Children exposed to prenatal maternal psychological distress are at elevated risk for a range of adverse outcomes; however, it remains poorly understood whether postnatal influences can ameliorate impairments related to prenatal distress. The current study evaluated if sensitivematernal care during the first postnatal year could mitigate child cognitive and emotional impairments associated with prenatal psychological distress. Prenatal maternal psychological distress was assessed via self-reports of anxiety, depression, and perceived stress for 136 mothers at five prenatal and four postpartum time points. Quality of maternal care (sensitivity to nondistress, positive regard, and intrusiveness reverse-scored) were assessed during a mother–child play interaction at 6 and 12 months. Child cognitive function and negative emotionality were assessed at 2 years, using The Bayley Scales and the Early Childhood Behavior Questionnaire. Elevated prenatal distress was associated with poorer child cognitive function and elevated negative emotionality. Children exposed to elevated prenatal maternal distress did not, however, display these outcomes if they received high-quality caregiving. Specifically, maternal care moderated the relation between prenatal psychological distress and child cognitive function and negative emotionality. This association remained after consideration of postnatal maternal psychological distress and relevant covariates. Sensitive maternal care was associated with altered offspring developmental trajectories, supporting child resilience following prenatal distress exposure.

暴露于产前母亲心理困扰的儿童出现一系列不良后果的风险更高；然而，产后影响是否可以改善与产前窘迫相关的损伤仍然知之甚少。目前的研究评估了产后第一年的敏感产妇护理是否可以减轻与产前心理困扰相关的儿童认知和情绪障碍。通过对 136 名母亲在五个产前和四个产后时间点的焦虑、抑郁和感知压力的自我报告来评估产前产妇心理困扰。在 6 个月和 12 个月的母子游戏互动中评估了母亲护理的质量（对非痛苦的敏感性、积极的关注和侵入性的反向评分）。使用贝利量表和儿童早期行为问卷在 2 岁时评估儿童认知功能和消极情绪。产前痛苦加剧与儿童认知功能较差和消极情绪升高有关。然而，如果儿童接受了高质量的照料，那么暴露于产前产妇痛苦加剧的儿童并不会表现出这些结果。具体而言，母亲照顾调节了产前心理困扰与儿童认知功能和消极情绪之间的关系。在考虑产后产妇心理困扰和相关协变量后，这种关联仍然存在。敏感的产妇护理与后代发育轨迹的改变有关，支持儿童在产前遇险后的恢复能力。使用贝利量表和儿童早期行为问卷。产前痛苦加剧与儿童认知功能较差和消极情绪升高有关。然而，如果儿童接受了高质量的照料，那么暴露于产前产妇痛苦加剧的儿童并不会表现出这些结果。具体而言，母亲照顾调节了产前心理困扰与儿童认知功能和消极情绪之间的关系。在考虑产后产妇心理困扰和相关协变量后，这种关联仍然存在。敏感的产妇护理与后代发育轨迹的改变有关，支持儿童在产前遇险后的恢复能力。使用贝利量表和儿童早期行为问卷。产前痛苦加剧与儿童认知功能较差和消极情绪升高有关。然而，如果儿童接受了高质量的照料，那么暴露于产前产妇痛苦加剧的儿童并不会表现出这些结果。具体而言，母亲照顾调节了产前心理困扰与儿童认知功能和消极情绪之间的关系。在考虑产后产妇心理困扰和相关协变量后，这种关联仍然存在。敏感的产妇护理与后代发育轨迹的改变有关，支持儿童在产前遇险后的恢复能力。产前痛苦加剧与儿童认知功能较差和消极情绪升高有关。然而，如果儿童接受了高质量的照料，那么暴露于产前产妇痛苦加剧的儿童并不会表现出这些结果。具体而言，母亲照顾调节了产前心理困扰与儿童认知功能和消极情绪之间的关系。在考虑产后产妇心理困扰和相关协变量后，这种关联仍然存在。敏感的产妇护理与后代发育轨迹的改变有关，支持儿童在产前遇险后的恢复能力。产前痛苦加剧与儿童认知功能较差和消极情绪升高有关。然而，如果儿童接受了高质量的照料，那么暴露于产前产妇痛苦加剧的儿童并不会表现出这些结果。具体而言，母亲照顾调节了产前心理困扰与儿童认知功能和消极情绪之间的关系。在考虑产后产妇心理困扰和相关协变量后，这种关联仍然存在。敏感的产妇护理与后代发育轨迹的改变有关，支持儿童在产前遇险后的恢复能力。具体而言，母亲照顾调节了产前心理困扰与儿童认知功能和消极情绪之间的关系。在考虑产后产妇心理困扰和相关协变量后，这种关联仍然存在。敏感的产妇护理与后代发育轨迹的改变有关，支持儿童在产前遇险后的恢复能力。具体而言，母亲照顾调节了产前心理困扰与儿童认知功能和消极情绪之间的关系。在考虑产后产妇心理困扰和相关协变量后，这种关联仍然存在。敏感的产妇护理与后代发育轨迹的改变有关，支持儿童在产前遇险后的恢复能力。