caa a22 4500 605477140 CHVBK 20210128100359.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00787-014-0672-2 doi (NATIONALLICENCE)springer-10.1007/s00787-014-0672-2 The emotional-behavioural functioning of children exposed to maternal depressive symptoms across pregnancy and early childhood: a prospective Australian pregnancy cohort study [Elektronische Daten] [Rebecca Giallo, Hannah Woolhouse, Deirdre Gartland, Harriet Hiscock, Stephanie Brown] Children exposed to maternal depression during pregnancy and in the postnatal period are at increased risk of a range of health, wellbeing and development problems. However, few studies have examined the course of maternal depressive symptoms in the perinatal period and beyond on children's wellbeing. The present study aimed to explore the relationship between both the severity and chronicity of maternal depressive symptoms across the early childhood period and children's emotional-behavioural difficulties at 4years of age. Data from over 1,085 mothers and children participating in a large Australian prospective pregnancy cohort were used. Latent class analysis identified three distinct trajectories of maternal depressive symptoms from pregnancy to 4years postpartum: (1) no or few symptoms (61%), (2) persistent subclinical symptoms (30%), and (3) increasing and persistently high symptoms (9%). Regression analyses revealed that children of mothers experiencing subclinical and increasing and persistently high symptoms were at least two times more likely to have emotional-behavioural difficulties than children of mothers reporting minimal symptoms, even after accounting for known risk factors for poor outcomes for children. These findings challenge policy makers and health professionals to consider how they can tailor care and support to mothers experiencing a broader spectrum of depressive symptoms across the early childhood period, to maximize opportunities to improve both short-and long-term maternal and child health outcomes. Springer-Verlag Berlin Heidelberg, 2015 Maternal depression nationallicence Child outcomes nationallicence Emotional-behavioural functioning nationallicence Postnatal nationallicence Early childhood nationallicence Giallo Rebecca Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, W5, Royal Children's Hospital, 50 Flemington Road, 3052, Parkville, VIC, Australia aut Woolhouse Hannah Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, W5, Royal Children's Hospital, 50 Flemington Road, 3052, Parkville, VIC, Australia aut Gartland Deirdre Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, W5, Royal Children's Hospital, 50 Flemington Road, 3052, Parkville, VIC, Australia aut Hiscock Harriet Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, W5, Royal Children's Hospital, 50 Flemington Road, 3052, Parkville, VIC, Australia aut Brown Stephanie Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, W5, Royal Children's Hospital, 50 Flemington Road, 3052, Parkville, VIC, Australia aut European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/10(2015-10-01), 1233-1244 1018-8827 24:10<1233 2015 24 787 https://doi.org/10.1007/s00787-014-0672-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00787-014-0672-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Giallo Rebecca Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, W5, Royal Children's Hospital, 50 Flemington Road, 3052, Parkville, VIC, Australia aut NATIONALLICENCE 700 1- Woolhouse Hannah Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, W5, Royal Children's Hospital, 50 Flemington Road, 3052, Parkville, VIC, Australia aut NATIONALLICENCE 700 1- Gartland Deirdre Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, W5, Royal Children's Hospital, 50 Flemington Road, 3052, Parkville, VIC, Australia aut NATIONALLICENCE 700 1- Hiscock Harriet Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, W5, Royal Children's Hospital, 50 Flemington Road, 3052, Parkville, VIC, Australia aut NATIONALLICENCE 700 1- Brown Stephanie Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, W5, Royal Children's Hospital, 50 Flemington Road, 3052, Parkville, VIC, Australia aut NATIONALLICENCE 773 0- European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/10(2015-10-01), 1233-1244 1018-8827 24:10<1233 2015 24 787