Association between parental depressive symptoms and impaired bonding with the infant
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Impaired bonding with the infant is associated with maternal postpartum depression but has not been investigated extensively in fathers. The primary study aim was to evaluate associations between maternal and paternal depressive symptoms and impaired bonding with their infant. A secondary aim was to determine the associations between parents’ marital problems and impaired bonding with the infant. The study is part of a population-based cohort project (UPPSAT) in Uppsala, Sweden. The Edinburgh Postnatal Depression Scale (EPDS) at 6 weeks and 6 months postpartum and the Postpartum Bonding Questionnaire at 6 months postpartum were completed by 727 couples. The prevalence of impaired bonding was highest among couples in which both spouses had depressive symptoms. Impaired bonding was associated with higher EPDS scores in both mothers and fathers, as well as with experiencing a deteriorated marital relationship. The association between maternal and paternal impaired bonding and the mothers’ and fathers’ EPDS scores remained significant even after adjustment for relevant confounding factors. Depressive symptoms at 6 weeks postpartum are associated with impaired bonding with the infant at 6 months postpartum for both mothers and fathers. It is critical to screen for and prevent depressive symptoms in both parents during early parenthood.
KeywordsBonding Depressive symptoms Fathers Infant Mothers Relationship
We thank all the mothers and fathers who took part in the study.
Birgitta Kerstis, Clara Aarts, Carin Tillman, Hanna Persson, John Öhrvik, Gabriella Engström, Birgitta Edlund, Sara Sylvén, and Alkistis Skalkidou participated in data analysis, drafting and critical manuscript review. John Öhrvik provided statistical expertise. All authors have seen and approved the final version of the manuscript.
- American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders: DSM-IV-TR®. Am Psychiatr PubGoogle Scholar
- Connell R (2009) Om genus. Daidalos, GöteborgGoogle Scholar
- Edhborg M, Matthiesen A-S, Lundh W, Widström A-M (2005) Some early indicators for depressive symptoms and bonding 2 months postpartum—a study of new mothers and fathers. Arch Women’s Ment Health 8:221–231Google Scholar
- Försäkringskassan [Swedish social insurance agency] (2012) Föräldrapenning-försäkringkassan.http://www.forsakringskassan.se/privatpers/foralder/barnet_fott/foraldrapenning
- Kaplan HI, Sadock BJ (1995) Comprehensive textbook of psychiatry/VI. Wiliams & Wilkins, BaltimoreGoogle Scholar
- Kerstis B, Engstrom G, Sundquist K, Widarsson M, Rosenblad A (2012) The association between perceived relationship discord at childbirth and parental postpartum depressive symptoms: a comparison of mothers and fathers in Sweden. J Med Sci 117(4):430–438, NovGoogle Scholar
- Kerstis B, Berglund A, Engstrom G, Edlund B, Sylven S, Aarts C (2014) Depressive symptoms postpartum among parents are associated with marital separation: A Swedish cohort study. Scand J Pub Health. Jul 22 [Epub ahead of print]Google Scholar
- O’Higgins M, Roberts IS, Glover V, Taylor A (2013) Mother-child bonding at 1 year; associations with symptoms of postnatal depression and bonding in the first few weeks. Arch Women’s Ment Health 16:381–389Google Scholar
- Pleck E, Pleck J (1997) Fatherhood ideals in the United States: historical dimensions. In: Lamb M (ed) The father’s role in child development. John Wiley & Sons, New York, pp 33–48Google Scholar
- World Health Organization (2002) The world health report 2002: reducing risks, promoting healthy life. World Health OrganizationGoogle Scholar