Jane E Schreiber1,2, Joanna C M Cole1,2,3, Amy J Houtrow4,5, Michael J Kallan6, Elizabeth A Thom7, Lori J Howell3, N Scott Adzick3,8. 1. Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. 2. Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA. 3. Center for Fetal Diagnosis and Treatment, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. 4. Department of Physical Medicine and Rehabilitation, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA. 5. Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania, USA. 6. Department of Biostatistics Epidemiology & Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. 7. George Washington University Biostatistics Center, Washington, District of Columbia, USA. 8. Department of Surgery, Children's Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Abstract
INTRODUCTION: Depressive risk is higher for mothers of infants with chronic medical conditions. The present study examined maternal depressive risk and associations with parent and child outcomes among mothers of young children who were randomized to either prenatal or postnatal surgical closure for myelomeningocele. METHODS: Using the Management of Myelomeningocele Study database, maternal depressive risk was examined at 3 time points as follows: prior to birth, 12 months, and 30 months post birth. Separate multivariate analyses examined associations among change in depressive risk (between baseline and 30 months), parenting stress, and child outcomes at 30 months. RESULTS: Mean scores were in the minimal depressive risk range at all the time points. Post birth depressive risk did not differ by prenatal versus postnatal surgery. Mean change scores reflected a decrease in depressive risk during the first 30 months. Only 1.1-4.5% of mothers reported depressive risk in the moderate to severe range across time points. Increased depressive risk during the first 30 months was associated with increased parenting stress scores and slightly lower child cognitive scores at 30 months. CONCLUSION: Most mothers reported minimal depressive risk that decreased over time, regardless of whether their infant underwent prenatal or postnatal surgery. Only a small percentage of mothers endorsed moderate to severe depressive risk, but an increase in depressive risk over time was associated with higher parental stress and slightly lower child cognitive development.
INTRODUCTION: Depressive risk is higher for mothers of infants with chronic medical conditions. The present study examined maternal depressive risk and associations with parent and child outcomes among mothers of young children who were randomized to either prenatal or postnatal surgical closure for myelomeningocele. METHODS: Using the Management of Myelomeningocele Study database, maternal depressive risk was examined at 3 time points as follows: prior to birth, 12 months, and 30 months post birth. Separate multivariate analyses examined associations among change in depressive risk (between baseline and 30 months), parenting stress, and child outcomes at 30 months. RESULTS: Mean scores were in the minimal depressive risk range at all the time points. Post birth depressive risk did not differ by prenatal versus postnatal surgery. Mean change scores reflected a decrease in depressive risk during the first 30 months. Only 1.1-4.5% of mothers reported depressive risk in the moderate to severe range across time points. Increased depressive risk during the first 30 months was associated with increased parenting stress scores and slightly lower child cognitive scores at 30 months. CONCLUSION: Most mothers reported minimal depressive risk that decreased over time, regardless of whether their infant underwent prenatal or postnatal surgery. Only a small percentage of mothers endorsed moderate to severe depressive risk, but an increase in depressive risk over time was associated with higher parental stress and slightly lower child cognitive development.
Authors: Larry L Mullins; Cortney Wolfe-Christensen; John M Chaney; T David Elkin; Lori Wiener; Stephanie E Hullmann; David A Fedele; Ashley Junghans Journal: J Pediatr Psychol Date: 2010-09-03
Authors: Joanna C M Cole; Julie S Moldenhauer; Kelsey Berger; Mark S Cary; Haley Smith; Victoria Martino; Norma Rendon; Lori J Howell Journal: Arch Womens Ment Health Date: 2015-09-21 Impact factor: 3.633
Authors: Diana L Farmer; Elizabeth A Thom; John W Brock; Pamela K Burrows; Mark P Johnson; Lori J Howell; Jody A Farrell; Nalin Gupta; N Scott Adzick Journal: Am J Obstet Gynecol Date: 2017-12-12 Impact factor: 8.661
Authors: M E Msall; K DiGaudio; B T Rogers; S LaForest; N L Catanzaro; J Campbell; F Wilczenski; L C Duffy Journal: Clin Pediatr (Phila) Date: 1994-07 Impact factor: 1.168