Modelling the associations between parental depressive symptoms, hypomanic traits, and infant socio-emotional development: The mediating role of parental reflective functioning.

IF 4.9 2区 医学 Q1 CLINICAL NEUROLOGY
Aigli Raouna, Lisa-Christine Girard, Angus MacBeth
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引用次数: 0

Abstract

Background: Although understanding of maternal hypomania in the postpartum period is gradually improving, the intergenerational pathways of risk associated with hypomania in the context of postpartum depression remain unknown. It is also unclear whether distinct or shared pathways of risk exist for infants exposed to different parental mood characteristics and whether these pathways are mediated by parental reflective functioning.

Methods: An online survey was administered to 1788 parents (89 % mothers, 50 % White) who were primary caregivers of a child under 2. Structural equation modelling techniques were employed to model direct and indirect associations between parental depressive symptoms, hypomanic traits and infant socio-emotional development, investigating the mediating role of parental reflective functioning.

Results: Elevated levels of parental depressive symptoms, in the presence of hypomanic personality traits, were directly associated with infant socio-emotional challenges, without affecting parental reflective functioning. However, higher levels of parental hypomanic traits in the postnatal period displayed a fully mediated pathway of risk transmission to infants' socio-emotional development via their negative association with parental reflective functioning.

Limitations: Results should be interpreted with caution as the reliance on self-and-parent-reported scales may have introduced biases influenced by individual perceptions and situational factors. Additionally, the cross-sectional design of this study inhibits establishing cause-and-effect relationships.

Conclusions: Overall, these results highlight the critical role of both parental depressive symptoms and hypomanic traits on infant socio-emotional development, suggesting that supporting parental mood regulation and mentalizing abilities in the postnatal period could reduce the risk of early maladaptive socio-emotional trajectories in children.

父母抑郁症状、躁狂症特征与婴儿社会情感发展之间的关联建模:父母反思功能的中介作用。
背景:尽管人们对产后母亲躁狂症的了解正在逐步加深,但与产后抑郁症相关的躁狂症的代际风险途径仍然未知。此外,还不清楚不同父母情绪特征的婴儿是否存在不同或共同的风险途径,以及这些途径是否受父母反思功能的影响:我们对 1788 名主要照顾 2 岁以下婴儿的父母(89% 为母亲,50% 为白人)进行了在线调查。采用结构方程建模技术对父母抑郁症状、躁狂症特征和婴儿社会情感发展之间的直接和间接联系进行建模,研究父母反思功能的中介作用:结果:父母抑郁症状水平的升高和人格特质的躁狂与婴儿的社会情感挑战直接相关,但不影响父母的反思功能。然而,在产后阶段,父母较高水平的自卑性格特征通过与父母的反思功能负相关,对婴儿的社会情感发展显示出完全介导的风险传递途径:对结果的解释应谨慎,因为依赖于自我和父母报告的量表可能会受到个人看法和情景因素的影响而产生偏差。此外,本研究的横断面设计也不利于建立因果关系:总之,这些结果凸显了父母抑郁症状和躁狂症特征对婴儿社会情感发展的关键作用,表明在产后支持父母的情绪调节和心智能力可降低儿童早期适应不良社会情感轨迹的风险。
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来源期刊
Journal of affective disorders
Journal of affective disorders 医学-精神病学
CiteScore
10.90
自引率
6.10%
发文量
1319
审稿时长
9.3 weeks
期刊介绍: The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.
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