Maternal psychiatric admissions and Child developmental delays: A nationwide cohort study.

IF 2.7 3区 医学 Q2 PSYCHIATRY
Yonatan Bilu, Guy Amit, Noa Gueron-Sela, Liat Azani, Rinat Yoffe, Mark Weiser, Vered Bar
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引用次数: 0

Abstract

Purpose: Children of mothers experiencing mental illness are known to exhibit elevated rates of developmental delays. However, there is little evidence-based research on the impact of perinatal psychiatric admissions. Here we aim to quantify the association between maternal mental illness that leads to admission, and the likelihood of child developmental delay. In addition, we aim to understand the association between the timing of admission, the maternal diagnosis and the developmental domain in which delays manifest.

Methods: Retrospective cohort study of data from well-child visits of 634,918 term-born children assessed between 2016 and 2022 at the ages of 1 to 36 months. Likelihood of failure in milestone attainment was modelled based on maternal psychiatric information available through the national registry, and adjusted for demographic and birth data from the Israeli national program of Maternal Child Health Clinics. Secondary analyses examined stratification by maternal diagnosis, timing of admission and developmental domain, as well as comparison to the association between the likelihood of child developmental delay and maternal high scores on the Edinburgh Postnatal Depression Scale.

Results: Maternal mental illness that leads to psychiatric admission was associated with an increased odds ratio for child developmental delay (OR ~ 1.7). Higher odds ratio was associated with psychotic disorders diagnoses, multiple admissions and admissions between birth and child assessment. Nonetheless, increased odds were suggested also when first admission occurred after child assessment. In addition, increased odds were more evident when children were assessed at an older age.

Conclusions: Children of mothers experiencing mental illness exhibit higher rates of developmental delays, especially when mothers are admitted. Identifying and supporting high-risk dyads during the peripartum period is therefore critical for both mother and child.

母亲精神科入院与儿童发育迟缓:一项全国性队列研究。
目的:患有精神疾病的母亲的孩子表现出较高的发育迟缓率。然而,很少有循证研究对围产期精神病入院的影响。在这里,我们的目标是量化导致入院的母亲精神疾病与儿童发育迟缓的可能性之间的关系。此外,我们的目的是了解入院时间,产妇诊断和发育领域之间的关系,其中延迟表现。方法:回顾性队列研究2016年至2022年期间对634918名1 - 36月龄足月婴儿的健康访问数据。根据国家登记处提供的产妇精神病学信息对未达到里程碑的可能性进行建模,并根据以色列国家妇幼保健诊所方案的人口统计和出生数据进行调整。二级分析通过母亲的诊断、入院时间和发育领域来检验分层,以及比较儿童发育迟缓的可能性与母亲在爱丁堡产后抑郁量表上的高分之间的关系。结果:母亲精神疾病导致精神科住院与儿童发育迟缓的优势比增加相关(OR ~ 1.7)。较高的优势比与精神障碍诊断、多次入院和出生与儿童评估之间的入院有关。尽管如此,在儿童评估后第一次入院时,患病几率也会增加。此外,当儿童在年龄较大时进行评估时,几率的增加更为明显。结论:母亲患有精神疾病的孩子表现出更高的发育迟缓率,特别是当母亲入院时。因此,围产期识别和支持高危双胎对母亲和儿童都至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Archives of Women's Mental Health
Archives of Women's Mental Health 医学-精神病学
CiteScore
8.00
自引率
4.40%
发文量
83
审稿时长
6-12 weeks
期刊介绍: Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.
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