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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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https://afar.info/id=3128

Created on : 24 Nov 2019
Modified on : 25 Nov 2019

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Bibliographical entry (without author) :

The impact of postpartum post-traumatic stress disorder symptoms on child development: a population-based, 2-year follow-up study. Psychological medicine

Author(s) :

Garthus-Niegel S., Ayers S., Martini J., von Soest T., Eberhard-Gran M. Institute and Policlinic of Occupational and Social Medicine,TU Dresden,Faculty of Medicine,Fetscherstr. Centre for Maternal and Child Health,School of Health Sciences,City University London,London,UK. Department of Child and Adolescent Psychiatry,TU Dresden,Faculty of Medicine,Schubertstr. Dresden,Germany. Department of Psychology,University of Oslo,Oslo,Norway. Department of Child Health,Norwegian Institute of Public Health,Oslo,Norway.

Year of publication :

2017

URL(s) :

https://www.ncbi.nlm.nih.gov/pubmed/27682188
https://doi.org/10.1017/S003329171600235X

Résumé (français)  :

CONTEXTE :
Dans le cadre de preuves très limitées, la présente étude visait à examiner de manière prospective l’impact des symptômes du trouble de stress post-traumatique (SPT) chez les mères après l’accouchement sur quatre domaines importants du développement de l’enfant : la motricité globale, la motricité fine, la communication et le développement socio-affectif.
MÉTHODE :
Cette étude fait partie de la grande cohorte de naissance d’Akershus. Les données des registres de naissance de l’hôpital ainsi que celles du questionnaire de 8 semaines et 2 ans post-partum ont été utilisées (n = 1472). Les domaines du développement de l’enfant qui étaient significativement corrélés aux symptômes du SPT ont été entrés dans les analyses de régression. Des analyses d’interaction ont été effectuées pour déterminer si l’influence des symptômes du SPT sur le développement de l’enfant était modérée par le sexe ou le tempérament du nourrisson.
RÉSULTATS :
Deux ans plus tard, les symptômes du SPT après l’accouchement avaient une relation prospective avec le développement socio-affectif de l’enfant pauvre. Cette relation est restée importante même en tenant compte des facteurs de confusion tels que la dépression et l’anxiété maternelles ou le tempérament du nourrisson. Le sexe et le tempérament du nourrisson ont tous deux modéré le lien entre les symptômes de stress post-traumatique chez la mère et son développement socio-affectif, c’est-à-dire que la charge de symptômes du syndrome de stress post-traumatique chez la mère augmentait.

Abstract (English)  :

BACKGROUND:
Against the background of very limited evidence, the present study aimed to prospectively examine the impact of maternal postpartum post-traumatic stress disorder (PTSD) symptoms on four important areas of child development, i.e. gross motor, fine motor, communication and social-emotional development.
METHOD:
This study is part of the large, population-based Akershus Birth Cohort. Data from the hospital’s birth record as well as questionnaire data from 8 weeks and 2 years postpartum were used (n = 1472). The domains of child development that were significantly correlated with PTSD symptoms were entered into regression analyses. Interaction analyses were run to test whether the influence of postpartum PTSD symptoms on child development was moderated by child sex or infant temperament.
RESULTS:
Postpartum PTSD symptoms had a prospective relationship with poor child social-emotional development 2 years later. This relationship remained significant even when adjusting for confounders such as maternal depression and anxiety or infant temperament. Both child sex and infant temperament moderated the association between maternal PTSD symptoms and child social-emotional development, i.e. with increasing maternal PTSD symptom load, boys and children with a difficult temperament were shown to have comparatively higher levels of social-emotional problems.

Sumário (português)  :

FUNDO:
Contra o pano de fundo de evidências muito limitadas, o presente estudo teve como objetivo examinar prospectivamente o impacto dos sintomas do transtorno de estresse pós-traumático pós-parto materno (SPT) em quatro áreas importantes do desenvolvimento infantil, como motor grosso, motor fino, comunicação e desenvolvimento socioemocional.
MÉTODO:
Este estudo faz parte da grande coorte de nascimentos Akershus, de base populacional. Foram utilizados dados do registro de nascimento do hospital e questionários de 8 semanas e 2 anos após o parto (n = 1472). Os domínios do desenvolvimento infantil que foram significativamente correlacionados com os sintomas de SPT foram inseridos nas análises de regressão. Análises de interação foram realizadas para testar se a influência dos sintomas pós-parto de SPT no desenvolvimento infantil foi moderada pelo sexo infantil ou pelo temperamento infantil.
RESULTADOS:
Os sintomas de SPT no pós-parto tiveram uma relação prospectiva com um desenvolvimento socioemocional infantil ruim 2 anos depois. Essa relação permaneceu significativa mesmo quando se ajustou para fatores de confusão, como depressão e ansiedade materna ou temperamento infantil. Tanto o sexo infantil quanto o temperamento infantil moderaram a associação entre os sintomas de SPT materno e o desenvolvimento sócio-emocional da criança, ou seja, com o aumento da carga de sintomas de SPT materno, meninos e crianças com um temperamento difícil mostraram níveis comparativamente mais altos de problemas socioemocionais.

Full text (public) :

Comments :

Argument (français) :

Nos résultats suggèrent que les garçons et les enfants avec un tempérament difficile précoce peuvent être particulièrement sensibles aux effets néfastes des symptômes du stress post-traumatique après l’accouchement. Des études complémentaires sont nécessaires pour approfondir les mécanismes à l’œuvre.

Argument (English):

Our findings suggest that both boys and children with an early difficult temperament may be particularly susceptible to the adverse impact of postpartum post-traumatic stress symptoms. Additional studies are needed to further investigate the mechanisms at work.

Argumento (português):

Nossos resultados sugerem que meninos e crianças com um temperamento difícil precoce podem ser particularmente suscetíveis ao impacto adverso dos sintomas de estresse pós-traumático no pós-parto. Estudos adicionais são necessários para investigar melhor os mecanismos no trabalho.

Keywords :

➡ survey ; baby’s health ; post-traumatic stress

Author of this record :

ELISE MARCENDE — 24 Nov 2019
➡ latest update : ELISE MARCENDE — 25 Nov 2019

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