| Full text | |
| Author(s): |
Alicia Matijasevich
[1]
;
Alexandre Faisal-Cury
[2]
;
Isabel Giacomini
[3]
;
Julia de Souza Rodrigues
[4]
;
Marcia C. Castro
[5]
;
Marly A. Cardoso
[6]
Total Authors: 6
|
| Affiliation: | [1] Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Preventiva - Brasil
[2] Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Preventiva - Brasil
[3] Universidade de São Paulo. Faculdade de Saúde Pública. Programa de Pós-Graduação em Nutrição em Saúde Pública - Brasil
[4] Universidade de São Paulo. Faculdade de Medicina. Programa de Pós-Graduação em Saúde Coletiva - Brasil
[5] Harvard T.H. Chan School of Public Health. Department of Global Health and Population
[6] Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Nutrição - Brasil
Total Affiliations: 6
|
| Document type: | Journal article |
| Source: | Revista de Saúde Pública; v. 57, 2024-02-26. |
| Abstract | |
ABSTRACT OBJECTIVE: To identify longitudinal patterns of maternal depression between three months and five years after child's birth, to examine predictor variables for these trajectories, and to evaluate whether distinct depression trajectories predict offspring mental health problems at age 5 years. METHODS: We used data from the Maternal and Child Health and Nutrition in Acre (MINA-Brazil) study, a population-based birth cohort in the Western Brazilian Amazon. Maternal depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale (EPDS) at 3 and 6–8 months, and 1 and 2 years after delivery. Mental health problems in 5-year-old children were evaluated with the Strengths and Difficulties Questionnaire (SDQ) reported by parents. Trajectories of maternal depression were calculated using a group-based modelling approach. RESULTS: We identified four trajectories of maternal depressive symptoms: "low" (67.1%), "increasing" (11.5%), "decreasing" (17.4%), and "high-chronic" (4.0%). Women in the "high/chronic" trajectory were the poorest, least educated, and oldest compared with women in the other trajectory groups. Also, they were more frequently multiparous and reported smoking and having attended fewer prenatal consultations during pregnancy. In the adjusted analyses, the odds ratio of any SDQ disorder was 3.23 (95%CI: 2.00–5.22) and 2.87 (95%CI: 1.09–7.57) times higher among children of mothers belonging to the "increasing" and "high-chronic" trajectory groups, respectively, compared with those of mothers in the "low" depressive symptoms group. These differences were not explained by maternal and child characteristics included in multivariate analyses. CONCLUSIONS: We identified poorer mental health outcomes for children of mothers assigned to the "chronic/severe" and "increasing" depressive symptoms trajectories. Prevention and treatment initiatives to avoid the adverse short, medium, and long-term effects of maternal depression on offspring development should focus on women belonging to these groups. (AU) | |
| FAPESP's process: | 16/00270-6 - MINA study - Maternal and child health in Acre: birth cohort in the Western Brazilian Amazon |
| Grantee: | Marly Augusto Cardoso |
| Support Opportunities: | Research Projects - Thematic Grants |
| FAPESP's process: | 22/03400-9 - Head circumference trajectories in early childhood in Cruzeiro do Sul, Acre: associated factors and relationship with child development |
| Grantee: | Isabel Giacomini Marques |
| Support Opportunities: | Scholarships in Brazil - Doctorate (Direct) |
| FAPESP's process: | 20/13425-3 - Risk and protection factors for the development of executive functions in adolescence: Pelotas 2004 birth cohort |
| Grantee: | Julia de Souza Rodrigues |
| Support Opportunities: | Scholarships in Brazil - Doctorate (Direct) |
| FAPESP's process: | 21/01688-2 - Head circumference trajectory in early childhood in Cruzeiro do Sul, Acre, Brazil: associated factors and relationship with child development |
| Grantee: | Isabel Giacomini Marques |
| Support Opportunities: | Scholarships in Brazil - Doctorate (Direct) |