M. Martí-González, S. Lera-Miguel, S. Andrés-Perpiñá, Eva Solé-Roigé, María Luisa Imaz-Gurruchaga, A. Roca-Lecumberri, L. García-Esteve
{"title":"围产期暴露于母亲抑郁和焦虑障碍的婴儿的新生儿行为","authors":"M. Martí-González, S. Lera-Miguel, S. Andrés-Perpiñá, Eva Solé-Roigé, María Luisa Imaz-Gurruchaga, A. Roca-Lecumberri, L. García-Esteve","doi":"10.21134/rpcna.2021.08.2.8","DOIUrl":null,"url":null,"abstract":"Perinatal depression and perinatal anxiety can affect up to 20% of women during pregnancy and postpartum. Babies exposed to these pathologies suffer consequences in their development at a cognitive, motor, emotional and social level. Some of these can be observed since birth. In addition, adverse effects have been described in the behavior of the newborn exposed to psychopharmacotherapy during pregnancy. The aims of the study were to observe the neonatal behavior of babies exposed to perinatal depression or anxiety and to compare it between both diagnostic groups of mothers. The cohort included 86 newborns, from 2 to 67 days of chronological age (29 ± 13.4, 48% females), exposed to maternal depression (n = 27) or anxiety (n = 59). The Neonatal Behavior Assessment Scale, 4th edition, (Brazelton and Nugent, 2011) was administered at a maternal mental health unit to register the neonatal behavior. Chi-square and Student t-test analyses were calculated to compare item scores and percentages of suboptimal responses between both groups; Pearson correlations were calculated to analyze the relation of obstetric and psychiatric variables of mothers and the behavior of newborns. Significant differences between groups were found only regarding the change in skin color, with higher percentages of suboptimal responses in the group exposed to anxiety than to depression (24% versus 4%, Chi2 = 3.89; p < .05). Correlation analyses show that, although the birth weight is positively related to the interactive social orientation (tracing face and voice: r = .28, p = .02), the last was affected negatively by the dose of antidepressants during the third trimester of pregnancy (tracing face and voice: r = -.31, p = 0.03), indicating that higher doses of antidepressant was related with lower interactive social orientation. Our findings emphasize the need to detect depression and anxiety in women during the perinatal period in order to intervene at a multidisciplinary level in both, mother and baby, and the relation.","PeriodicalId":43399,"journal":{"name":"Revista de Psicologia Clinica con Ninos y Adolescentes","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Neonatal behavior of babies exposed to maternal depressive and anxiety disorders during perinatal period\",\"authors\":\"M. Martí-González, S. Lera-Miguel, S. Andrés-Perpiñá, Eva Solé-Roigé, María Luisa Imaz-Gurruchaga, A. Roca-Lecumberri, L. García-Esteve\",\"doi\":\"10.21134/rpcna.2021.08.2.8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Perinatal depression and perinatal anxiety can affect up to 20% of women during pregnancy and postpartum. Babies exposed to these pathologies suffer consequences in their development at a cognitive, motor, emotional and social level. Some of these can be observed since birth. In addition, adverse effects have been described in the behavior of the newborn exposed to psychopharmacotherapy during pregnancy. The aims of the study were to observe the neonatal behavior of babies exposed to perinatal depression or anxiety and to compare it between both diagnostic groups of mothers. The cohort included 86 newborns, from 2 to 67 days of chronological age (29 ± 13.4, 48% females), exposed to maternal depression (n = 27) or anxiety (n = 59). The Neonatal Behavior Assessment Scale, 4th edition, (Brazelton and Nugent, 2011) was administered at a maternal mental health unit to register the neonatal behavior. Chi-square and Student t-test analyses were calculated to compare item scores and percentages of suboptimal responses between both groups; Pearson correlations were calculated to analyze the relation of obstetric and psychiatric variables of mothers and the behavior of newborns. Significant differences between groups were found only regarding the change in skin color, with higher percentages of suboptimal responses in the group exposed to anxiety than to depression (24% versus 4%, Chi2 = 3.89; p < .05). Correlation analyses show that, although the birth weight is positively related to the interactive social orientation (tracing face and voice: r = .28, p = .02), the last was affected negatively by the dose of antidepressants during the third trimester of pregnancy (tracing face and voice: r = -.31, p = 0.03), indicating that higher doses of antidepressant was related with lower interactive social orientation. 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引用次数: 0
摘要
围产期抑郁和围产期焦虑可影响多达20%的怀孕和产后妇女。暴露在这些疾病中的婴儿在认知、运动、情感和社会层面的发展都会受到影响。其中一些从出生起就可以观察到。此外,不良反应已描述在新生儿的行为暴露于精神药物治疗在怀孕期间。该研究的目的是观察暴露于围产期抑郁或焦虑的婴儿的新生儿行为,并比较两组母亲的诊断结果。该队列包括86名新生儿,年龄从2天到67天(29±13.4%,48%为女性),暴露于母亲抑郁(n = 27)或焦虑(n = 59)。新生儿行为评估量表第4版(Brazelton和Nugent, 2011年)在一家产妇精神保健单位实施,以记录新生儿行为。计算卡方检验和学生t检验分析来比较两组之间的项目得分和次优反应的百分比;计算Pearson相关性来分析母亲的产科和精神变量与新生儿行为的关系。两组之间仅在肤色变化方面存在显著差异,焦虑组的次优反应比例高于抑郁组(24%对4%,Chi2 = 3.89;P < 0.05)。相关分析表明,虽然出生体重与互动社会取向(追踪脸和声音:r = 0.28, p = 0.02)呈正相关,但后者受到妊娠晚期抗抑郁药物剂量的负相关影响(追踪脸和声音:r = -)。31, p = 0.03),表明抗抑郁药剂量越大,互动性社会取向越低。我们的研究结果强调需要在围产期检测妇女的抑郁和焦虑,以便在母亲和婴儿的多学科水平上进行干预,以及它们之间的关系。
Neonatal behavior of babies exposed to maternal depressive and anxiety disorders during perinatal period
Perinatal depression and perinatal anxiety can affect up to 20% of women during pregnancy and postpartum. Babies exposed to these pathologies suffer consequences in their development at a cognitive, motor, emotional and social level. Some of these can be observed since birth. In addition, adverse effects have been described in the behavior of the newborn exposed to psychopharmacotherapy during pregnancy. The aims of the study were to observe the neonatal behavior of babies exposed to perinatal depression or anxiety and to compare it between both diagnostic groups of mothers. The cohort included 86 newborns, from 2 to 67 days of chronological age (29 ± 13.4, 48% females), exposed to maternal depression (n = 27) or anxiety (n = 59). The Neonatal Behavior Assessment Scale, 4th edition, (Brazelton and Nugent, 2011) was administered at a maternal mental health unit to register the neonatal behavior. Chi-square and Student t-test analyses were calculated to compare item scores and percentages of suboptimal responses between both groups; Pearson correlations were calculated to analyze the relation of obstetric and psychiatric variables of mothers and the behavior of newborns. Significant differences between groups were found only regarding the change in skin color, with higher percentages of suboptimal responses in the group exposed to anxiety than to depression (24% versus 4%, Chi2 = 3.89; p < .05). Correlation analyses show that, although the birth weight is positively related to the interactive social orientation (tracing face and voice: r = .28, p = .02), the last was affected negatively by the dose of antidepressants during the third trimester of pregnancy (tracing face and voice: r = -.31, p = 0.03), indicating that higher doses of antidepressant was related with lower interactive social orientation. Our findings emphasize the need to detect depression and anxiety in women during the perinatal period in order to intervene at a multidisciplinary level in both, mother and baby, and the relation.