Maternal patterns of antenatal and postnatal depressed mood and the impact on child health at 3-years postpartum.
J Consult Clin Psychol
; 86(3): 218-230, 2018 03.
Article
en En
| MEDLINE
| ID: mdl-29504791
ABSTRACT
OBJECTIVE:
The consequences of maternal depressed mood on children's growth, health, and cognitive and language development are examined over the first 3 years of life.METHOD:
Pregnant women in 24 periurban township neighborhoods in Cape Town, South Africa (N = 1,238 mothers) were randomized by neighborhood to a home visiting intervention or a standard care condition. Reassessments were conducted for 93%-85% of mothers at 2-weeks, 6-, 18-, and 36-months postbirth. Regressions were conducted on measures of children's growth, behavior, language, and cognition to examine the impact of four patterns of depressed mood antenatal only (n = 154, 13.8%), postnatal only (n = 272, 24.3%), antenatal and postnatal (n = 220, 19.7%), and no depressed mood on any assessment (n = 473, 42.3%).RESULTS:
Patterns of depressed mood were similar across intervention conditions. Depressed mothers were significantly less educated, had lower incomes, were less likely to be employed or to have electricity; were more likely to report problematic drinking of alcohol, experience food insecurity, interpersonal partner violence, and to be HIV seropositive. At 36 months, the pattern of maternal depressed mood over time was significantly associated with children's compromised physical growth, both in weight and height, and more internalizing and externalizing symptoms of behavior problems. Measures of language and cognition were similar across maternal patterns of depressed mood.CONCLUSIONS:
Mothers who report depressed mood face significantly more life challenges, both environmental stressors related to poverty and other problematic behaviors. More proximal, postnatal depressed mood appears to have a larger influence on their children, compared with antenatal depressed mood. (PsycINFO Database Record
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
8_ODS3_consumo_sustancias_psicoactivas
Problema de salud:
8_alcohol
Asunto principal:
Complicaciones del Embarazo
/
Efectos Tardíos de la Exposición Prenatal
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Salud Infantil
/
Depresión Posparto
/
Depresión
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Relaciones Madre-Hijo
/
Madres
Tipo de estudio:
Clinical_trials
Aspecto:
Determinantes_sociais_saude
Límite:
Adult
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Child, preschool
/
Female
/
Humans
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Infant
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Male
/
Pregnancy
País/Región como asunto:
Africa
Idioma:
En
Revista:
J Consult Clin Psychol
Año:
2018
Tipo del documento:
Article