Article

A longitudinal study of maternal depressive symptoms, negative expectations and perceptions of child problems.

Department of Child Psychiatry, Tampere University Hospital, University of Tampere, Medical School.
Child Psychiatry and Human Development (Impact Factor: 1.93). 02/2004; 35(1):37-53. DOI: 10.1023/B:CHUD.0000039319.96151.63
Source: PubMed

ABSTRACT The aim of this longitudinal study was to examine the associations between maternal depressive symptoms and perceptions of children's problems. One hundred and nineteen mother-child dyads were followed from the third trimester of pregnancy for almost 10 years. Depressive symptoms and background factors of the mothers and the anticipated/perceived problems of their firstborn were assessed prenatally, postnatally, and when the child was 4-5 years and 8-9 years old. The simultaneous and long-term associations between maternal depressive symptoms and child's problems were examined. Maternal prenatal depressive symptoms, the continuity of negative expectations to postnatal problem perceptions, and high problem level at 4-5 years of child's age predicted high problem level in 8-9-year-olds.

0 Bookmarks
 · 
81 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Background Culture is a universal phenomenon, but most interest about culture during pregnancy has focused on medical care, neglecting psychological aspects of normative development. Objective The purpose of this article was to examine normative gestational experiences using the framework of a broaden and build model of culture, positive pregnancy, and youth development. Methods The review involved 43 studies, books, and book chapters (1981–2013) obtained from electronic databases, focusing on parental attitudes, available care, parental expectations, cultural values, and nutrition likely to affect the unborn. Results Several protective factors emerged, such as positive expectations, early prenatal care, protective cultural values, appropriate nutrition, sensitive health care providers, and interdependent, supportive relationships; the absence of some of these protective factors predicted prenatal, perinatal or postnatal complications, likely to affect the health and mental health of youth. Conclusions The review’s findings are congruent with theoretical propositions. Positive feelings and expectations broaden prenatal care, adequate nutrition and avoidance of substance use. In turn, these positive activities help build social support and interdependent relationships that promote maternal and infant health, in the context of protective cultural norms.
    Child and Youth Care Forum 08/2014; 43(4):521-538. · 1.25 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Background Childhood dysregulation, which reflects deficits in the capacity to regulate or control one's thoughts, emotions and behaviours, is associated with psychopathology throughout childhood and into adulthood. Exposures to adversity during the prenatal period, including prenatal depression, can influence the development of dysregulation, and a number of candidate genes have been suggested as moderators of prenatal exposure, including polymorphisms in the promoter region of the serotonin transporter gene (5-HTTLPR). We examined whether prenatal depression and child 5-HTTLPR interact to predict childhood dysregulation.Method Sample of N = 213 mother–child pairs from the Maternal Adversity, Vulnerability and Neurodevelopment (MAVAN) project. Mothers reported the IBQ-R at 3 and 6 months, and the ECBQ at 18 and 36 months, from which measures of dysregulation were extracted. Mothers' self-reported symptoms of depression on the CES-D at 24–36 weeks of gestation, and at 6, 12, 24 and 36 months postnatal. 5-HTTLPR genotype was extracted from buccal swabs. Mixed-model and confirmatory analyses were conducted.ResultsPrenatal depression and 5-HTTLPR interacted to predict dysregulation from 3 to 36 months, within a model of strong differential susceptibility.Conclusion Children with S or LG alleles, when exposed to prenatal depression, have higher levels of dysregulation, and when exposed to lower or little prenatal depression, have higher capacity for regulation. Our findings support efforts to identify, support and treat prenatal depression.
    Journal of Child Psychology and Psychiatry 05/2014; · 5.42 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Our objective was to test the hypothesis that nulliparous women with a history of miscarriage have an increased risk of depression during late pregnancy, and at 1, 6, and 12 months postpartum compared to women without a history of miscarriage. We conducted secondary analysis of a longitudinal cohort study, the First Baby Study, and compared 448 pregnant women with a history of miscarriage to 2,343 pregnant women without a history of miscarriage on risk of probable depression (score >12 on the Edinburgh Postnatal Depression Scale). Logistic regression models were used to estimate odds ratios at each time point and generalized estimating equations were used to obtain estimates in longitudinal analysis. Women with a history of miscarriage were not more likely than woman without a history of miscarriage to score in the probable depression range during the third trimester or at 6 or 12 months postpartum but were more likely at 1 month postpartum, after adjustment for sociodemographic factors (OR 1.66, 95 % CI 1.03–2.69). Women with a history of miscarriage may be more vulnerable to depression during the first month postpartum than women without prior miscarriage, but this effect does not appear to persist beyond this time period. We support the promotion of awareness surrounding this issue and recommend that research is planned to identify risk factors that may position a woman with a history of miscarriage to be at higher risk for depression.
    Maternal and Child Health Journal 06/2014; · 2.24 Impact Factor

Preview

Download
0 Downloads
Available from