Archives of Women's Mental Health

, Volume 9, Issue 5, pp 273–278

Maternal depressive symptoms in the postnatal period are associated with long-term impairment of mother–child bonding

  • E. Moehler
  • R. Brunner
  • A. Wiebel
  • C. Reck
  • F. Resch
Original contribution

Summary

Background: Postnatal Depression has demonstrated long-term consequences on child cognitive and emotional development, however, the link between maternal and child pathology has not been clearly identified.

Objective: This study examined whether maternal bonding to the infant and young child is impaired by maternal depressive symptoms.

Methods: 101 mothers of newborn infants were recruited from local obstetric units and examined for psychopathology using Symptom Checklist, the Edinburgh Postnatal Depression Scale (EPDS) and the Postpartum Bonding Questionnaire at two weeks, six weeks, four months and fourteen months postpartum.

Results: Maternal depressive symptoms at 2 weeks, 6 weeks and four months postnatally but not at fourteen months of infant’s age were found to be strongly associated with lower quality of maternal bonding to the infant and child from two weeks until fourteen months of postnatal age. Even mild and unrecognized maternal depressive symptoms had a significant impact on maternal bonding, if they occurred during the first four months of life.

Conclusions: This gives reason for increased concern for mother–infant dyads in the first few months after birth that could be regarded as a highly sensitive period for the development of the mother–child relationship. The findings warrant further studies and inspire the development of preventive programs focussing on infant and early childhood mental health by emphasizing protection and support during the first critical months.

Keywords: Maternal depressive symptoms; maternal bonding; mother–child-bonding; parent–child-relations. 

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References

  1. Ainsworth, MD, Bell, SM 1977Infant crying and maternal responsiveness: a rejoinder to Gewirtz and BoydChild Devel4812081216CrossRefGoogle Scholar
  2. Anisfeld, E, Lipper, E 1983Early contact, social support and mother–infant bondingPediatrics727983PubMedGoogle Scholar
  3. Bergant, A, Nguyen, T, Moser, R, Ulmer, H 1998Prevalence of depressive disorder in early puerperiumGynakol geburtshilfl dsch38232237CrossRefGoogle Scholar
  4. Brockington, IF, Oates, J, George, S, Turner, D, Vostanis, P, Sullivan, M, Loh, C, Murdoch, C 2001A screening questionnaire for mother–infant-bonding disordersArch Womens Ment Health3133140CrossRefGoogle Scholar
  5. Campbell, S, Brownell, C, Hungerford, A, Spieker, S, Mohan, R, Blessing, J 2004The course of maternal depressive symptoms and maternal sensitivity as predictors of attachment security at 36 monthsDevel Psychopathol16231252CrossRefGoogle Scholar
  6. Cohn, JF, Campbell, SB, Matias, R, Hopkins, J 1990Face-to-face interaction of postpartum depressed and nondepressed mother–infant pairs at 2 monthsDevel Psychol261523CrossRefGoogle Scholar
  7. Cox, JL, Kolden, JM, Sagovsky, R 1987Detection of postnatal depression: development of Edingburgh Postnatal ScaleBr J Psychiatry150782786PubMedCrossRefGoogle Scholar
  8. Cox, JL, Murray, D, Chapman, G 1993A controlled study of the onset, duration and prevalence of postnatal depressionBr J Psychiatry1632731PubMedGoogle Scholar
  9. Derogatis, LR, Lipman, RS, Covi, L 1973SCL-90: an outpatient psychiatric rating scale-preliminary reportPsychopharmacol Bull91328PubMedGoogle Scholar
  10. Eyer, DE 1994Mother–infant bonding: A scientific fictionHum Nat56994Google Scholar
  11. Field, TM, Sandberg, D, Garcia, R, Vega-Lahr, N, Goldstein, S, Guy, L 1985Pregnancy problems, postpartum depression and early mother–infant interactionsDevel Psychol2111521156CrossRefGoogle Scholar
  12. Franke, G 1992Eine weitere Überprüfung der Symptom Checkliste (SCL 90 R) als ForschungsinstrumentDiagnostica38160167Google Scholar
  13. Goldberg S (1983) Parent-infant bonding. Mosby, St. Louis.Google Scholar
  14. Harmon, R 1981Perinatal influences on the family: Some preventive implicationsJ Prevent Psychiatry1132139Google Scholar
  15. Klaus M, Kennell J (1976) Maternal-infant bonding. Mosby, St. Louis.Google Scholar
  16. Kumar, RC 1997‘Anybody’s child’: severe disorders of mother to infant bondingBr J Psychiatry171175181PubMedCrossRefGoogle Scholar
  17. Lamb, M 1983Early mother–neonate contact and the mother–child relationshipJ Child Psychol Psychiatry All Disc24487494Google Scholar
  18. Lyons-Ruth, K, Zoll, D, Connell, D, Grunebaum, HU 1986

    The depressed mother and her one-year-old infant: environment, interaction, attachment and infant development

    Tronick, EZField, T eds. Maternal depression and infant disturbanceJossey-BassSan Francisco
    Google Scholar
  19. Murray L (1988) Effects of postnatal depression on infant development: direct studies of early mother–infant interactions. In: Kumar R, Brockington I (eds) Motherhood and mental illness. Vol 2: causes and consequences: 159–190. Butterworths, London.Google Scholar
  20. Murray, L 1992The impact of postnatal depression on infant developmentJ Child Psychol Psychiatry33543561PubMedGoogle Scholar
  21. Murray, L, Fiori-Cowley, A, Hooper, R, Cooper, PJ 1996aThe impact of postnatal depression and associated adversity on early mother infant interactions and later infant outcomeChild Devel6725122524CrossRefGoogle Scholar
  22. Murray, L, Hipwell, A, Hooper, R, Stein, A, Cooper, P 1996bThe cognitive development of 5-year-old children of postnatally depressed mothersJ Child Psychol Psychiatry All Disc37927935Google Scholar
  23. O’Hara, MW, Swain, AM 1996Rates and risks of postpartum depression: a meta-analysisInt Rev Psychiatry83754Google Scholar
  24. Pauli-Pott, U, Mertesacker, B, Beckmann, D 2004Predicting the development of infant emotionality from maternal characteristicsDevel Psychopathol161942CrossRefGoogle Scholar
  25. Rutter, M, Thorpe, K, Greenwood, R, Northstone, K, Golding, J 2003Twins as a natural experiment to study the causes of mild language delay: I Design; twin-singleton differences in language and obstetric risksJ Child Psychol Psychiatry44326341PubMedCrossRefGoogle Scholar
  26. Taylor, A, Atkins, R, Kumar, R, Adams, D, Glover, V 2005A new Mother to Infant Bonding Scale: links with early maternal moodArch Womens Ment Health84551PubMedCrossRefGoogle Scholar
  27. Teissedre, F, Chabrol, H 2004A study of the Edinburgh Postnatal Depression Scale (EPDS) on 859 mothers: detection of mothers at risk for postpartum depressionEncephale30376381PubMedCrossRefGoogle Scholar
  28. Teti, DM, Gelfand, CM, Messinger, DS, Isabella, R 1995Maternal depression and the quality of early attachment: an examination of infants, preschoolers, and their mothersDevel Psychol31364376CrossRefGoogle Scholar
  29. Warren, S, Gunnar, MR, Kagan, J, Anders, TF, Simmens, SJ, Rones, M, Wease, S, Aron, E, Dahl, RE, Sroufe, LA 2003Maternal panic disorder: infant temperament, neurophysiology and parenting behaviorsJ Am Acad Child Adolesc Psychiatry42814825PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • E. Moehler
    • 1
  • R. Brunner
    • 1
  • A. Wiebel
    • 1
  • C. Reck
    • 2
  • F. Resch
    • 1
  1. 1.Department of Child and Adolescent PsychiatryUniversity of HeidelbergHeidelbergGermany
  2. 2.Department of PsychiatryUniversity of HeidelbergHeidelbergGermany

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