Abstract
Background Maternal postpartum depression (PPD) could affect children’s emotional development, increasing later risk of child psychological problems. The aim of our study was to assess the association between child’s emotional and behavioural problems and mother’s PPD, considering maternal current mental health problems (CMP). Methods This is a secondary analysis from the EU-Childhood Obesity Project (NCT00338689). Women completed the Edinburgh Postnatal Depression Scale (EPDS) at, 2, 3 and 6 months after delivery and the General Health Questionnaire (GHQ-12) to assess CMP once the children reached the age of 8 years. EPDS scores > 10 were defined as PPD and GHQ-12 scores > 2 were defined as CMP. The psychological problems of the children at the age of eight were collected by mothers through the Child’s Behaviour Checklist (CBCL). Results 473, 474 and 459 mothers filled in GHQ-12 and CBCL tests at 8 years and EPDS at 2, 3 and 6 months, respectively. Anxiety and depression was significantly increased by maternal EPDS. Children whose mothers had both PPD and CMP exhibited the highest levels of psychological problems, followed by those whose mothers who had only CMP and only PPD. PPD and CMP had a significant effect on child’s total psychological problems (p = 0.033, p < 0.001, respectively). Children whose mothers had PPD did not differ from children whose mothers did not have any depression. Conclusions Maternal postpartum depression and current mental health problems, separately and synergistically, increase children’s psychological problems at 8 years.
Similar content being viewed by others
References
Association, W. M. (2001). [World Medical Association (AMM). Helsinki Declaration. Ethical principles for medical research involving human subjects]. Assist.Inferm.Ric., 20(1592–5986 (Print)), 104–107.
Achenbach, T. (1991). Manual for the child behavior checklist/4–18 and profiles. University of Vermont Department of Psychiatry, Burlington.
Achenbach, T., & Rescorla, L. (2001). Manual for the ASEBA school-age forms and profiles. University of Vermont Department of Psychiatry, Burlington.
Andrews-Fike, C. (1999). A Review of Postpartum Depression. Prim.Care Companion.J.Clin.Psychiatry, 1(1523–5998 (Print)), 9–14.
APA (2000). Diagnostic and Statistical Manual of mental disorders (DSM-IV-TR). (D. A. P. A. Washington, Ed.) (Vol. 4th).
APA (2013). Diagnostic and Statistical Manual of Mental Disorders. Fifth Edition. (Vol. Washington).
Brockington, I. (2004). Postpartum psychiatric disorders. Lancet, 363, 303–310.
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.
Essex, M. J., Klein, M. H., Miech, R., & Smider, N. A. (2001). Timing of initial exposure to maternal major depression and children’s mental health symptoms in kindergarten. The British Journal of Psychiatry, 179, 151–156.
Fernandes, H. M., & Vasconcelos-Raposo, J. (2013). Factorial Validity and Invariance of the GHQ-12 Among Clinical and Nonclinical Samples. Assessment, 20(2), 219–229. Retrieved from http://asm.sagepub.com/content/20/2/219.abstract.
Fihrer, I., McMahon, C. A., & Taylor, A. J. (2009). The impact of postnatal and concurrent maternal depression on child behaviour during the early school years. The Journal of Affective Disorders, 119, 116–123.
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 & Gynecology, 106, 1071–1083.
Giallo, R., Woolhouse, H., Gartland, D., Hiscock, H., & Brown, S. (2015). The emotional-behavioural functioning of children exposed to maternal depressive symptoms across pregnancy and early childhood: a prospective Australian pregnancy cohort study. European child & adolescent psychiatry, 1–12. Retrieved from 10.1007/s00787-014-0672-2.
Goldberg, D., Gater, R., Sartorius, N., Ustun, T., Piccinelli, M., Gureje, O., & Rutter, C. (1997). The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine, 27(1), 191–197.
Grace, S. L., Evindar, A., & Stewart, D. E. (2003). The effect of postpartum depression on child cognitive development and behavior: a review and critical analysis of the literature. Archives of women’s mental health, 6, 263–274.
Halbreich, U., & Karkun, S. (2006). Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. The Journal of Affective Disorders, 91, 97–111.
Hankins, M. (2008). The reliability of the twelve-item general health questionnaire (GHQ-12) under realistic assumptions. BMC Public Health, 8, 355.
Hay, D. F., Pawlby, S., Angold, A., Harold, G. T., & Sharp, D. (2003). Pathways to violence in the children of mothers who were depressed postpartum. Developmental Psychology, 39, 1083–1094.
Josefsson, A., & Sydsjo, G. (2007). A follow-up study of postpartum depressed women: recurrent maternal depressive symptoms and child behavior after four years. Archives of Women’s Mental Health, 10, 141–145.
Koletzko, B., Broekaert, I., Demmelmair, H., Franke, J., Hannibal, I., Oberle, D., … Verwied-Jorky, S. (2005). Protein intake in the first year of life: A risk factor for later obesity? The E.U. childhood obesity project. Advances in Experimental Medicine and Biology, 569, 69–79.
Koletzko, B., Von, K. R., Closa, R., Escribano, J., Scaglioni, S., Giovannini, M., Grote, V. (2009). Lower protein in infant formula is associated with lower weight up to age 2 y: a randomized clinical trial. The American Journal of Clinical Nutrition, 89, 1836–1845
Korhonen, M., Luoma, I., Salmelin, R., & Tamminen, T. (2012). A longitudinal study of maternal prenatal, postnatal and concurrent depressive symptoms and adolescent well-being. The Journal of Affective Disorders, 136, 680–692.
Luoma, I., Tamminen, T., Kaukonen, P., Laippala, P., Puura, K., Salmelin, R., & Almqvist, F. (2001). Longitudinal study of maternal depressive symptoms and child well-being. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 1367–1374.
Makowska, Z., Merecz, D., Moscicka, A., & Kolasa, W. (2002). The validity of general health questionnaires, GHQ-12 and GHQ-28, in mental health studies of working people. International Journal of Occupational Medicine and Environmental Health, 15(4), 353–362.
Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., Swendsen, J. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49, 980–989.
Montazeri, A., Torkan, B., & Omidvari, S. (2007). The Edinburgh postnatal depression scale (EPDS): Translation and validation study of the Iranian version. BMC Psychiatry, 7, 11.
Murray, L., & Carothers, A. D. (1990). The validation of the edinburgh post-natal depression scale on a community sample. The British Journal of Psychiatry,157, 288–290
Murray, L., Sinclair, D., Cooper, P., Ducournau, P., Turner, P., & Stein, A. (1999). The socioemotional development of 5-year-old children of postnatally depressed mothers. Journal of Child Psychology and Psychiatry, 40, 1259–1271.
O’Brien, L. M., Heycock, E. G., Hanna, M., Jones, P. W., & Cox, J. L. (2004). Postnatal depression and faltering growth: A community study. Pediatrics, 113, 1242–1247.
O’Hara, M. W., & McCabe, J. E. (2013). Postpartum depression: current status and future directions. Annual review of clinical psychology,9, 379–407.
O’hara, M. W., & Swain, A. M. (1996). Rates and risk of postpartum depression—a meta-analysis. International Review of Psychiatry, 8(1), 37–54. Retrieved from http://informahealthcare.com/doi/abs/10.3109/09540269609037816.
Sánchez-López, M. D. P., & Dresch, V. (2008). The 12-item general health questionnaire (GHQ-12): Reliability, external validity and factor structure in the Spanish population. Psicothema, 20(4), 839–843.
Sullivan, R., Perry, R., Sloan, A., Kleinhaus, K., & Burtchen, N. (2011). Infant bonding and attachment to the caregiver: Insights from basic and clinical science. Clinics in Perinatology, 38(4), 643–655.
World Health Organization (1992). The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: World Health Organization.
Acknowledgements
We acknowledge the European Childhood Obesity Project group and the families who participated in the study. European Childhood Obesity Project group: Beyer J, Fritsch M, Grote V, Haile G, Handel U, Hannibal I, Koletzko B, Kreichauf S, Pawellek I, Schiess S, Verwied-Jorky S, von Kries R, Weber M (Children’s University Hospital, University of Munich Medical Centre, Munich, Germany), Dobrzańska A, Gruszfeld D, Janas R, Wierzbicka A, Socha P, Stolarczyk A, Socha J, (Children’s Memorial Health Institute, Warsaw, Poland), Carlier C, Dain E, Goyens P, Van Hees JN, Hoyos J, Langhendries JP, Martin F, Poncelet P, Xhonneux A, (ULB Bruxelles and CHC St Vincent Liege), Perrin, E (Danone Research Centre for Specialised Nutrition, Schiphol, The Netherlands), Agostoni C, Giovannini M, Re Dionigi A, Riva E, Scaglioni S, Vecchi F, Verducci E (University of Milan), Closa-Monasterolo R, Escribano J, Blanco A, Canals F, Cardona M, Ferré N, Gispert-Llauradó M, Luque V, Mendez-Riera G, Rubio-Torrents MC, Zaragoza-Jordana M (URV).
Funding
The studies reported herein have been carried out with partial financial support from the Commission of the European Communities, specific RTD Programme “Quality of Life and Management of Living Resources”, within the 5th. Framework Programme, research grants no. QLRT-2001-00389 and QLK1-CT-2002-30582, and the 7th Framework Programme (FP7/2008-2013) under grant agreement nº 212652 (NUTRIMENTHE Project “The Effect of Diet on the Mental Performance of Children” and (FP7/2007-2013), under the grant agreement n°289346 (project EarlyNutrition). This manuscript does not necessarily reflect the views of the Commission and in no way anticipates the future policy in this area.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
Rights and permissions
About this article
Cite this article
Closa-Monasterolo, R., Gispert-Llaurado, M., Canals, J. et al. The Effect of Postpartum Depression and Current Mental Health Problems of the Mother on Child Behaviour at Eight Years. Matern Child Health J 21, 1563–1572 (2017). https://doi.org/10.1007/s10995-017-2288-x
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10995-017-2288-x