Laura K Winstone-Weide, Jennifer A Somers, Sarah G Curci, Linda J Luecken
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Infant temperamental negativity was assessed via a maternal report at the infant age of 6 weeks (Infant Behavior Questionnaire; Putnam et al., 2014). Multilevel location scale analyses in a dynamic structural equation modeling (Asparouhov et al., 2018) framework were conducted. Covariates included prenatal depressive symptoms. On average, within-mother change in depressive symptoms at one time point was found to carry over to the next time point. Nonnull within-mother volatility in PPD symptoms reflected substantial ebbs and flows in PPD symptoms over the first year postpartum. Results of the between-level model demonstrated that mothers differed in their equilibriums, carryover, and volatility of their PPD symptoms. Mothers with more negative infants and those with higher prenatal cumulative risk exhibited higher equilibriums of PPD symptoms and more volatility in symptoms but did not differ in their carryover of PPD symptoms. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":null,"pages":null},"PeriodicalIF":3.1000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683862/pdf/","citationCount":"0","resultStr":"{\"title\":\"A dynamic perspective on depressive symptoms during the first year postpartum.\",\"authors\":\"Laura K Winstone-Weide, Jennifer A Somers, Sarah G Curci, Linda J Luecken\",\"doi\":\"10.1037/abn0000878\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The current study used novel methodology to characterize intraindividual variability in the experience of dynamic, within-person changes in postpartum depressive (PPD) symptoms across the first year postpartum and evaluated maternal and infant characteristics as predictors of between-person differences in intraindividual variability in PPD symptoms over time. With a sample of 322 low-income Mexican-origin mothers (Mage = 27.79; SD = 6.48), PPD symptoms were assessed at 11 time points from 3 weeks to 1 year postpartum (Edinburgh Perinatal Depression Scale; Cox & Holden, 2003). A prenatal cumulative risk index was calculated from individual psychosocial risk factors. Infant temperamental negativity was assessed via a maternal report at the infant age of 6 weeks (Infant Behavior Questionnaire; Putnam et al., 2014). Multilevel location scale analyses in a dynamic structural equation modeling (Asparouhov et al., 2018) framework were conducted. Covariates included prenatal depressive symptoms. On average, within-mother change in depressive symptoms at one time point was found to carry over to the next time point. Nonnull within-mother volatility in PPD symptoms reflected substantial ebbs and flows in PPD symptoms over the first year postpartum. 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引用次数: 0
摘要
目前的研究采用新颖的方法来描述产后抑郁(PPD)症状在产后第一年的动态、个人变化经历中的个体差异,并评估了母亲和婴儿特征作为PPD症状随时间变化的个体差异的预测因子。以322名低收入的墨西哥裔母亲为样本(Mage = 27.79;SD = 6.48),产后3周至1年的11个时间点评估PPD症状(爱丁堡围产期抑郁量表;考克斯和霍尔顿,2003)。产前累积风险指数由个体心理社会风险因素计算。在婴儿6周龄时,通过母亲的报告对婴儿气质负性进行评估(婴儿行为问卷;普特南等人,2014)。在动态结构方程建模(Asparouhov et al., 2018)框架下进行了多层次位置尺度分析。协变量包括产前抑郁症状。平均而言,母亲在一个时间点抑郁症状的变化会延续到下一个时间点。PPD症状的母体内非零波动反映了产后第一年PPD症状的大幅起伏。水平间模型的结果表明,母亲在她们的均衡、结转和她们的产后抑郁症症状的波动方面存在差异。阴性婴儿较多的母亲和产前累积风险较高的母亲表现出更高的PPD症状平衡和更大的症状波动,但在PPD症状的延续方面没有差异。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
A dynamic perspective on depressive symptoms during the first year postpartum.
The current study used novel methodology to characterize intraindividual variability in the experience of dynamic, within-person changes in postpartum depressive (PPD) symptoms across the first year postpartum and evaluated maternal and infant characteristics as predictors of between-person differences in intraindividual variability in PPD symptoms over time. With a sample of 322 low-income Mexican-origin mothers (Mage = 27.79; SD = 6.48), PPD symptoms were assessed at 11 time points from 3 weeks to 1 year postpartum (Edinburgh Perinatal Depression Scale; Cox & Holden, 2003). A prenatal cumulative risk index was calculated from individual psychosocial risk factors. Infant temperamental negativity was assessed via a maternal report at the infant age of 6 weeks (Infant Behavior Questionnaire; Putnam et al., 2014). Multilevel location scale analyses in a dynamic structural equation modeling (Asparouhov et al., 2018) framework were conducted. Covariates included prenatal depressive symptoms. On average, within-mother change in depressive symptoms at one time point was found to carry over to the next time point. Nonnull within-mother volatility in PPD symptoms reflected substantial ebbs and flows in PPD symptoms over the first year postpartum. Results of the between-level model demonstrated that mothers differed in their equilibriums, carryover, and volatility of their PPD symptoms. Mothers with more negative infants and those with higher prenatal cumulative risk exhibited higher equilibriums of PPD symptoms and more volatility in symptoms but did not differ in their carryover of PPD symptoms. (PsycInfo Database Record (c) 2023 APA, all rights reserved).