Postpartum Depression And Infant-Mother Attachment Security At One Year: The Impact Of Co-Morbid Maternal Personality Disorders
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Postpartum Depression And Infant-Mother Attachment Security At One Year : The Impact Of Co-Morbid Maternal Personality Disorders. / Smith-Nielsen, Johanne; Tharner, Anne; Steele, Howard; Cordes, Katharina; Mehlhase, Heike; Væver, Mette Skovgaard.
In: Infant Behavior and Development, Vol. 44, 2016, p. 148-158.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Postpartum Depression And Infant-Mother Attachment Security At One Year
T2 - The Impact Of Co-Morbid Maternal Personality Disorders
AU - Smith-Nielsen, Johanne
AU - Tharner, Anne
AU - Steele, Howard
AU - Cordes, Katharina
AU - Mehlhase, Heike
AU - Væver, Mette Skovgaard
PY - 2016
Y1 - 2016
N2 - Previous studies on effects of postpartum depression (PPD) on infant-mother attachment have been divergent. This may be due to not taking into account the effects of stable difficulties not specific for depression, such as maternal personality disorder (PD). Mothers (N = 80) were recruited for a longitudinal study either during pregnancy (comparison group) or eight weeks postpartum (clinical group). Infants of mothers with depressive symptoms only or in combination with a PD diagnosis were compared with infants of mothers with no psychopathology. Depression and PD were assessed using self-report and clinical interviews. Infant-mother attachment was assessed when infants were13 months using Strange Situation Procedure (SSP). Attachment (in)security was calculated as a continuous score based on the four interactive behavioral scales of the SSP, and the conventional scale for attachment disorganization was used.PPD was associated with attachment insecurity only if the mother also had a PD diagnosis. Infants of PPD mothers without co-morbid PD did not differ from infants of mothers with nopsychopathology. These results suggest that co-existing PD may be crucial in understanding how PPD impacts on parenting and infant social-emotional development. Stable underlying factors may magnify or buffer effects of PPD on parenting and child outcomes.
AB - Previous studies on effects of postpartum depression (PPD) on infant-mother attachment have been divergent. This may be due to not taking into account the effects of stable difficulties not specific for depression, such as maternal personality disorder (PD). Mothers (N = 80) were recruited for a longitudinal study either during pregnancy (comparison group) or eight weeks postpartum (clinical group). Infants of mothers with depressive symptoms only or in combination with a PD diagnosis were compared with infants of mothers with no psychopathology. Depression and PD were assessed using self-report and clinical interviews. Infant-mother attachment was assessed when infants were13 months using Strange Situation Procedure (SSP). Attachment (in)security was calculated as a continuous score based on the four interactive behavioral scales of the SSP, and the conventional scale for attachment disorganization was used.PPD was associated with attachment insecurity only if the mother also had a PD diagnosis. Infants of PPD mothers without co-morbid PD did not differ from infants of mothers with nopsychopathology. These results suggest that co-existing PD may be crucial in understanding how PPD impacts on parenting and infant social-emotional development. Stable underlying factors may magnify or buffer effects of PPD on parenting and child outcomes.
KW - Faculty of Social Sciences
KW - Postpartum depression
KW - Co-morbidity
KW - Personality disorder
KW - Infant-mother attachment
U2 - 10.1016/j.infbeh.2016.06.002
DO - 10.1016/j.infbeh.2016.06.002
M3 - Journal article
C2 - 27400381
VL - 44
SP - 148
EP - 158
JO - Infant Behavior and Development
JF - Infant Behavior and Development
SN - 0163-6383
ER -
ID: 153338617