Early adversity and psychiatric symptoms – a prospective study on Ethiopian mothers and their children

BMC Psychiatry

Research Article

Yemane Berhane¹  Johan Isaksson²  Negussie Deyessa³  Ulf Högberg⁴ 

[1] Addis Continental Institute of Public Health, Addis Ababa, Ethiopia;Department of Neuroscience, Child and Adolescent Psychiatry Unit, Uppsala University, Uppsala, Sweden;Department of Women’s and Children’s Health, Paediatric Neuropsychiatry Unit, Centre for Neurodevelopmental Disorders at Karolinska Institutet (KIND), Karolinska Institutet, Stockholm, Sweden;Department of Preventive Medicine, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia;Department of Women’s and children’s health, Uppsala University, Uppsala, Sweden;

关键词: Perinatal;    Maternal distress;    Intimate partner violence;    Programming theory;    Child psychiatric symptoms;   

DOI  :  10.1186/s12888-017-1500-2

 received in 2016-12-02, accepted in 2017-10-02,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundMaternal exposure to adversity during the perinatal period has been associated with increased susceptibility for psychiatric symptoms in the offspring. The aim of this study was to investigate a possible developmental effect of maternal perinatal stressors on emotional and behavioural symptoms in the offspring in a developing country.MethodsWe followed an Ethiopian birth cohort (N = 358), assessing intimate partner violence (IPV) and maternal psychiatric symptoms during the perinatal period and at follow-up 10 years later, as a proxy for adversity, and maternal ratings on the Child Behavior Checklist (CBCL) 10 years later as the outcome.ResultsAmong the women, exposure to IPV was common (60.6%) during the perinatal period and predicted IPV (29.9% of the mothers) at follow-up (ρ = 0.132; p = 0.012). There was also an association between maternal psychiatric symptoms at the two time points (ρ = 0.136; p = 0.010) and between maternal symptoms and IPV. Current maternal symptoms of anxiety and depression (β = 0.057; p < 0.001), but not during the perinatal period, were associated with child CBCL-scores.ConclusionOur findings do not support the hypothesis that early adversity increase susceptibility for psychiatric symptoms. However, the findings emphasize the public health problem of IPV in this population, adding to the women’s mental health problem.

【 授权许可】

CC BY   
© The Author(s). 2017