Maternal depressive symptom trajectories from preconception through postpartum: Associations with offspring developmental outcomes in early childhood
| Autor: | Gabrielle R. Rinne, Elysia Poggi Davis, Nicole E. Mahrer, Christine M. Guardino, Julia M. Charalel, Madeleine U. Shalowitz, Sharon L. Ramey, Christine Dunkel Schetter |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Mothers
Reproductive health and childbirth Medical and Health Sciences Article Depression Postpartum Postpartum Clinical Research Pregnancy Behavioral and Social Science Humans Longitudinal Studies Child Preschool Child development Pediatric Psychiatry Maternal mental health Psychopathology Depression Prevention Psychology and Cognitive Sciences Postpartum Period Preconception Psychiatry and Mental health Clinical Psychology Mental Health Good Health and Well Being Child Preschool Female |
| Zdroj: | J Affect Disord |
| Popis: | BackgroundTwo theoretical frameworks, the cumulative stress and match-mismatch model, propose that patterns of maternal depressive symptoms over early periods of offspring development predict outcomes in opposing ways. Studies have yet to test these theories across the preconception, prenatal, and early postnatal period. Study 1 identified trajectories of maternal depressive symptoms from preconception to postpartum. Study 2 examined associations of these trajectories with offspring developmental outcomes in early childhood.MethodsIn Study 1, women (n=362) enrolled in a longitudinal study were assessed prior to conception and through a subsequent pregnancy and postpartum. In Study 2, a subsample of 125 mother-child pairs completed home visits in early childhood. Mothers reported on child temperament at age 4. Children completed assessments of executive function at age 5.ResultsFour trajectories of maternal depressive symptoms were identified: low-stable, increasing, decreasing, persistent. In controlled analyses, children of women with decreasing symptoms were lower in maternal ratings of effortful control at age four (β=-0.24, p=.003). Children of women with increasing symptoms scored lower on an inhibitory control task at age five (β=-0.35, p=.001).ConclusionsChanges in maternal depressive symptoms, but not stable symptoms, were associated with lower maternal ratings of effortful control and poorer performance on an inhibitory control task. Results are consistent with the match-mismatch model. Assessment of preconception depressive symptoms in women and changes in symptoms may be beneficial for early intervention for women and children. |
| Databáze: | OpenAIRE |
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