Prenatal Maternal Psychological Distress and Offspring Risk for Recurrent Respiratory Infections - 24/04/19
, Linnea Karlsson, MD 1, 3, Noora M. Scheinin, MD 1, 4, Riikka Korja, PhD 1, 5, Mimmi Tolvanen, MSc 1, 6, Jussi Mertsola, MD 1, 2, Ville Peltola, MD 1, 2, Hasse Karlsson, MD 1, 4Abstract |
Objective |
To assess the relation between maternal prenatal psychological distress, comprising depression and anxiety symptoms and relationship quality, and the risk of recurrent respiratory infections (RRIs) in children up to 2 years of age. Children with RRIs frequently use health care services and antibiotics. Prenatal maternal psychological distress can be one, previously unidentified risk factor for RRIs.
Study design |
The study population was drawn from a population-based pregnancy cohort in Finland (www.finnbrain.fi). Children with RRIs (n = 204) and a comparison group (n = 1014) were identified by maternal reports at the child age of 12 or 24 months. The Edinburgh Postnatal Depression Scale, Symptom Checklist-90 anxiety subscale, the Pregnancy-Related Anxiety Questionnaire–Revised 2, and the Revised Dyadic Adjustment Scale were used to assess maternal symptoms and parental relationship quality at 34 weeks of gestation. Adjustment for maternal postnatal depressive and anxiety symptoms was performed.
Results |
Maternal prenatal Edinburgh Postnatal Depression Scale (OR, 1.24; 95% CI, 1.08-1.44), Symptom Checklist-90/Anxiety (OR, 1.40; 95% CI, 1.01-1.76), Pregnancy-Related Anxiety Questionnaire–Revised 2 (OR, 1.28; 95% CI, 1.11-1.47), and Revised Dyadic Adjustment Scale (OR, 1.32; 95% CI, 1.01-1.58) total sum scores were associated with child RRIs by the age of 24 months. Greater number of siblings, shorter duration of breastfeeding, and the level of maternal education were also identified as risk factors for child RRIs.
Conclusions |
Maternal prenatal psychological distress is linked with a higher risk for child RRIs.
Le texte complet de cet article est disponible en PDF.Keywords : psychological distress, parental relationship satisfaction, children, acute otitis media
Abbreviations : EPDS, PRAQ-R2, RDAS, RRI, SCL-90
Plan
| Funded by the Academy of Finland (#134950, [to L.Ka. and H.K.]), the Foundation for Pediatric Research (to L.Ko.), Signe and Ane Gyllenberg Foundation (to L.Ko., L.Ka., N.S., and H.K.), State grant of the Hospital District of Southwest Finland (to L.Ko., L.Ka., N.S., and H.K.), and Sohlberg Foundation, Finland (L.Ko. and L.Ka.). None of the funding sources had a role in study design, data collection, analyses, interpretation of data, writing of the report, or decision to submit this manuscript for publication. The authors declare no conflicts of interest. |
Vol 208
P. 229 - mai 2019 Retour au numéro
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