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Postpartum Depression, Risk Factors, and Child’s Home Environment Among Mothers in a Home Visiting Program

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Abstract

This paper provides an in-depth description of predictors of elevated postpartum depression (PPD) symptoms among mothers identified as high risk for committing child maltreatment in a home visiting program. We also examine how elevated PPD symptoms in early postpartum affect subsequent maternal child interactions in the home environment, a key measure of home visiting programs. Secondary data analysis was conducted using a sample (n = 4979) from a Healthy Families America program. Multiple linear regression models examined predictors of elevated PPD symptoms and logistic regression models determined the effect of elevated PPD symptoms on the home environment. Elevated PPD symptoms at 3 months postpartum were predicted by elevated depressive symptoms prenatally (OR = 4.34, 95% CI [3.46, 5.45]) and being unemployed (OR = 1.37, 95% CI [1.18, 1.58]). Being African American (OR = .83, 95% CI [.69, .99]) or not having English as first language (OR = .51, 95% CI [.32, .83]) were associated with decreased odds of elevated PPD symptoms. In turn, elevated PPD symptoms were associated with decreased overall home environment functioning at 12 months (β = −.87, 95% CI [−1.48, −.26]), particularly in the domains of maternal acceptance (β = −.19, 95% CI [−.36, −.03]) and involvement (β = −.24, 95% CI [−.39, −.08]). Elevated PPD symptoms may have long-term impact on home environment, including negative effects on mother's acceptance of and involvement with her child. Early screenings and treatment for PPD among mothers at risk for committing child maltreatment are supported

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References

  • About Us: Overview. (n.d.). http://www.healthyfamiliesamerica.org/about_us/index.html. Accessed 21 Oct 2015.

  • Ammerman, R. T., Putnam, F. W., Bosse, N. R., Teeters, A. R., & Van Ginkel, J. B. (2010). Maternal depression in home visitation: A systematic review. Aggression and Violent Behavior, 15, 191–200. doi:10.1016/j.avb.2009.12.002.

    Article  PubMed  PubMed Central  Google Scholar 

  • Barnet, B., Liu, J., & Devoe, M. (2008). Double jeopardy: Depressive symptoms and rapid subsequent pregnancy in adolescent mothers. Archives of Pediatrics and Adolescent Medicine, 162, 246–252. doi:10.1001/archpediatrics.2007.60.

    Article  PubMed  Google Scholar 

  • Beck, C. T. (2002). Postpartum depression: A metasynthesis. Qualitative Health Research, 12, 453–472. doi:10.1177/104973202129120016.

    Article  PubMed  Google Scholar 

  • Boyce, P., & Hickey, A. (2005). Psychosocial risk factors to major depression after childbirth. Social Psychiatry and Psychiatric Epidemiology, 40, 605–612. doi:10.1007/s00127-005-0931-0.

    Article  PubMed  Google Scholar 

  • Bradley, R. H., & Caldwell, B. M. (1977). Home observation for measurement of the environment: A validation study of screening efficiency. American Journal of Mental Deficiency, 81, 417–420.

    PubMed  Google Scholar 

  • Brotman, L. M., O’Neal, C. R., Keng-Yen, H., Gouley, K. K., Rosenfelt, A., & Shrout, P. E. (2009). An experimental test of parenting practices as a mediator of early childhood physical aggression. Journal of Child Psychology & Psychiatry, 50, 235–245. doi:10.1111/j.1469-7610.2008.01929.x.

    Article  Google Scholar 

  • Bugental, D. B., Ellerson, P. C., Lin, E. K., Rainey, B., Kokotovic, A., & O’Hara, N. (2002). A cognitive approach to child abuse prevention. Journal of Family Psychology, 16, 243–258. doi:10.1037/0893-3200.16.3.243.

    Article  PubMed  Google Scholar 

  • Caldwell, B. M., & Bradley, R. H. (2003). Home observation for measurement of the environment: Administration manual. Tempe, AZ: Family & Human Dynamics Institute, Arizona State University.

    Google Scholar 

  • Chemtob, C. M., Gudiño, O. G., & Laraque, D. (2013). Maternal posttraumatic stress disorder and depression in pediatric primary care. Association with child maltreatment and frequency of child exposure to traumatic events. JAMA Pediatrics, 167, 1011–1018. doi:10.1001/jamapediatrics.2013.2218.

    Article  PubMed  Google Scholar 

  • Conron, K., Beardslee, W., Koenen, K., Buka, S., & Gortmaker, S. (2009). A longitudinal study of maternal depression and child maltreatment in a national sample of families investigated by child protective services. Archives Pediatric Adolescent Medicine, 163, 922–930.

    Article  Google Scholar 

  • Cotter Mena, K., & Bailey, J. D. (2007). The effects of the supervisory working alliance on worker outcomes. Journal of Social Services Research, 34, 55–65.

    Article  Google Scholar 

  • Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150, 782–786. doi:10.1192/bjp.150.6.782.

    Article  PubMed  Google Scholar 

  • Davidson, M. R. (2012). A nurse’s guide to women’s mental health. New York, NY: Springer.

    Google Scholar 

  • Davidson, M. R., Ladewig, P. L., & London, M. L. (2014). Olds’ maternal newborn nursing: Care across the lifespan. 10th edn. Upper Saddle River, NJ: Pearson Education.

    Google Scholar 

  • Davies, B. R., Howells, S., & Jenkins, M. (2003). Early detection and treatment of postnatal depression in primary care. Journal of Advanced Nursing, 44, 248–255. doi:10.1046/j.1365-2648.2003.02799.x.

    Article  PubMed  Google Scholar 

  • Dennis, C. L., & Dowswell, T. (2013). Psychosocial and psychological interventions for preventing postpartum depression. Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD001134.pub3.

  • Dipietro, J. A., Costigan, K. A., & Sipsma, H. L. (2008). Continuity in self-report measures of maternal anxiety, stress, and depressive symptoms from pregnancy through two years postpartum. Journal of Psychosomatic Obstetrics and Gynaecology, 29, 115–124.

    Article  PubMed  Google Scholar 

  • Dodge, K. A., & Pettit, G. S. (2003). A biopsychosocial model of the development of chronic conduct problems in adolescence. Developmental Psychology, 39, 349–371. doi:10.1037/0012-1649.39.2.349.

    Article  PubMed  PubMed Central  Google Scholar 

  • Duggan, A. K., Berlin, L. J., Cassidy, J., Burrell, L., & Tandon, S. D. (2009). Examining maternal depression and attachment insecurity as moderators of the impacts of home visiting for at-risk mothers and infants. Journal of Consulting and Clinical Psychology, 77, 788–799. doi:10.1037/a0015709.

    Article  PubMed  PubMed Central  Google Scholar 

  • DuMont, K., Mitchell-Herzfeld, S., Greene, R., Lee, E., Lowenfels, A., Rodriguez, M., & Dorabawila, V. (2008). Healthy families New York (HFNY) randomized trial: Effects on early child abuse and neglect. Child Abuse and Neglect, 32, 295–315. doi:10.1016/j.chiabu.2007.07.007.

    Article  PubMed  Google Scholar 

  • Elardo, R., & Bradley, R. H. (1981). The home observation for measurement of the environment (HOME) scale: A review of research. Developmental Review, 1, 113–145. doi:10.1016/0273-2297(81)90012-5.

    Article  Google Scholar 

  • Gavin, N. I., Gaynes, B. N., Lohr, K. N., Meltzer-Brody, S., Gartlehner, G., & Swinson, T. (2005). Perinatal depression: A systematic review of prevalence and incidence. Obstetrics and Gynecology, 106, 1071–1083. doi:10.1097/01.AOG.0000183597.31630.db.

    Article  PubMed  Google Scholar 

  • Gomby, D. S., Culross, P. L., & Behrman, R. E. (1999). Home visiting: Recent program evaluations: Analysis and recommendations. The Future of Children, 9(1), 4.

    Article  PubMed  Google Scholar 

  • Goyal, D., Gay, C., & Lee, K. A. (2010). How much does low socioeconomic status increase the risk of prenatal and postpartum depressive symptoms in first-time mothers? Women’s Health Issues, 20, 96–104. doi:10.1016/j.whi.2009.11.003.

    Article  PubMed  PubMed Central  Google Scholar 

  • Green, B. L., Tarte, J. M., Harrison, P. M., Nygren, M., & Sanders, M. B. (2014). Results from a randomized trial of the healthy families oregon accredited statewide program: Early program impacts on parenting. Children and Youth Services Review, 44, 288–298. doi:10.1016/j.childyouth.2014.06.006.

    Article  Google Scholar 

  • Howard, K. S., & Brooks-Gunn, J. (2009). The role of home-visiting programs in preventing child abuse and neglect. The Future of Children, 19, 119–146.

    Article  PubMed  Google Scholar 

  • Hwa-Froelich, D. A., Loveland Cook, C. A., & Flick, L. H. (2008). Maternal sensitivity and communication styles: Mothers With depression. Journal of Early Intervention, 31, 44–66. doi:10.1177/1053815108324754.

    Article  Google Scholar 

  • Kempe, R. S., & Kempe, C. H. (1976). Child abuse. In J. Bruner, M. Cole, B. Lloyd (Eds.), The developing child series. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Korfmacher, J. (2000). The Kempe family stress inventory: A review. Child Abuse and Neglect, 24, 129–140. doi:10.1016/S0145-2134(99)00115-5.

    Article  PubMed  Google Scholar 

  • Lawless, A., Coveney, J., & MacDougall, C. (2014). Infant mental health promotion and the discourse of risk. Sociology of Health and Illness, 36, 416–431. doi:10.1111/1467-9566.12074.

    Article  PubMed  Google Scholar 

  • Lefkowitz, D. S., Baxt, C., & Evans, J. R. (2010). Prevalence and correlates of posttraumatic stress and postpartum depression in parents of infants in the neonatal intensive care unit (NICU). Journal of Clinical Psychology in Medical Settings, 17, 230–237. doi:10.1007/s10880-010-9202-7.

    Article  PubMed  Google Scholar 

  • Lovejoy, M. C., Graczyk, P. A., O’Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: A meta-analytic review. Clinical Psychology Review, 20, 561–592. doi:10.1016/S0272-7358(98)00100-7.

    Article  PubMed  Google Scholar 

  • McMahon, C., Barnett, B., Kowalenko, N., & Tennant, C. (2005). Psychological factors associated with persistent postnatal depression: Past and current relationships, defence styles and the mediating role of insecure attachment style. Journal of Affective Disorders, 84, 15–24. doi:10.1016/j.jad.2004.05.005.

    Article  PubMed  Google Scholar 

  • O’Hara, M. W. (2009). Postpartum depression: What we know. Journal of Clinical Psychology, 65, 1258–1269. doi:10.1002/jclp.20644.

    Article  PubMed  Google Scholar 

  • O’Hara, M. W., & McCabe, J. E. (2013). Postpartum depression: Current status and future directions. Annual Review of Clinical Psychology, 9, 379–407. doi:10.1146/annurev-clinpsy-050212-185612.

    Article  PubMed  Google Scholar 

  • Rosenthal, L., Earnshaw, V. A., Lewis, T. T., Reid, A. E., Lewis, J. B., Stasko, E. C., & Ickovics, J. R. (2014). Changes in experiences with discrimination across pregnancy and postpartum: Age differences and consequences for mental health. American Journal of Public Health, 105, 686–693. doi:10.2105/ajph.2014.301906.

    Article  PubMed  Google Scholar 

  • Sampson, M., Villarreal, Y., & Rubin, A. (2014). A problem-solving therapy intervention for low-income, pregnant women at risk for postpartum depression. Research on Social Work Practice, 26, 236–242. doi:10.1177/1049731514551143.

    Article  Google Scholar 

  • Segre, L. S., O’Hara, M. W., Arndt, S., & Stuart, S. (2007). The prevalence of postpartum depression: the relative significance of three social status indices. Social Psychiatry and Psychiatric Epidemiology, 42, 316–321.

    Article  PubMed  Google Scholar 

  • Segre, L. S., Stasik, S. M., O’Hara, M. W., & Arndt, S. (2010). Listening visits: An evaluation of the effectiveness and acceptability of a home-based depression treatment. Psychotherapy Research, 20, 712–721. doi:10.1080/10503307.2010.518636.

    Article  PubMed  PubMed Central  Google Scholar 

  • Seng, J. L., Sperlich, M., Low, K. L., Ronis, D. L., Muzik, M., & Liberzon, I. (2013). Child abuse history, posttraumatic stress disorder, postpartum mental health, and bonding: A prospective cohort study. Journal of Midwifery & Women’s Health, 58, 57–68. doi:10.1111/j.1542-2011.2012.00237.

    Article  Google Scholar 

  • Stevens, J., Ammerman, R. T., Putnam, F. G., & Van Ginkel, J. B. (2002). Depression and trauma history in first-time mothers receiving home visitation. Journal of Community Psychology, 30, 551–564. doi:10.1002/jcop.10017.

    Article  Google Scholar 

  • Stocky, A., & Lynch, J. (2000). Acute psychiatric disturbance in pregnancy and the puerperium. Bailliere’s best practice & research. Clinical Obstetrics & Gynaecology, 14, 73–87. doi:10.1053/beog.1999.0064.

    Google Scholar 

  • The Healthy Families America Strategy. (n.d.). http://www.healthyfamiliesamerica.org/the-hfa-strategy-1/.

  • Totsika, V., & Sylva, K. (2004). The home observation for measurement of the environment revisited. Child and Adolescent Mental Health, 9, 25–35. doi:10.1046/j.1475-357X.2003.00073.x.

    Article  Google Scholar 

  • U.S. Department of Health and Human Services. (2013). A comprehensive approach for community-based programs to address intimate partner violence and perinatal depression. Rockville, MD: U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau.

  • Vigod, S. N., Villegas, L., Dennis, C. L., & Ross, L. E. (2010). Prevalence and risk factors for postpartum depression among women with preterm and low-birth-weight infants: A systematic review. BJOG: An International Journal Of Obstetrics And Gynaecology, 117, 540–550. doi:10.1111/j.1471-0528.2009.02493.x.

    Article  Google Scholar 

  • What are the risk factors for preterm labor and birth? (n.d.). https://www.nichd.nih.gov/health/topics/preterm/conditioninfo/Pages/who_risk.aspx. Accessed 21 Oct 2015.

  • Windham, A. M., Rosenberg, L., Fuddy, L., McFarlane, E., Sia, C., & Duggan, A. K. (2004). Risk of mother-reported child abuse in the first 3 years of life. Child Abuse and Neglect, 28, 645–667. doi:10.1016/j.chiabu.2004.01.003.

    Article  PubMed  Google Scholar 

  • Wisner, K. L., Chambers, C., & Sit, D. Y. (2006). Postpartum depression: A major public health problem. JAMA, 296, 2616–2618. doi:10.1001/jama.296.21.2616.

    Article  PubMed  Google Scholar 

  • Wisner, K. L., Parry, B. L., & Piontek, C. M. (2002). Postpartum depression. New England Journal of Medicine, 347, 194–199. doi:10.1056/NEJMcp011542.

    Article  PubMed  Google Scholar 

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Author contributions

M.S. designed and executed study, wrote the paper; J.D. collaborated in the design and writing of the study, data preparation, and data analysis; D.K. conducted analysis and wrote results; M.D. collaborated in the writing and editing of the final manuscript; R.M. collaborated in the writing and editing of the final manuscript.

Disclosure

Permission to use de-identified data was obtained from the Iowa Health Families America program and was provided by Datatude, an independent agency.

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Authors and Affiliations

  1. University of Houston, Graduate College of Social Work, Room 403 Social Work Building, Houston, TX, 77204, USA

    McClain Sampson & Rebecca L. Mauldin

  2. Rutgers University, Rutgers School of Social Work, New Brunswick, NJ, USA

    Jacquelynn F. Duron

  3. Department of Social Work, California State University Fullerton, Fullerton, CA, USA

    Dennis Kao

  4. George Mason University, School of Nursing, Manassas, VA, USA

    Michele Davidson

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  1. McClain Sampson
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  2. Jacquelynn F. Duron
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Correspondence to McClain Sampson.

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IRB approval was received from the University of Houston Committees for the Protection of Human Subjects.

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Sampson, M., Duron, J.F., Mauldin, R.L. et al. Postpartum Depression, Risk Factors, and Child’s Home Environment Among Mothers in a Home Visiting Program. J Child Fam Stud 26, 2772–2781 (2017). https://doi.org/10.1007/s10826-017-0783-8

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