Maternal Posttraumatic Stress Disorder and Infant Developmental Outcomes in a South African Birth Cohort Study

被引：22

作者：

Koen, Nastassja ^{[1
,3
,4
]}

Brittain, Kirsty ^{[2
]}

Donald, Kirsten A. ^{[5
]}

Barnett, Whitney ^{[2
,3
]}

Koopowitz, Sheri ^{[1
]}

Mare, Karen ^{[1
]}

Zar, Heather J. ^{[2
,4
]}

Stein, Dan J. ^{[1
,3
]}

机构：

[1] Univ Cape Town, Dept Psychiat & Mental Hlth, Cape Town, South Africa

[2] Univ Cape Town, Dept Paediat & Child Hlth, Red Cross War Mem Childrens Hosp, Cape Town, South Africa

[3] South African Med Res Council, Unit Anxiety & Stress Disorders, Cape Town, South Africa

[4] South African Med Res Council, Unit Child & Adolescent Hlth, Cape Town, South Africa

[5] Univ Cape Town, Div Dev Paediat, Dept Paediat & Child Hlth, Red Cross War Mem Childrens Hosp, Cape Town, South Africa

来源：

PSYCHOLOGICAL TRAUMA-THEORY RESEARCH PRACTICE AND POLICY | 2017年 / 9卷 / 03期

基金：

英国医学研究理事会; 新加坡国家研究基金会;

关键词：

maternal posttraumatic stress disorder; infant development; South Africa; birth cohort; INTIMATE PARTNER VIOLENCE; CHILD-DEVELOPMENT; DEVELOPING-COUNTRIES; MENTAL-DISORDERS; PSYCHOMETRIC PROPERTIES; PSYCHOLOGICAL DISTRESS; POSTNATAL DEPRESSION; PREGNANCY; HEALTH; DETERMINANTS;

D O I：

10.1037/tra0000234

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Objective: To investigate the association between maternal posttraumatic stress disorder (PTSD) and infant development in a South African birth cohort. Method: Data from the Drakenstein Child Health Study were analyzed. Maternal psychopathology was assessed using self-report and clinicianadministered interviews; and 6-month infant development using the Bayley III Scales of Infant Development. Linear regression analyses explored associations between predictor and outcome variables. Results: Data from 111 mothers and 112 infants (1 set of twins) were included. Most mothers (72%) reported lifetime trauma exposure; the lifetime prevalence of PTSD was 20%. Maternal PTSD was significantly associated with poorer fine motor and adaptive behavior-motor development; the latter remaining significant when adjusted for site, alcohol dependence, and infant head-circumference-for-age z score at birth. Conclusion: Maternal PTSD may be associated with impaired infant neurodevelopment. Further work in low-and middle-income populations may improve early childhood development in this context.

引用

页码：292 / 300

页数：9

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