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A prospective longitudinal study of the impact of early postnatal vs. chronic maternal depressive symptoms on child development

Published online by Cambridge University Press:  16 April 2020

A.-L. Sutter-Dallay*
Affiliation:
University Victor Segalen Bordeaux 2, Bordeaux, France EA 4139, IFR of Public Health, Bordeaux, France University Department of Psychiatry, Charles Perrens Hospital, Bordeaux, France
L. Murray
Affiliation:
School of Psychology, University of Reading, Reading, UK
L. Dequae-Merchadou
Affiliation:
INSERM U 593, IFR of Public Health, Bordeaux, France
E. Glatigny-Dallay
Affiliation:
University Department of Psychiatry, Charles Perrens Hospital, Bordeaux, France
M.-L. Bourgeois
Affiliation:
University Victor Segalen Bordeaux 2, Bordeaux, France
H. Verdoux
Affiliation:
University Victor Segalen Bordeaux 2, Bordeaux, France University Department of Psychiatry, Charles Perrens Hospital, Bordeaux, France INSERM U 657, IFR of Public Health, Bordeaux, France
*
*Corresponding author. Pôle universitaire de psychiatrie de l'adulte, hôpital Charles-Perrens, réseau de psychiatrie périnatale, 121, rue de la Béchade, 33076 Bordeaux cedex, France. Tel.: +33 5 56 56 17 82; fax: +33 5 56 56 17 68. E-mail address: [email protected] (A.-L. Sutter-Dallay).
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Abstract

Background

Few studies of the effects of postnatal depression on child development have considered the chronicity of depressive symptoms. We investigated whether early postnatal depressive symptoms (PNDS) predicted child developmental outcome independently of later maternal depressive symptoms.

Methods

In a prospective, longitudinal study, mothers and children were followed-up from birth to 2 years; repeated measures of PNDS were made using the Edinburgh Postnatal Depression Scale (EPDS); child development was assessed using the Bayley Scales II. Multilevel modelling techniques were used to examine the association between 6 week PNDS, and child development, taking subsequent depressive symptoms into account.

Results

Children of mothers with 6 week PNDS were significantly more likely than children of non-symptomatic mothers to have poor cognitive outcome; however, this association was reduced to trend level when adjusted for later maternal depressive symptoms.

Conclusion

Effects of early PNDS on infant development may be partly explained by subsequent depressive symptoms.

Type
Original article
Copyright
Copyright © Elsevier Masson SAS 2011

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