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Impact of parental perinatal depressive and anxiety symptoms trajectories on early parent-infant impaired bonding: a cohort study in east and west coasts of Malaysia

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Abstract

The association between maternal depressive and anxiety symptoms and impaired bonding with infants were widely studied, but not in fathers and none in Malaysia. We investigated the impact of different trajectories of perinatal depressive and anxiety symptoms on parent-infant impaired bonding during 2–3 months postpartum in both mothers and fathers in two areas of Malaysia. This study originated from a psychiatric morbidity cohort study carried out in health clinics in east and west Malaysia. Edinburgh Postnatal Depression Scale and anxiety subscale of Depression, Anxiety, and Stress Scale at late pregnancy and 2–3 months postpartum and Postpartum Bonding Questionnaire were completed by 566 mothers and 457 fathers. About 11.7% mothers and 16.1% fathers reported depressive symptoms during pregnancy, 6.5% mothers and 10.5% fathers during 2–3 months postpartum, and 3–4% mothers and fathers both depressive and anxiety symptoms 2–3 months postpartum. The mean impaired bonding score was highest in mothers and fathers who had both depressive and anxiety symptoms 2–3 months postpartum. Impaired bonding is associated with higher EPDS and DASS (anxiety subscale) scores 2–3 months postpartum in both parents. Physical partner violence and deteriorated marital relationship were associated with increased risk of impaired bonding in mothers. The association between depressive, anxiety, and comorbidity of depressive and anxiety symptoms in both mothers and fathers and parent-infant impaired bonding during 2–3 months postpartum urges for screening and treatment of depressive and anxiety symptoms in both parents during early parenthood.

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The dataset generated and analyzed during the current study are not publicly available due to confidentiality issues but are available from the corresponding author on reasonable request.

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Acknowledgements

The authors thank all clinic nurses and staff involved in helping the data collection. The authors also express gratitude to the women who participated in the study for generously giving their time and energy and providing personal details to the interviews.

Funding

The study was supported by grants from the Ministry of Higher Education, Malaysia, under the Fundamental Research Grant Scheme (FRGS15-238–0479).

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Authors and Affiliations

  1. Department of Community Medicine, Faculty of Medicine, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, 25200, Kuantan, Pahang, Malaysia

    Hashima E. Nasreen, Hafizah Binti Pasi, Jamalludin Ab Rahman & Razman Mohd Rus

  2. Department of Family Medicine, Faculty of Medicine, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, 25200, Kuantan, Pahang, Malaysia

    Mohd Aznan Md Aris

  3. Department of Neurobiology, Care Sciences and Society, Karolinska Institute, 141 83 Huddinge, Stockholm, Sweden

    Maigun Edhborg

Authors
  1. Hashima E. Nasreen
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  2. Hafizah Binti Pasi
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  3. Mohd Aznan Md Aris
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  4. Jamalludin Ab Rahman
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  5. Razman Mohd Rus
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Contributions

Hashima E. Nasreen (H. E. N.), Hafizah Binti Pasi (H. B. P.), Mohd Aznan Md Aris (M. A. M. A.), Jamalludin Ab Rahman (J. A. R.), Razman Mohd Rus (R. M. R.), and Maigun Edhborg (M. E.) participated in the planning and conception of the research questions and the study design. H. E. N. was the principal investigator of the study and primarily conceptualized the research. H. B. P., S. M. R., M. A. M. A., and R. M. R. were responsible for retrieving the data, and H. E. N. was responsible for analyzing the data. J. A. R. provided statistical expertise. H. E. N. and M. E. participated in interpreting the data and drafted the article. All authors critically revised the manuscript for important intellectual content. All authors read and approved the manuscript.

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Correspondence to Hashima E. Nasreen.

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Ethical approval

The study was approved by the Malaysia Medical Research and Ethics Committee (NMRR-15–1902-28439) and the Research Ethics Committee of International Islamic University Malaysia (IREC 555).

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Women and men were informed in detail about the study and written informed consent was obtained.

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Not applicable.

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The authors declare no competing interests.

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Nasreen, H.E., Pasi, H.B., Aris, M.A.M. et al. Impact of parental perinatal depressive and anxiety symptoms trajectories on early parent-infant impaired bonding: a cohort study in east and west coasts of Malaysia. Arch Womens Ment Health 25, 377–387 (2022). https://doi.org/10.1007/s00737-021-01165-w

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