کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6230075 1608125 2016 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Comorbid trajectories of postpartum depression and PTSD among mothers with childhood trauma history: Course, predictors, processes and child adjustment
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی روانپزشکی و بهداشت روانی
پیش نمایش صفحه اول مقاله
Comorbid trajectories of postpartum depression and PTSD among mothers with childhood trauma history: Course, predictors, processes and child adjustment
چکیده انگلیسی


- Strong comorbidity of postpartum depression and PTSD trajectories is observed among mothers with childhood trauma history.
- Comorbid depression and PTSD trajectories showed resilient, vulnerable and chronic high-risk groups.
- Individual and contextual factors predicted the distinct trajectory patterns.
- Comorbid psychopathology of postpartum mothers evinces its aversive impact on their children's adjustment.

BackgroundBoth postpartum depression and posttraumatic stress disorder (PTSD) have been identified as unique risk factors for poor maternal psychopathology. Little is known, however, regarding the longitudinal processes of co-occurring depression and PTSD among mothers with childhood adversity. The present study addressed this research gap by examining co-occurring postpartum depression and PTSD trajectories among mothers with childhood trauma history.Methods177 mothers with childhood trauma history reported depression and PTSD symptoms at 4, 6, 12, 15 and 18 months postpartum, as well as individual (shame, posttraumatic cognitions, dissociation) and contextual (social support, childhood and postpartum trauma experiences) factors.ResultsGrowth mixture modeling (GMM) identified three comorbid change patterns: The Resilient group (64%) showed the lowest levels of depression and PTSD that remained stable over time; the Vulnerable group (23%) displayed moderately high levels of comorbid depression and PTSD; and the Chronic High-Risk group (14%) showed the highest level of comorbid depression and PTSD. Further, a path model revealed that postpartum dissociation, negative posttraumatic cognitions, shame, as well as social support, and childhood and postpartum trauma experiences differentiated membership in the Chronic High-Risk and Vulnerable. Finally, we found that children of mothers in the Vulnerable group were reported as having more externalizing and total problem behaviors.LimitationsGeneralizability is limited, given this is a sample of mothers with childhood trauma history and demographic risk.ConclusionsThe results highlight the strong comorbidity of postpartum depression and PTSD among mothers with childhood trauma history, and also emphasize its aversive impact on the offspring.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Affective Disorders - Volume 200, August 2016, Pages 133-141
نویسندگان
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