检查母亲抑郁症状、严厉养育和青少年执行功能轨迹之间的路径:来自2004年佩洛塔斯出生队列的见解。

IF 4.9 2区 医学 Q1 PEDIATRICS
Júlia de Souza Rodrigues, Maria Pastor-Valero, Jessica Mayumi Maruyama, Tiago N Munhoz, Iná S Santos, Aluísio J D Barros, Luciana Tovo-Rodrigues, Alicia Matijasevich
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引用次数: 0

摘要

在整个童年时期持续接触母亲的抑郁症状一直与后代较差的执行功能有关。然而,这种关联背后的机制仍未得到充分研究,特别是在青春期的长期影响方面。本研究旨在测试严厉的养育方式是否介导母亲抑郁轨迹对执行功能的影响。数据来自2004年佩洛塔斯出生队列的1,949名参与者。从3个月到11岁,使用爱丁堡产后抑郁量表评估母亲的抑郁症状。在11岁时使用亲子冲突策略量表来衡量父母的严厉教养。15岁时使用剑桥自动神经心理测试系统评估执行功能。采用结构方程模型进行路径分析。75%的母亲属于“中-低”或“低”抑郁症状轨迹,10.8%的母亲属于“减少”抑郁症状轨迹,9.0%的母亲属于“增加”抑郁症状轨迹,5.2%的母亲属于“慢性高”抑郁症状轨迹。具有严重和持续抑郁症状的母亲表现出更严厉的育儿行为(β(SE)= 0.218(0.030), 95%CI[0.160, 0.277]),这反过来又与较差的青少年持续注意力有关(β(SE)=-0.093(0.022), 95%CI[-0.137, -0.049])。母亲属于高慢性或减少轨迹的青少年,在严厉的养育下表现出较差的持续注意力和情景记忆,这表明早期接触母亲抑郁症状可能对认知发展产生持久的影响。母亲抑郁症状通过严厉的养育方式影响青少年的执行功能。针对产妇心理健康和养育子女的干预措施,特别是在幼儿期,可能促进更健康的认知发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Examining pathways between trajectories of maternal depressive symptoms, harsh parenting, and adolescent executive functions: insights from the 2004 Pelotas birth cohort.

Continuous exposure to maternal depressive symptoms throughout childhood has been consistently linked to poorer executive functions in offspring. However, the mechanisms underlying this association remain understudied, particularly with respect to long-term effects in adolescence. This study aimed to test whether harsh parenting mediates the effect of maternal depressive trajectories on executive functions. Data were drawn from 1,949 participants of the 2004 Pelotas Birth Cohort. Maternal depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale from 3 months to 11 years. Harsh parenting was measured using the Parent-Child Conflict Tactics Scale at 11 years. Executive functions were evaluated at 15 years using the Cambridge Automated Neuropsychological Test Battery. Path analyses were conducted using structural equation modeling. 75% of the mothers belonged to the "moderate-low" or "low" depressive symptom trajectories, while 10.8% were in the "decreasing", 9.0% in the "increasing", and 5.2% in the "chronic-high" trajectories. Mothers with severe and persistent depressive symptoms displayed more harsh parenting behaviors (β(SE) = 0.218(0.030), 95%CI [0.160, 0.277]), which, in turn, were linked to poorer adolescents' sustained attention (β(SE)=-0.093(0.022), 95%CI [-0.137, -0.049]). Adolescents whose mothers belonged to either the high-chronic or decreasing trajectories exhibited poorer sustained attention and episodic memory through harsh parenting, suggesting that early exposure to maternal depressive symptoms may have lasting consequences on cognitive development. Maternal depressive symptoms impact adolescents' executive functions through harsh parenting. Interventions addressing maternal mental health and parenting, especially in early childhood, may foster healthier cognitive development.

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来源期刊
CiteScore
12.80
自引率
4.70%
发文量
186
审稿时长
6-12 weeks
期刊介绍: European Child and Adolescent Psychiatry is Europe''s only peer-reviewed journal entirely devoted to child and adolescent psychiatry. It aims to further a broad understanding of psychopathology in children and adolescents. Empirical research is its foundation, and clinical relevance is its hallmark. European Child and Adolescent Psychiatry welcomes in particular papers covering neuropsychiatry, cognitive neuroscience, genetics, neuroimaging, pharmacology, and related fields of interest. Contributions are encouraged from all around the world.
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