Interactive effects of infant gestational age and infant fussiness on the risk of maternal depressive symptoms in a nationally representative sample
Open accessAbstract
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 Our 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 nondepressed/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 greater 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 greater 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 FT may help identify mothers with depressive symptoms in need of support.
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No main effect of gestational age category on odds of maternal depressive symptoms.
“Regression analysis: there was no main effect of gestational age category on the odds of maternal depressive symptoms.”
From Parental stress and mental health outcomes following very preterm birth: A systematic review of recent findings (2024) · cites this paper as Quist et al., 2019
Quist et al. (2019) showed that nine months after birth, GA did not predict depressive symptoms but there was an interaction between infant fussiness and GA that could play a part in predicting these.
“Lastly, Quist et al. (2019) ( n = 800 VPT, 1500 M/LPT, 5900 FT) similarly showed that nine months after birth, GA did not predict depressive symptoms but that there was an interaction between infant fussiness and GA that could play a part in predicting these.”
From Parental stress and mental health outcomes following very preterm birth: A systematic review of recent findings (2024) · cites this paper as Quist et al., 2019
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- Authors
- Quist, M., Kaciroti, N., Poehlmann-Tynan, J., Weeks, H. M., Asta, K., Singh, P., & Shah, P. E.
- Affiliations
- University of Michigan (US)
- Northeast Ohio Medical University (US)
- Corresponding author
- Shah, Prachi E.
- Venue
- Academic Pediatrics
- Publisher
- Elsevier BV
- Published
- 2019-11
- Volume
- 19
- Issue
- 8
- Pages
- 917-924
- ISSN
- 1876-2859 (ISSN-L)
- PMC
- PMC6736763
- OpenAlex
- W2921361304
- Cited by
- 12
- References
- 38
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 1 · 2020: 2 · 2019: 1
- FWCI
- 1.84
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Academic Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Keywords
- maternal depressive symptoms, infant fussiness, gestational age, preterm birth, very preterm infants, term infants, maternal mental health, mother-infant interaction, depression severity, early screening
- MeSH terms
- Adult, Depression, Female, Gestational Age, Humans, Infant, Premature, Irritable Mood, Male, Mothers, Severity of Illness Index, Temperament, Logistic Models, Depression, Postpartum, Premature Birth, Term Birth, Young Adult, Infant, Extremely Premature
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