DEVELOPMENTAL INTER-RELATIONS BETWEEN EARLY MATERNAL DEPRESSION, CONTEXTUAL RISKS, AND INTERPERSONAL STRESS, AND THEIR EFFECT ON LATER CHILD COGNITIVE FUNCTIONING

作者：Jensen Sarah K G; Dumontheil Iroise; Barker Edward D^*

来源：Depression and Anxiety, 2014, 31(7): 599-607.

DOI：10.1002/da.22147

• depression
• maternal child
• cognition
• epidemiology
• pregnancy and postpartum
• life events
• stress

Background: Maternal depression and contextual risks (e. g. poverty) are known to impact children's cognitive and social functioning. However, few published studies have examined how stress in the social environment (i. e. interpersonal stress) might developmentally inter-relate with maternal depression and contextual risks to negatively affect a child in these domains. This was the purpose of the current study. Method: Mother-child pairs (n = 6979) from the Avon Longitudinal Study of Parents were the study participants. Mothers reported on depression, contextual risks, and interpersonal stress between pregnancy and 33 months child age. At age 8, the children underwent cognitive assessments and the mothers reported on the children's social cognitive skills. Results: Maternal depression, contextual risks, and interpersonal stress showed strong continuity and developmental inter-relatedness. Maternal depression and contextual risks directly predicted a range of child outcomes, including executive functions and social cognitive skills. Interpersonal stress worked indirectly via maternal depression and contextual risks to negatively affect child outcomes. Conclusion: Maternal depression and contextual risks each increased interpersonal stress in the household, which, in turn, contributed to reduced child cognitive and social functioning.

• 出版日期2014-7