母亲产后抑郁与高危儿早期运动发育的相关分析

王丽娟; 王慧; 童连; 汪军; 张雅萍; 韩倩; 王月英; 张卿

doi:10.16766/j.cnki.issn.1674-4152.003257

母亲产后抑郁与高危儿早期运动发育的相关分析

doi: 10.16766/j.cnki.issn.1674-4152.003257

王丽娟¹,
王慧¹,
童连²,
汪军³,
张雅萍¹,
韩倩¹,
王月英¹,
张卿^1, ,

1.
上海市闵行区梅陇社区卫生服务中心，上海 201100
2.
复旦大学公共卫生学院，上海 200032
3.
复旦大学附属儿科医院康复科，上海 201102

基金项目:

复旦-闵行康联体合作研究项目 2020FM17

上海市卫生健康委员会先进适宜技术推广项目 2019SY032

详细信息

通讯作者:
张卿，E-mail：todayroychang@163.com

中图分类号: R174R395.6
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出版历程
- 收稿日期: 2023-03-11
- 网络出版日期: 2024-01-13

Correlation analysis between maternal postpartum depression and early motor development in high-risk infants

1.
Meilong Community Health Service Center of Minhang District, Shanghai 201100, China

摘要

摘要: 目的探讨母亲产后抑郁对高危儿早期运动发育的影响, 从母亲视角提出高危儿保健措施, 帮助完善早期干预和健康管理方案, 提高高危儿生存质量。方法选取2020年3月-2021年2月上海市闵行区梅陇镇出生的227例高危儿, 男童124人(54.63%), 女童103人(45.37%)。调查人口学资料及其健康相关信息等, 矫正胎龄后6月采用年龄与发育进程问卷-第三版(ASQ-3)进行发育测评。高危儿母亲通过抑郁自评量表(SDS)进行健康自评。采用logistic回归分析研究母亲产后抑郁对高危儿早期发育的影响。结果高危儿ASQ-3发育异常检出率分别为沟通能区1.76%、粗大动作能区25.11%、精细动作能区3.96%、解决问题能区5.73%、个人社交能区11.01%。回收母亲SDS自评问卷227份, 其中无抑郁症状157人(69.16%), 有抑郁症状70人(30.84%)。高危儿ASQ-3各能区评估结果与母亲产后抑郁的比较显示, 高危儿粗大动作能区测评结果与母亲SDS自评结果间差异有统计学意义(χ²=3.416, P=0.044), 高危儿性别分层中男童粗大动作比较, 差异有统计学意义(χ²=6.093, P=0.017)。调整混杂因素后logistic回归分析显示, 母亲产后有抑郁症状的男童发生早期运动发育异常的风险是母亲正常男童的3.49倍(P=0.045)。结论母亲产后抑郁对高危儿男童早期粗大动作发育异常有影响, 有必要及时关注并改善母亲产后抑郁。此外, 应根据高危儿性别差异, 有针对性地完善高危儿健康管理方案, 提高高危儿生命质量。
- 高危儿 /
- 粗大动作发育 /
- 产后抑郁
Abstract: Objective To explore the influence of maternal postpartum depression on early motor development of high-risk infants, and put forward health care measurements for high-risk infants from the perspective of mothers, with a result of improving early intervention, health management programs for enhancing life quality of high-risk infants. Methods A total of 227 high-risk infants born in Meilong Town, Minhang District, Shanghai from March 2020 to February 2021 were enrolled, including 124 boys (54.63%) and 103 girls (45.37%).We investigated demographic and health-related information, and then chose the ages and stages questionnaires-third edition (ASQ-3) for development assessment 6 months after correcting gestational age.The mothers of high-risk infants performed health assessment with the self-rating depression scale (SDS).Logistic regression was used to analyze the impact of maternal postpartum depression on early development of high-risk infants. Results The detection rate of abnormal development by ASQ-3 was respectively 1.76% for communication ability, 25.11% for gross motor skill, 3.96% for fine motor capacity, 5.73% for problem-solving ability, and 11.01% for personal social skill.In all, we collected 227 SDS questionnaires, among which 157(69.16%) mothers had no depressive symptoms while 70(30.84%) mothers showed signs of depression.We performed a univariate analysis of the results of each part of ASQ-3 and maternal postpartum depression in high-risk infants.The results showed that there was significant difference between the results of gross motor skill of high-risk infants and the self-assessment results of mothers (χ²=3.416, P=0.044).In addition, we observed statistical difference in the gross motor ability of boys in the gender stratification of high-risk infants (χ²=6.093, P=0.017).After adjusting the confounding factors, we analyzed the data with logistic regression and found that the risk of early motor dysplasia in boys with maternal depression was 3.49 times higher than that with normal maternal status (P=0.045). Conclusion Maternal postpartum depression has an impact on early gross motor dysplasia in high-risk boys.Therefore, it is necessary to pay special attention to maternal postpartum depression and take some measures to help these mothers.Furthermore, according to the gender differences of high-risk infants, it is important to strengthen the health management and enhance the life quality of high-risk infants.
- High-risk infants /
- Gross motor development /
- Postpartum depression

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表 1 不同性别高危儿母亲抑郁自评与ASQ-3发育评估间的比较[例(%)]

Table 1. Comparison between depression self-assessment and ASQ-3 assessment in mothers of high-risk infants of different genders[cases (%)]

ASQ-3能区	界值 (M-SD)	男童母亲SDS指数(124例)				女童母亲SDS指数(103例)
ASQ-3能区	界值 (M-SD)	＜0.5	≥0.5	χ²值	P值	＜0.5	≥0.5	χ²值	P值
沟通	＞39.27	89(72.4)	34(27.6)	0.381	0.999	66(66.0)	34(34.0)	1.367	0.279
	≤39.27	1(100.0)	0			1(33.3)	2(66.7)
粗大动作	＞33.95	56(65.9)	29(34.1)	6.093	0.017	56(65.9)	29(34.1)	0.149	0.787
	≤33.95	34(87.2)	5(12.8)			11(61.1)	7(38.9)
精细动作	＞37.04	85(72.6)	32(27.4)	0.005	0.999	66(65.3)	35(34.7)	0.203	0.999
	≤37.04	5(71.4)	2(28.6)			1(50.0)	1(50.0)
解决问题	＞39.06	83(71.6)	33(28.4)	0.956	0.444	65(66.3)	33(33.7)	1.450	0.340
	≤39.06	7(87.5)	1(12.5)			2(40.0)	3(60.0)
个人社交	＞36.83	74(70.5)	31(29.5)	1.525	0.273	64(66.0)	33(34.0)	0.635	0.419
	≤36.83	16(84.2)	3(15.8)			3(50.0)	3(50.0)

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表 2 母亲产后抑郁对高危儿男童的早期粗大动作发育的影响

Table 2. The effects of maternal postpartum depression on early gross motor development in high risk male infants

项目	B	SE	Wald χ²	P值	OR(95% CI)
母亲产后抑郁	1.253	0.619	4.031	0.045	3.49(1.03~11.82)
母亲生育年龄	2.587	1.045	6.134	0.013	13.34(1.72~103.71)

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