Interactive Effects of Infant Gestational Age and Infant Fussiness on the Risk of Maternal Depressive Symptoms in a Nationally Representative Sample.

To examine the interactive effects of gestational age and infant fussiness on the risk of maternal depressive symptoms in a nationally representative sample. Our sample included 8200 children from the Early Childhood Longitudinal Study, Birth Cohort. Gestational age categories were very preterm (VPT...

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Publicado en:Academic Pediatrics Vol. 19; no. 8; pp. 917 - 925
Autores principales: Quist, Megan, Kaciroti, Niko, Poehlmann-Tynan, Julie, Weeks, Heidi M., Asta, Katharine, Singh, Priya, Shah, Prachi E.
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. Nov2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2019
      vid: 19
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      pub: Elsevier B.V.
      place: New York, New York
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        139295423
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        10.1016/j.acap.2019.02.015
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        atl: Interactive Effects of Infant Gestational Age and Infant Fussiness on the Risk of Maternal Depressive Symptoms in a Nationally Representative Sample.
      aug:
        au:
          Quist, Megan
          Kaciroti, Niko
          Poehlmann-Tynan, Julie
          Weeks, Heidi M.
          Asta, Katharine
          Singh, Priya
          Shah, Prachi E.
        affil: Division of Developmental and Behavioral Pediatrics, Department of Pediatrics, University of Michigan School of Medicine
      sug:
        subj:
          Gestational Age
          Infant Behavior
          Depression Risk Factors
          Maternal Attitudes
          Mother-Infant Relations
          Human
          Early Childhood Intervention
          Prospective Studies
          Infant, Premature
          Severity of Illness
          Center for Epidemiological Studies Depression Scale
          Psychological Tests
          Depression Diagnosis
          Questionnaires
          Odds Ratio
          Confidence Intervals
          Multiple Logistic Regression
          Infant
          Support, Psychosocial
          Infant: 1-23 months
      ab: To examine the interactive effects of gestational age and infant fussiness on the risk of maternal depressive symptoms in a nationally representative sample. Our sample included 8200 children from the Early Childhood Longitudinal Study, Birth Cohort. Gestational age categories were very preterm (VPT, 24–31 weeks), moderate/late preterm (MLPT, 32–36 weeks) and full term (FT, 37–41 weeks). Maternal depressive symptoms (categorized as nondepressed/mild/moderate-severe), from the modified Center for Epidemiological Studies Depression Questionnaire, and infant fussiness (categorized as fussy/not fussy) were assessed at 9 months from parent-report questionnaires. We examined the interactive effects of infant fussiness and gestational age categories and estimated adjusted odds ratios (aOR) and 95% confidence intervals (CI) of maternal depressive symptoms using multinomial logistic regression. Infant fussiness interacted with gestational age categories in predicting maternal depressive symptoms (P =.04), with severity varying by gestational age and infant fussiness. Compared with mothers of VPT infants without fussiness, mothers of VPT infants with fussiness had greater odds of mild depressive symptoms (aOR, 2.32; 95% CI, 1.19–4.53). Similarly, compared with mothers of MLPT and FT infants without fussiness, mothers of fussy MLPT and FT infants had greater odds of moderate-severe symptoms (aOR, 2.30; 95% CI, 1.40–3.80, and aOR, 1.74; 95% CI, 1.40–2.16, respectively). Mothers of MLPT and FT infants with fussiness had increased odds of moderate-severe depressive symptoms, and mothers of VPT infants with fussiness had increased risk of mild symptoms. Early screening for infant fussiness in preterm and FT may help identify mothers with depressive symptoms in need of support.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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