Effects of treating postnatal depression on mother-infant interaction and child development

British Journal of Psychiatry - Tập 191 Số 5 - Trang 378-386 - 2007
Amudha Poobalan1, Lorna Aucott, Louise C. Ross, William C. Smith, Basil Elnazir, Justin H. G. Williams
1Department of Public Health, Medical School, Polwarth Building, Foresterhill, Aberdeen, UK. [email protected]

Tóm tắt

BackgroundPostnatal depression has detrimental effects on the child's cognitive and emotional development.AimsTo assess the benefits of treating postnatal depression for mother–infant interaction and child development.MethodA systematic search was made of 12 electronic bibliographic databases for randomised controlled trials and controlled clinical trials on treatment of mothers with postnatal depression, where outcomes were assessed in children; findings were assessed.ResultsOnly eighttrials met the inclusion criteria. Of those included, interventions varied widely but all involved therapies directed at the mother–infant relationship. One study with intensive and prolonged therapy showed cognitive improvement, whereas two others with briefer interventions improved maternal–infant relationships but did not affect the child's cognitive or behavioural development. All five studies assessing only mother–infant relationships showed improvements.ConclusionsCognitive development in children of depressed mothers, along with better mother–infant relationships, might be improved with sustained interventions. Trials assessing treatments for postnatal depression would benefit from looking more closely at benefits for children as well as mothers, using validated objective measures.

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Thông tin
Thông tin xuất bản

British Journal of Psychiatry

Tập 191 Số 5

378-386

Thông tin tác giả