The effect of antepartum depressive and anxiety symptoms on mother-infant interaction: The mediating role of antepartum maternal emotional stress

IF 1.9 3区心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL

Infant Behavior & Development Pub Date : 2024-03-23 DOI:10.1016/j.infbeh.2024.101942

Sophia Cécile Wriedt , Mitho Müller , Corinna Reck , Nora Nonnenmacher , Anna-Lena Zietlow , Christian Franz Josef Woll

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Abstract

Anxiety disorders, depression, and emotional stress during the antepartum period are interlinked with adverse child development. The quality of the dyadic interaction seems to play a crucial role in the transmission of these effects. In this study, we explored the mediating effect of antepartum maternal emotional stress (assessed via the Prenatal Emotional Stress Index) regarding the relationship of antepartum maternal depressive (assessed via the Edinburgh Postpartum Depression Scale), anxiety symptoms (assessed via the Stat-Trait-Anxiety-Inventory), and depressive and anxiety disorders (assessed according to the DSM-IV-TR) in the antepartum period on postpartum interactive quality in a longitudinal design. The Face-to-Face-Still-Face Paradigm (FFSF) and the Infant and Caregiver Engagement Phases (ICEP-R) coding system were used to assess the postpartum interactive qualities of the mother-infant dyads. The sample consisted of 59 women, 38 in the clinical and 21 in the control group. We found significant indirect effects of antepartum depressive symptoms and maternal diagnostic status on the mother’s neutral engagement and on the latency to the first social positive interactive match during the interaction – effects that were mediated by antepartum stress. Moreover, there was an indirect effect of state anxiety on neutral engagement – mediated by antepartum stress. Therapeutic intervention studies focusing on maternal antepartum regulation of emotional stress and postpartum interactive patterns might be crucial to encounter maladaptive developmental trajectories.

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产前抑郁和焦虑症状对母婴互动的影响：产前母亲情绪压力的中介作用

产前焦虑症、抑郁症和情绪压力与儿童的不良发育相互关联。在这些影响的传递过程中，夫妻互动的质量似乎起着至关重要的作用。在本研究中，我们采用纵向设计探讨了产前母亲情绪压力（通过产前情绪压力指数进行评估）对产前母亲抑郁（通过爱丁堡产后抑郁量表进行评估）、焦虑症状（通过Stat-Trait-Anxiety-Inventory进行评估）以及产前抑郁和焦虑障碍（根据DSM-IV-TR进行评估）与产后互动质量之间关系的中介效应。研究采用了 "面对面-静止-面对面范式"（FFSF）和 "婴儿和照顾者参与阶段"（ICEP-R）编码系统来评估母婴二人组的产后互动质量。样本由 59 名妇女组成，其中临床组 38 人，对照组 21 人。我们发现，产前抑郁症状和孕产妇诊断状况对母亲的中性参与和互动过程中第一次社会性积极互动匹配的潜伏期有明显的间接影响，而这些影响是由产前压力中介的。此外，状态焦虑对中性参与也有间接影响，这是由产前压力中介的。治疗干预研究的重点是产妇产前对情绪压力的调节和产后互动模式，这可能对遭遇适应不良的发展轨迹至关重要。

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来源期刊

Infant Behavior & Development PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

4.10

自引率

4.80%

发文量

期刊介绍： Infant Behavior & Development publishes empirical (fundamental and clinical), theoretical, methodological and review papers. Brief reports dealing with behavioral development during infancy (up to 3 years) will also be considered. Papers of an inter- and multidisciplinary nature, for example neuroscience, non-linear dynamics and modelling approaches, are particularly encouraged. Areas covered by the journal include cognitive development, emotional development, perception, perception-action coupling, motor development and socialisation.