Eduarda Martins Lages, Mariana Adamoli Marques da Silva, Fernanda Cunha Soares, Tiago N Munhoz
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引用次数: 0
Abstract
Background: Maternal depression is an established risk factor for parenting disruptions with potential consequences for child development. Although previous studies have examined the effects of maternal depression on parenting behaviors, the most recent systematic reviews and meta-analyses only include data up to 2013. Given evolving perspectives and methodologies, updated insights are necessary. This systematic review synthesizes evidence on the association between maternal depression and parenting over the past decade.
Method: Systematic searches were conducted in MEDLINE/PubMed, SciELO, BVS, LILACS, Embase, Web of Science, and PsycInfo with no language restrictions. The search focused on studies published between 2013 and 2023. Inclusion criteria were comprised of observational studies assessing parenting among mothers diagnosed with depression during their child's youth or adolescence. Of the 11,305 studies screened, 166 were fully reviewed by two independent reviewers, resulting in 29 eligible studies. No gray literature was included.
Results: Among the 29 studies, 28 reported an association between maternal depression and parenting. Most were conducted in high-income countries, focused on children under 36 months, and used cross-sectional designs. Two-thirds were published after 2017. This review's limitations include studies predominantly from high-income settings, exclusive assessment of parenting practices without broader parenting constructs, and the absence of meta-analysis.
Conclusion: Findings consistently highlight the association between maternal depression and negative parenting practices, influencing sensitivity, affection, attachment, involvement, commitment, responsiveness, and stimulation. Mothers experiencing depression face challenges across these domains, which may affect child development. Future research should explore these associations in diverse sociocultural contexts and include longitudinal studies to better understand long-term effects.
背景：母亲抑郁症是一个确定的风险因素，对育儿中断具有潜在的后果，对儿童的发展。虽然之前的研究已经调查了母亲抑郁对育儿行为的影响，但最近的系统综述和荟萃分析只包括截至2013年的数据。鉴于不断发展的观点和方法，更新的见解是必要的。这篇系统综述综合了过去十年中母亲抑郁和养育子女之间关系的证据。方法：系统检索MEDLINE/PubMed、SciELO、BVS、LILACS、Embase、Web of Science、PsycInfo等数据库，无语言限制。搜索的重点是2013年至2023年之间发表的研究。纳入标准由观察性研究组成，评估在孩子青少年或青春期被诊断患有抑郁症的母亲的育儿方式。在筛选的11,305项研究中，166项研究由两名独立审稿人进行了全面审查，最终有29项研究符合条件。未纳入灰色文献。结果：在29项研究中，28项报告了母亲抑郁与养育子女之间的关系。大多数研究是在高收入国家进行的，重点是36个月以下的儿童，并采用了横断面设计。其中三分之二是在2017年之后出版的。本综述的局限性包括主要来自高收入环境的研究，没有更广泛的育儿结构的父母实践的独家评估，以及缺乏荟萃分析。结论：研究结果一致强调了母亲抑郁与消极养育方式之间的联系，影响敏感性、情感、依恋、参与、承诺、反应和刺激。患有抑郁症的母亲面临着这些领域的挑战，这可能会影响孩子的发育。未来的研究应该在不同的社会文化背景下探索这些联系，并包括纵向研究，以更好地了解长期影响。
期刊介绍：
The Harvard Review of Psychiatry is the authoritative source for scholarly reviews and perspectives on important topics in psychiatry. Founded by the Harvard Medical School''s Department of Psychiatry, the Harvard Review of Psychiatry features review papers that summarize and synthesize the key literature in a scholarly and clinically relevant manner. Topics covered include: Schizophrenia and related disorders; Mood disorders; Personality disorders; Substance use disorders; Anxiety; Neuroscience; Psychosocial aspects of psychiatry; Ethics; Psychiatric education; and much more.
In addition, a Clinical Challenges section presents a case with discussion from a panel of experts. Brief reviews are presented in topic-specific columns that include Cross-Cultural Psychiatry, History of Psychiatry, Ethics, and others.
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