"父母围产期情绪失调与儿童健康结果之间的关系"。

IF 3.2 3区 医学 Q2 PSYCHIATRY
Erika Obikane, Hayato Yamana, Sachiko Ono, Hideo Yasunaga, Norito Kawakami
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引用次数: 0

摘要

目的 围产期情绪障碍会影响父母双方,并对其子女产生负面影响。在日本,考虑到相关的协变量,人们对父母围产期情绪障碍与儿童结局之间的关系知之甚少。我们的目的是调查父亲和母亲围产期情绪障碍与36个月大儿童不良生理和心理结局之间的关系,并对儿童性别、儿童出生时父母年龄、父母另一方的围产期情绪障碍以及围产期抗抑郁药使用等协变量进行调整。围产期情绪障碍的定义采用了《国际疾病分类》第 10 类围产期情绪障碍代码和精神科治疗代码。我们使用经协变因素调整的 Cox 比例危险模型评估了父母围产期情绪障碍与 36 个月时儿科不良后果之间的关系。结果 在 116,423 例父子-母子三人中,2.8% 的父亲和 2.3% 的母亲患有围产期情绪障碍。父亲围产期情绪失调与儿童不良结局无明显关联。在对父亲围产期情绪障碍和使用抗抑郁药进行调整后,母亲围产期情绪障碍与运动发育迟缓、语言发育障碍、自闭症谱系障碍以及行为和情绪障碍有关(调整后的危险比[95% 置信区间]:1.65 [1.01-2.01] [1.65-2.01]):结论在该人群中,母亲围产期情绪障碍与不良儿童结局无关。母亲围产期情绪障碍与多种儿童结局相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
“Association between perinatal mood disorders of parents and child health outcomes”

Purpose

Perinatal mood disorders affect both parents, impacting their children negatively. Little is known on the association between parental perinatal mood disorders and pediatric outcomes in Japan considering relevant covariates. Our objective was to investigate the association between paternal and maternal perinatal mood disorders and adverse physical and psychological child outcomes by the age of 36 months, adjusting for covariates such as the child’s sex, age of parent at child’s birth, perinatal mood disorders of the other parent, and perinatal antidepressant use.

Methods

We identified parents in the JMDC Claims Database in Japan from 2012 to 2020. Perinatal mood disorders were defined using International Classification of Diseases, 10th codes for mood disorders during the perinatal period combined with psychiatric treatment codes. We evaluated the association between parental perinatal mood disorders and pediatric adverse outcomes by the age of 36 months using Cox proportional hazard models adjusted for the covariates.

Results

Of the 116,423 father-mother-child triads, 2.8% of fathers and 2.3% of mothers had perinatal mood disorders. Paternal perinatal mood disorders were not significantly associated with adverse child outcomes. After adjusting for paternal perinatal mood disorders and antidepressant use, maternal perinatal mood disorders were associated with delayed motor development, language development disorders, autism spectrum disorders, and behavioral and emotional disorders (adjusted hazard ratio [95% confidence interval]: 1.65 [1.01–2.69], 2.26 [1.36–3.75], 4.16 [2.64–6.55], and 6.12 [1.35–27.81], respectively).

Conclusions

Paternal perinatal mood disorders were not associated with adverse child outcomes in this population. Maternal perinatal mood disorders were associated with multiple child outcomes.

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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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