Trajectories of maternal symptoms of depression and anxiety over 13 years: the influence of stress, social support, and maternal temperament

BMC Public Health

Kristin S Mathiesen²  Wendy Nilsen²  Anne Kjeldsen²  Harald Janson¹  Anni Skipstein² 

[1] The Norwegian Center for Child Behavioral Development, PO Box 7053, Majorstuen, Oslo 0306, Norway;Norwegian Institute of Public Health, Division of Mental Health, PO Box 4404, Nydalen, Oslo 0403, Norway

关键词: Social support;    Stressors;    Temperament;    Trajectories;    Symptoms of depression and anxiety;   

Others  :  1162688
DOI  :  10.1186/1471-2458-12-1120

 received in 2012-03-05, accepted in 2012-12-22,  发布年份 2012

【 摘 要 】

Background

Depression and anxiety are the most common mental health problems among women, with various negative impacts both for the women concerned and their families. Greater understanding of developmental trajectories of maternal symptoms of depression and anxiety over the child rearing period would have significant benefits for public health, informing prevention and treatment approaches. The aim of the current study was to examine whether stressors related to child rearing and living conditions, social support, and maternal temperament, predicted mothers’ membership in groups with different trajectories of symptoms of depression and anxiety during 13 years of the child rearing phase.

Methods

The data were from a prospective, longitudinal study of 913 mothers in Norway followed from when their children were 18 months old (time 1) until they were 14.5 years (time 6) (the TOPP study). Multinomial logistic regression analyses were used to test whether child related stressors, stressors related to the living conditions, social support and maternal temperament at time 1 predicted membership in groups based on maternal symptoms of depression and anxiety over the subsequent 13 years.

Results

Temperamental distress, followed by child related stressors, were the strongest predictors of membership in a group with high symptoms of depression and anxiety over time. Stressors related to living conditions, and social support from partner and friends/family were also significant predictors. No interaction effects among predictors were found.

Conclusions

This study indicates that factors present early in the child rearing phase may provide substantial prediction of the variance in maternal symptoms of depression and anxiety over the following 13 years. Temperamental distress and child related stressors were the strongest predictors of membership in different depression and anxiety symptom trajectory groups.

【 授权许可】

   
2012 Skipstein et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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