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Acad Pediatr. 2019 Mar 10. pii: S1876-2859(18)30541-2. doi: 10.1016/j.acap.2019.02.015. [Epub ahead of print]

Interactive Effects of Infant Gestational Age and Infant Fussiness on the Risk of Maternal Depressive Symptoms in a Nationally Representative Sample.

Author information

1
Division of Developmental and Behavioral Pediatrics, Department of Pediatrics, University of Michigan School of Medicine, University of Michigan, 300 N Ingalls Street, 10th Floor, Ann Arbor, MI 48109. Electronic address: meganli@med.umich.edu.
2
Center for Human Growth and Development, University of Michigan, 300 N Ingalls Street, 10th Floor, Ann Arbor, MI 48109. Electronic address: nicola@umich.edu.
3
Department of Human Ecology, University of Wisconsin, Madison, WI. Electronic address: julie.poehlmanntynan@wisc.edu.
4
Department of Nutritional Sciences, School of Public of Health, University of Michigan. Electronic address: hweeks@umich.edu.
5
University of Michigan School of Medicine, University of Michigan, 300 N Ingalls Street, 10(th) Floor, Ann Arbor, MI 48109. Electronic address: kasta@med.umich.edu.
6
Northeast Ohio Medical University, Rootstown, OH 44272. Electronic address: psingh7@neomed.edu.
7
Division of Developmental and Behavioral Pediatrics, Department of Pediatrics, University of Michigan School of Medicine, University of Michigan, 300 N Ingalls Street, 10th Floor, Ann Arbor, MI 48109; Center for Human Growth and Development, University of Michigan, 300 N Ingalls Street, 10th Floor, Ann Arbor, MI 48109. Electronic address: prachis@umich.edu.

Abstract

OBJECTIVE:

To examine the interactive effects of gestational age and infant fussiness on the risk of maternal depressive symptoms in a nationally representative sample.

METHODS:

Sample included 8200 children from the Early Childhood Longitudinal Study, Birth Cohort. Gestational age categories were: very preterm (VPT, 24-31 weeks), moderate/late preterm (MLPT, 32-36 weeks) and full-term (FT, 37-41 weeks). Maternal depressive symptoms (categorized as non-depressed/mild/moderate-severe), from the modified Center for Epidemiological Studies Depression Questionnaire, and infant fussiness (categorized as fussy/ not fussy) were assessed at 9 months from parent-report questionnaires. We examined the interactive effects of infant fussiness and gestational age categories, and estimated adjusted odds ratios (aOR) and 95% confidence intervals (CI) of maternal depressive symptoms using multinomial logistic regression.

RESULTS:

Infant fussiness interacted with gestational age categories in predicting maternal depressive symptoms (p=.04), with severity varying by gestational age and infant fussiness. Compared with mothers of VPT infants without fussiness, mothers of VPT infants with fussiness had higher odds of mild depressive symptoms (aOR=2.32, 95%CI [1.19, 4.53]). Similarly, compared with mothers of MLPT and FT infants without fussiness, mothers of fussy MLPT and FT infants had higher odds of moderate-severe symptoms (aOR=2.30, 95%CI [1.40, 3.80], and aOR=1.74, 95%CI [1.40, 2.16] respectively).

CONCLUSIONS:

Mothers of MLPT and FT infants with fussiness had increased odds of moderate-severe depressive symptoms, and mothers of VPT infants with fussiness had increased risk of mild symptoms. Early screening for infant fussiness in preterm and full-term infants may help identify mothers with depressive symptoms in need of support.

KEYWORDS:

ECLS-B (Early Childhood Longitudinal Survey-Birth Cohort); Infant Fussiness; Maternal depressive symptoms; Moderate/Late Preterm

PMID:
30867136
DOI:
10.1016/j.acap.2019.02.015

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