目的:围产期抑郁症状对出生父母及其后代具有广泛而持久的健康影响。围产期抑郁症患病率的上升凸显了对影响妊娠期抑郁症状的因素进行研究的必要性。和出生后早期的轨迹。以生物生态系统理论为基础,这项纵向多方法研究了产前生物生态因素是否能预测妊娠至产后36个月的抑郁症状.
方法:参与者为162名孕妇,过度采样高度情绪失调,谁在妊娠晚期完成了生活压力访谈和生理评估,并在五个时间点完成了抑郁的自我报告测量(妊娠晚期,出生后48小时内,产后7、18和36个月)。使用多水平模型来测试研究目标。
结果:参与者在妊娠晚期表现出最高程度的抑郁症状,随着时间的推移,抑郁症状轨迹也有很大的变化。下静息呼吸窦性心律失常(RSA),副交感神经系统功能的指标,在妊娠晚期,并发抑郁症状的发生率较高.与伴侣关系相关的更高水平的压力,金融,和健康同时与怀孕期间抑郁症状增加和抑郁症状随着时间的推移而减少相关。具体来说,抑郁症状仅在报告怀孕期间压力较高的个体中减少。
结论:尽管以生物生态系统理论为基础,这项研究没有评估宏观系统.
结论:这项研究的结果强调了围产期健康多水平预测因子的重要性,并强调了在围产期过渡期间预防抑郁和促进健康的潜在目标。
OBJECTIVE: Depressive symptoms during the perinatal period have broad and enduring health implications for birthing parents and their offspring. Rising prevalence rates of perinatal depression highlight the need for research examining factors influencing depressive symptoms during pregnancy, and trajectories during the early postnatal period. Grounded in bioecological systems theory, this longitudinal multimethod study examined whether prenatal bioecological factors predict depressive symptoms from pregnancy to 36 months postpartum.
METHODS: Participants were 162 pregnant individuals, oversampled for high emotion dysregulation, who completed a life stress interview and physiological assessment during the 3rd trimester and a self-report measure of depression at five time-points (3rd trimester, within 48 h of birth, 7, 18, and 36 months postpartum). Multilevel models were used to test study aims.
RESULTS: Participants exhibited the highest levels of depressive symptoms at 3rd trimester, and substantial variability in depressive symptom trajectories over time. Lower resting respiratory sinus arrhythmia (RSA), an index of parasympathetic nervous system functioning, in the 3rd trimester was associated with higher concurrent depressive symptoms. Higher levels of stress related to partner relationships, finances, and health were concurrently associated with more depressive symptoms during pregnancy and decreases in depressive symptoms over time. Specifically, depressive symptoms decreased only for individuals who reported high levels of stress during pregnancy.
CONCLUSIONS: Although grounded in bioecological systems theory, this study did not assess the macrosystem.
CONCLUSIONS: Results of this study underscore the importance of multilevel predictors of perinatal health and highlights potential targets for preventing depression and promoting well-being during the perinatal transition.