilt, Chandra Higgins, Tamar Nazerian Chorbadjian |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male Longitudinal study Epidemiology Developmental Disabilities Population Emotions Psychological intervention Poison control Mothers Suicide prevention Depression Postpartum Child Development Child of Impaired Parents Pregnancy Surveys and Questionnaires Injury prevention Medicine Humans Longitudinal Studies education education.field_of_study business.industry Depression Postpartum Period Public Health Environmental and Occupational Health Obstetrics and Gynecology Infant medicine.disease Child development Los Angeles Pregnancy Complications Child Preschool Population Surveillance Pediatrics Perinatology and Child Health Female business Demography |
Zdroj: | Maternal and child health journal. 24(10) |
ISSN: | 1573-6628 |
Popis: | Children raised by depressed mothers perform lower on measures of cognitive, emotional, and behavioral skills, compared to children of non-depressed mothers. It is unclear how maternal depressive symptoms (MDS), which persist and accrue over time, impact child development. The purpose of this study was to determine whether cumulative MDS from pre-pregnancy to postpartum influences child development in children by age 2.5. Using a longitudinal population-based study design, 2679 racially and ethnically diverse mothers completed the 2014 Los Angeles Mommy and Baby (LAMB) and 2016 Follow-Up surveys. A total MDS score was created based on responses to standardized questions, including the Patient Health Questionnaire-2 (PHQ-2). Data was collected for before pregnancy, during pregnancy, and 4 months postpartum in the 2014 survey, and at 2.5 years postpartum in the 2016 survey. Child development was measured using the CDC’s Learn the Signs. Act Early Milestones Checklist. Bivariate and multivariate logistic regressions were conducted. The prevalence of any cumulative MDS was 45.2%. Language, cognitive/adaptive, motor, and social-emotional delays for surveyed toddlers were 7.7%, 4.0%, 1.2%, and 14.2%. After adjusting for covariates, mothers reporting depressive symptoms at all four time points were significantly more likely to report a social-emotional delay in their child (aOR = 4.39, 95% CI − 1.72 to 11.18). Mothers with cumulative depressive symptoms are at-risk of reporting social-emotional delays by age 2.5. Understanding these effects may help direct resources to target interventions that support mothers with depressive symptoms early-on and promote positive developmental outcomes among their children. |
Databáze: | OpenAIRE |
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