PubMed · 12392134
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Andy J Ashworth. 2002. Postnatal depression and SIDS.. https://pubmed.ncbi.nlm.nih.gov/12392134/
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AIMS: To study the influence of maternal socioeconomic and emotional factors on infant weight gain and weight faltering (failure to thrive) in the first year of life. METHODS: The Gateshead Millennium Baby Study is a population birth cohort in northeast England studied prospectively from birth, via parental questionnaires and a health check aged 13 months. Data were collected on maternal education, deprivation, eating attitudes, and depression, using the Edinburgh Post Natal Depression Scale (EPDS) at 3 months. Weight gain was assessed using change in weight SD score, conditional on birth weight (Thrive Index); weight faltering was defined as conditional weight gain below the 5th centile. RESULTS: Of 923 eligible infants born at term, 774 (84%) had both weight and questionnaire data. Replicating a previous finding, both the highest and the lowest levels of deprivation were associated with weight faltering; this was independent of the type of milk feeding. No relation was found with maternal educational status. Maternal eating restraint was unrelated to weight gain. Infants of mothers with high depression symptom scores (EPDS >12) had significantly slower weight gain and increased rates of weight faltering up to 4 months (relative risk 2.5), especially if they came from deprived families, but by 12 months they were no different from the remainder of the cohort. CONCLUSIONS: In this setting, social and maternal characteristics had little influence on infants' weight gain, apart from a strong, but transient effect of postnatal depression.
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The actor-partner interdependence model was used to test whether one parent's depressive vulnerability (self-criticism and dependency) was associated with the same parent's own (an intraparental association) and the other parent's (a cross-parental association) ratings of their 5-year-old child's temperament (536 parents, 268 dyads). The more vulnerable the parents were, the more the children showed negative affectivity and lack of effortful control. Significant interactions with the parent's gender and between the spouses' depressive vulnerabilities were found, highlighting the fact that child outcomes are dependent on family processes. All associations were independent of maternal and paternal depressive symptoms. The influence of personality-based depressive traits on child temperamental outcomes and effective parenting is discussed with reference to between-dyad family dynamics.