Associations between self-reported ADHD symptoms and depression and anxiety in mothers and fathers during the postpartum period: A Canadian nationwide longitudinal study
Notice bibliographique
Résumé
Attention-deficit hyperactivity disorder (ADHD) may be a risk factor for intra- and inter-parental affective disorders in the perinatal period, placing families at risk for negative outcomes. A large prospective cohort of Canadian women and their male partners ( N = 2544 couples) were recruited in the postpartum period. Repeated measures data were collected at baseline and six timepoints over 24-months postpartum. Self-reported ADHD symptoms were measured at baseline, and depression/anxiety were measured at all timepoints. Generalized estimating equations examined associations between possible ADHD and ADHD symptoms with new depression, anxiety, and comorbidity. Cross-parental associations were explored. Compared to mothers without, those with possible ADHD had higher odds of depression (adjusted odds ratio [aOR] = 1.70, 95 % CI [1.13–2.56]), anxiety (aOR = 1.74 [1.30–2.34]), and comorbidity (aOR = 1.66, [1.06–2.60]), at 3–24 months postpartum. Maternal ADHD symptoms were associated with anxiety in fathers (aOR = 1.03 [1.01–1.06] for 1-unit increase in symptoms) at 3–24-months. When compared to fathers without, those with possible ADHD had higher odds of depression (aOR = 2.33 [1.78–3.05]), anxiety (aOR = 2.02, [1.60–2.55]), and comorbidity (aOR = 2.05, [1.51–2.79]), as well as paternal ADHD symptoms associated with depression (aOR = 1.05, [1.01–1.08] for 1-unit increase in symptoms) and comorbidity (aOR = 1.04 [1.00–1.08] for 1-unit increase in symptoms) in mothers at 3–24-months. Self-reported measures. Parental ADHD in the postpartum period is associated with depression and anxiety among mothers and fathers. Paternal ADHD was a risk for maternal mental health problems in the early postpartum period, and maternal ADHD was a risk for paternal mental health problems in the late postpartum period. • Longitudinal data examined associations between parental ADHD and postpartum affective disorders. • Depression rates ranged from 7.2 to 8.6 % for fathers and 4.7–7.2 % for mothers from 3 to 24 months postpartum. • Anxiety rates ranged from 15.6 to 16.7 % for fathers and 18.5–19.2 % for mothers from 3 to 24 months postpartum. • Maternal ADHD was associated with maternal anxiety and depression, as well as paternal anxiety. • Paternal ADHD was associated with paternal anxiety and depression, as well as maternal depression.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,003 |
| Études des sciences et des technologies | 0,003 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».