Skip to main content

Advertisement

Log in

Maternal-Infant Attachment and its Relationships with Postpartum Depression, Anxiety, Affective Instability, Stress, and Social Support in a Canadian Community Sample

  • Original Paper
  • Published:
Psychiatric Quarterly Aims and scope Submit manuscript

Abstract

As a crucial component of child development, maternal-infant attachment influences a child’s cognitive, psychological, and social development. Maternal depression, anxiety, stress, and social support have been identified as risk factors for poor maternal-infant attachment in some studies, while others did not find such relationships. The aim of this study was to examine the associations of maternal-infant attachment with depression, anxiety, affective instability, stress, social support, and other variables in a community sample of Canadian postpartum women. A total of 108 Canadian postpartum women participated in this cross-sectional study. The Depression, Anxiety, and Stress Scale-21 (DASS-21) assessed depression, anxiety, and stress, and the Affective lability Scale-18 measured affective instability (AI). Multiple linear regression was conducted to examine the association between maternal-infant attachment and other variables. The findings revealed a significant association of maternal-infant attachment with postpartum depression, and infant temperament, while anxiety, AI, stress, and social support were not identified as predictors for maternal-infant attachment. The results implicate the importance of addressing maternal depression and maternal-infant attachment, consequently decreasing the risk for childhood psychopathology.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bowlby J, Attachment and loss: retrospect and prospect, American journal of Orthopsychiatry 52(4) 1982; 664. https://doi.org/10.1111/j.1939-0025.1982.tb01456.x.

  2. Ainsworth MS, Infant–mother attachment, American psychologist 34(10) 1979; 932. https://doi.org/10.1037//0003-066x.34.10.932.

  3. Bowlby J. Attachment theory and its therapeutic implications. Adolesc Psychiatry. 1978;6:5–33.

    CAS  PubMed  Google Scholar 

  4. Mangelsdorf SC, McHale JL, Diener M, Goldstein LH, Lehn L. Infant attachment: contributions of infant temperament and maternal characteristics, Infant Behav Dev 23(2) 2000; 175–96. https://doi.org/10.1016/S0163-6383(01)00035-2.

    Article  Google Scholar 

  5. Ainsworth MDS, Blehar MC, Waters E, Wall SN. Patterns of attachment: A psychological study of the strange situation, Psychology Press2015.

  6. Antonucci T, Akiyama H, Takahashi K. Attachment and close relationships across the life span. Attach Hum Dev. 2004;6(4):353–70. https://doi.org/10.1080/1461673042000303136.

    Article  PubMed  Google Scholar 

  7. Waters E, Merrick S, Treboux D, Crowell J, Albersheim L. Attachment security in infancy and early adulthood: a twenty-year longitudinal study. Child Dev. 2000;71(3):684–9. https://doi.org/10.1111/1467-8624.00176.

    Article  CAS  PubMed  Google Scholar 

  8. McNamara J, Townsend ML, Herbert JS. A systemic review of maternal wellbeing and its relationship with maternal fetal attachment and early postpartum bonding. PLoS ONE. 2019;14(7):e0220032. https://doi.org/10.1371/journal.pone.0220032.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Figueiredo B, Conde A. Anxiety and depression in women and men from early pregnancy to 3-months postpartum. Arch Women Ment Health. 2011;14(3):247–55.

    Article  Google Scholar 

  10. Evans J, Heron J, Francomb H, Oke S, Golding J. Cohort study of depressed mood during pregnancy and after childbirth. BMJ. 2001;323(7307):257–60. https://doi.org/10.1136/bmj.323.7307.257.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Farr SL, Dietz PM, O’Hara MW, Burley K, Ko JY. Postpartum anxiety and comorbid depression in a population-based sample of women. J Women’s Health. 2014;23(2):120–8. https://doi.org/10.1089/jwh.2013.4438.

    Article  Google Scholar 

  12. Dennis C-L, Coghlan M, Vigod S. Can we identify mothers at-risk for postpartum anxiety in the immediate postpartum period using the state-trait anxiety inventory? J Affect Disord. 2013;150(3):1217–20.

    Article  PubMed  Google Scholar 

  13. Forman DR, O’HARA MW, Stuart S, Gorman LL, Larsen KE, Coy KC. Effective treatment for postpartum depression is not sufficient to improve the developing mother–child relationship. Dev Psychopathol. 2007;19(2):585–602.

    Article  PubMed  Google Scholar 

  14. O’Higgins M, Roberts ISJ, Glover V, Taylor A. Mother-child bonding at 1 year; associations with symptoms of postnatal depression and bonding in the first few weeks. Arch Women Ment Health. 2013;16(5):381–9.

    Article  Google Scholar 

  15. Perry DF, Ettinger AK, Mendelson T, Le H-N. Prenatal depression predicts postpartum maternal attachment in low-income Latina mothers with infants. Infant Behav Dev. 2011;34(2):339–50.

    Article  PubMed  Google Scholar 

  16. Aktar E, Qu J, Lawrence PJ, Tollenaar MS, Elzinga BM, Bögels SM. Fetal and infant outcomes in the offspring of parents with perinatal mental disorders: earliest influences. Front Psychiatry. 2019;10:391. https://doi.org/10.3389/fpsyt.2019.00391.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Lutkiewicz K, Bieleninik Ł, Cieślak M, Bidzan M. Maternal–infant bonding and its relationships with maternal depressive symptoms, stress and anxiety in the early postpartum period in a polish sample. Int J Environ Res Public Health. 2020;17(15):5427.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Tolja R, Nakić Radoš S, Anđelinović M. The role of maternal mental health, infant temperament, and couple’s relationship quality for mother-infant bonding. J Reproductive Infant Psychol. 2020;38(4):395–407. https://doi.org/10.1080/02646838.2020.1733503.

    Article  Google Scholar 

  19. Śliwerski A, Kossakowska K, Jarecka K, Świtalska J, Bielawska-Batorowicz E. The effect of maternal depression on infant attachment: a systematic review. Int J Environ Res Public Health. 2020;17(8):2675. https://doi.org/10.3390/ijerph17082675.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Bowen A, Bowen R, Balbuena L, Muhajarine N. Are pregnant and postpartum women moodier? Understanding perinatal mood instability. J Obstet Gynaecol Can. 2012;34(11):1038–42. https://doi.org/10.1016/S1701-2163(16)35433-0.

    Article  PubMed  Google Scholar 

  21. Marwaha S, Parsons N, Flanagan S, Broome M. The prevalence and clinical associations of mood instability in adults living in England: results from the Adult Psychiatric Morbidity Survey 2007. Psychiatry Res. 2013;205(3):262–8. https://doi.org/10.1016/j.psychres.2012.09.036.

    Article  PubMed  Google Scholar 

  22. Marwaha S, Parsons N, Broome M. Mood instability, mental illness and suicidal ideas: results from a household survey. Soc Psychiatry Psychiatr Epidemiol. 2013;48(9):1431–7. https://doi.org/10.1007/s00127-013-0653-7.

    Article  PubMed  Google Scholar 

  23. Bowen R, Balbuena L, Baetz M, Marwaha S. Mood instability in people with obsessive compulsive disorder and obsessive-compulsive personality traits. J Obsessive-Compulsive Relat Disorders. 2015;6:108–13. https://doi.org/10.1016/j.jocrd.2015.07.003.

    Article  Google Scholar 

  24. Bowen R, Balbuena L, Peters EM, Leuschen-Mewis C, Baetz M. The relationship between Mood Instability and suicidal thoughts, Archives of Suicide Research 19(2) 2015; 161 – 71. https://doi.org/10.1080/13811118.2015.1004474.

  25. Li H, Bowen A, Bowen R, Feng C, Muhajarine N, Balbuena L. Mood instability across the perinatal period: a cross-sectional and longitudinal study. J Affect Disord. 2020;264:15–23. https://doi.org/10.1016/j.jad.2019.11.159.

    Article  PubMed  Google Scholar 

  26. Li H. Affective instability, Depression, and anxiety symptoms in a community sample of pregnant and Postpartum Women: a cross-sectional study. Int J Environ Res Public Health. 2022;19(6):3171. https://doi.org/10.3390/ijerph19063171.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Leerkes EM, Su J, Sommers SA. Mothers’ self-reported emotion dysregulation: a potentially valid method in the field of infant mental health. Infant mental health journal. 2020;41(5):642–50. https://doi.org/10.1002/imhj.21873.

    Article  PubMed  Google Scholar 

  28. Lotzin A, Schiborr J, Barkmann C, Romer G, Ramsauer B. Maternal emotion dysregulation is related to heightened mother–infant synchrony of facial affect. Dev Psychopathol. 2016;28(2):327–39. https://doi.org/10.1017/S0954579415000516.

    Article  PubMed  Google Scholar 

  29. Yim IS, Tanner Stapleton LR, Guardino CM, Hahn-Holbrook J. C. Dunkel Schetter, Biological and psychosocial predictors of postpartum depression: systematic review and call for integration, Annual review of clinical psychology 11 2015; 99–137. https://doi.org/10.1146/annurev-clinpsy-101414-020426.

  30. Vliegen N, Casalin S, Luyten P. The course of postpartum depression: a review of longitudinal studies. Harv Rev Psychiatry. 2014;22(1):1–22. https://doi.org/10.1097/HRP.0000000000000013.

    Article  PubMed  Google Scholar 

  31. Pihlakoski L, Sourander A, Aromaa M, Rönning JA, Rautava P, Helenius H, Sillanpää M. Do antenatal and postnatal parental psychological distress, and recognized need of help predict preadolescent’s psychiatric symptoms? The finnish family competence cohort study. Child Psychiatry Hum Dev. 2013;44(2):305–19.

    Article  PubMed  Google Scholar 

  32. Podolski C-L, Nigg JT. Parent stress and coping in relation to child ADHD severity and associated child disruptive behavior problems. J Clin Child Psychol. 2001;30(4):503–13. https://doi.org/10.1207/S15374424JCCP3004_07.

    Article  CAS  PubMed  Google Scholar 

  33. Sechi C, Prino LE, Rollé L, Lucarelli L, Vismara L. Maternal attachment representations during pregnancy, perinatal maternal depression, and parenting stress: relations to child’s attachment. Int J Environ Res Public Health. 2021;19(1):69. https://doi.org/10.3390/ijerph19010069.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Coyl DD, Roggman LA, Newland LA. Stress, maternal depression, and negative mother–infant interactions in relation to infant attachment, Infant Mental Health Journal: Official Publication of The World Association for Infant Mental Health 23(1-2) 2002; 145–63. https://doi.org/10.1002/imhj.10009.

    Article  Google Scholar 

  35. Milgrom J, Gemmill AW, Bilszta JL, Hayes B, Barnett B, Brooks J, Ericksen J, Ellwood D, Buist A. Antenatal risk factors for postnatal depression: a large prospective study. J Affect Disord. 2008;108(1–2):147–57. https://doi.org/10.1016/j.jad.2007.10.014.

    Article  PubMed  Google Scholar 

  36. Negron R, Martin A, Almog M, Balbierz A, Howell EA. Social support during the postpartum period: mothers’ views on needs, expectations, and mobilization of support. Matern Child Health J. 2013;17(4):616–23. https://doi.org/10.1007/s10995-012-1037-4.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Aktan NM. Social support and anxiety in pregnant and postpartum women: a secondary analysis. Clin Nurs Res. 2012;21(2):183–94. https://doi.org/10.1177/1054773811426350.

    Article  PubMed  Google Scholar 

  38. Ohara M, Okada T, Aleksic B, Morikawa M, Kubota C, Nakamura Y, Shiino T, Yamauchi A, Uno Y, Murase S. Social support helps protect against perinatal bonding failure and depression among mothers: a prospective cohort study. Sci Rep. 2017;7(1):1–8. 9546 10.1038/s41598-017-08768-3.

    Article  Google Scholar 

  39. Cinar N, Köse D, Altinkaynak S. The relationship between maternal attachment, perceived social support and breast-feeding sufficiency. J Coll Physicians Surg Pakistan. 2015;25(4):271–5.

    Google Scholar 

  40. Alan H, Ege E. The influence of social support on maternal-infant attachment in turkish society, Anadolu Hemşirelik ve Sağlık. Bilimleri Dergisi. 2013;16(4):234–40.

    Google Scholar 

  41. Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression anxiety stress scales (DASS) with the Beck Depression and anxiety inventories. Behav Res Ther. 1995;33(3):335–43. https://doi.org/10.1016/0005-7967(94)00075-u.

    Article  CAS  PubMed  Google Scholar 

  42. Lovibond SH, Lovibond PF. Manual for the depression anxiety stress scales. Psychology Foundation of Australia; 1996.

  43. Osman A, Wong JL, Bagge CL, Freedenthal S, Gutierrez PM, Lozano G. The depression anxiety stress Scales—21 (DASS-21): further examination of dimensions, scale reliability, and correlates. J Clin Psychol. 2012;68(12):1322–38. https://doi.org/10.1002/jclp.21908.

    Article  PubMed  Google Scholar 

  44. Cohen S, Kamarck T, Mermelstein R, Perceived stress scale, Measuring stress: A guide for health and social scientists 10 1994; 1–2.

  45. Xavier S, Bento E, Azevedo J, Marques M, Soares M, Freitas V, Mota D, Macedo A, Pereira A. Validation of the Depression, anxiety and stress Scale–DASS-21 in a community sample of portuguese pregnant women. Eur Psychiatry. 2016;33(S1):s239–9.

    Article  Google Scholar 

  46. Tran TD, Tran T, Fisher J. Validation of the depression anxiety stress scales (DASS) 21 as a screening instrument for depression and anxiety in a rural community-based cohort of northern vietnamese women. BMC Psychiatry. 2013;13(1):1–7.

    Article  Google Scholar 

  47. Oliver MNI, Simons JS. The affective lability scales: development of a short-form measure. Pers Indiv Differ. 2004;37(6):1279–88. https://doi.org/10.1016/j.paid.2003.12.013.

    Article  Google Scholar 

  48. Li H, Bowen A, Bowen R, Balbuena L, Baetz M, Feng C, Muhajarine N, Bally J, Preliminary study: Factor structure and psychometric properties of Affective Lability Scale-18 in pregnant and postpartum women, Journal of affective disorders 245 2018; 312. https://doi.org/10.1016/j.jad.2018.11.066.

  49. Aas M, Pedersen G, Henry C, Bjella T, Bellivier F, Leboyer M, Kahn J-P, Cohen RF, Gard S, Aminoff SR. Psychometric properties of the affective lability scale (54 and 18-item version) in patients with bipolar disorder, first-degree relatives, and healthy controls. J Am J Epidemiol. 2015;172:375–80.

    Google Scholar 

  50. Look AE, Flory JD, Harvey PD, Siever LJ. Psychometric properties of a short form of the affective lability scale (ALS-18). Pers Individ Dif. 2010;49(3):187–91. https://doi.org/10.1016/j.paid.2010.03.030.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Weibel S, Micoulaud-Franchi JA, Brandejsky L, Lopez R, Prada P, Nicastro R, Ardu S, Dayer A, Lancon C, Perroud N. Psychometric Properties and factor structure of the short form of the affective lability scale in adult patients with ADHD. J Atten Disord. 2019;23(10):1079–89. https://doi.org/10.1177/1087054717690808.

    Article  PubMed  Google Scholar 

  52. Li H, Glecia A, Balbuena L, Confirmatory factor analysis of the affective lability Scale-18 in a community sample of pregnant and Postpartum Women. Women’s Reproductive Health 8(4) 2021; 294–307. https://doi.org/https://www.tandfonline.com/doi/abs/https://doi.org/10.1080/23293691.2021.1976045.

    Article  Google Scholar 

  53. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support, J Pers Assess 52(1) 1988; 30–41. https://doi.org/10.1207/s15327752jpa5201_2.

    Article  Google Scholar 

  54. Hannan J, Alce M, Astros A. Psychometric properties of the newly translated creole multidimensional scale of perceived social support (MSPSS) and perceived adequacy of resource scale (PARS) and the relationship between perceived social support and resources in haitian mothers in the US. BMC Psychol. 2016;(4(1):7.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Denis A, Callahan S, Bouvard M. Evaluation of the french version of the multidimensional scale of perceived social support during the postpartum period. Matern Child Health J. 2015;19(6):1245–51. https://doi.org/10.1007/s10995-014-1630-9. 19 ) ; .

    Article  CAS  PubMed  Google Scholar 

  56. Müller ME. A questionnaire to measure mother-to-infant attachment. J Nurs Meas. 1994;2(2):129–41.

    Article  PubMed  Google Scholar 

  57. Shin H, Kim YH. Maternal attachment inventory: psychometric evaluation of the korean version. J Adv Nurs. 2007;59(3):299–307.

    Article  PubMed  Google Scholar 

  58. Bates JE, Freeland CAB, Lounsbury ML. Measurement of infant difficultness. Child Dev. 1979;50(3):794–803.

    Article  CAS  PubMed  Google Scholar 

  59. Japel C, Tremblay R, McDuff P, Boivin M. Temperament in longitudinal study of child development in Quebec (ÉLDEQ 1998–2002), Institut de la statistique du Quebec 1 2000.

  60. Helle C, Hillesund ER, Øverby NC. Timing of complementary feeding and associations with maternal and infant characteristics: a norwegian cross-sectional study. PLoS ONE. 2018;13(6):e0199455.

  61. Blissett J, Farrow C. Predictors of maternal control of feeding at 1 and 2 years of age. Int J Obes. 2007;31(10):1520–6.

    Article  CAS  Google Scholar 

  62. Cohen J, Statistical Power Analysis for the Behavioural Sciences second edition Lawrence Erlbaum Associates, Hillsdale, NJ 1988.

  63. Davies SM, Silverio SA, Christiansen P, Fallon V. Maternal-infant bonding and perceptions of infant temperament: the mediating role of maternal mental health. J Affect Disord. 2021;282:1323–9. https://doi.org/10.1016/j.jad.2021.01.023.

    Article  PubMed  Google Scholar 

  64. Lyubenova A, Neupane D, Levis B, Wu Y, Sun Y, He C, Krishnan A, Bhandari PM, Negeri Z, Imran M. Depression prevalence based on the Edinburgh postnatal depression scale compared to structured clinical interview for DSM DIsorders classification: systematic review and individual participant data meta-analysis. Int J Methods Psychiatr Res. 2021;30(1):e1860. https://doi.org/10.1002/mpr.1860.

    Article  PubMed  Google Scholar 

  65. Moehler E, Brunner R, Wiebel A, Reck C, Resch F. Maternal depressive symptoms in the postnatal period are associated with long-term impairment of mother–child bonding. Arch Women Ment Health. 2006;9(5):273–8. https://doi.org/10.1007/s00737-006-0149-5.

    Article  CAS  Google Scholar 

  66. Morelen D, Menke R, Rosenblum KL, Beeghly M, Muzik M. Understanding bidirectional mother-infant affective displays across contexts: Effects of maternal maltreatment history and postpartum depression and PTSD symptoms. Psychopathology. 2016;49(4):305–14. https://doi.org/10.1159/000448376.

    Article  PubMed  Google Scholar 

  67. Penela EC, Henderson HA, Hane AA, Ghera MM, Fox NA. Maternal caregiving moderates the relation between temperamental fear and social behavior with peers. Infancy. 2012;17(6):715–30. https://doi.org/10.1111/j.1532-7078.2012.00114.x.

    Article  PubMed  PubMed Central  Google Scholar 

  68. Hill AL, Degnan KA, Calkins SD, Keane SP. Profiles of externalizing behavior problems for boys and girls across preschool: the roles of emotion regulation and inattention, Dev Psychol 42(5) 2006; 913. https://doi.org/10.1037/0012-1649.42.5.913.

  69. Norcross PL, Leerkes EM, Zhou N. Examining pathways linking maternal depressive symptoms in infancy to children’s behavior problems: the role of maternal unresponsiveness and negative behaviors. Infant Behav Dev. 2017;49:238–47. https://doi.org/10.1016/j.infbeh.2017.09.009.

    Article  PubMed  PubMed Central  Google Scholar 

  70. O’Malley KD. Self-regulation in early childhood: nature and nurture. Can child Adolesc psychiatry Rev. 2005;14(3):87.

    Google Scholar 

  71. Spanglar G, Schieche M, Ilg U, Maier U, Ackermann C. Maternal sensitivity as an external organizer for biobehavioral regulation in infancy. Dev Psychobiology: J Int Soc Dev Psychobiol. 1994;27(7):425–37.

    Article  Google Scholar 

  72. Weinberg MK, Tronick EZ. Beyond the face: an empirical study of infant affective configurations of facial, vocal, gestural, and regulatory behaviors. Child Dev. 1994;65(5):1503–15. https://doi.org/10.1111/j.1467-8624.1994.tb00832.x.

    Article  CAS  PubMed  Google Scholar 

  73. Calkins SD, Propper C, Mills-Koonce WR. A biopsychosocial perspective on parenting and developmental psychopathology. Dev Psychopathol. 2013;25(4pt2):1399–414. https://doi.org/10.1017/S0954579413000680.

    Article  PubMed  Google Scholar 

  74. Propper C, Willoughby M, Halpern C, Carbone M, Cox M. Parenting quality, DRD4, and the prediction of externalizing and internalizing behaviors in early childhood. Dev Psychobiology: J Int Soc Dev Psychobiol. 2007;49(6):619–32. https://doi.org/10.1002/dev.20249.

    Article  CAS  Google Scholar 

  75. Howard LM, Challacombe F. Effective treatment of postnatal depression is associated with normal child development, The Lancet Psychiatry 5(2) 2018; 95–7. https://doi.org/10.1016/S2215-0366(18)30008-7.

    Article  PubMed  Google Scholar 

  76. Goodman SH, Garber J. Evidence-based interventions for depressed mothers and their young children. Child Dev. 2017;88(2):368–77. https://doi.org/10.1111/cdev.12732.

    Article  PubMed  PubMed Central  Google Scholar 

  77. Letourneau NL, Dennis CL, Cosic N, Linder J. The effect of perinatal depression treatment for mothers on parenting and child development: a systematic review. Depress Anxiety. 2017;34(10):928–66. https://doi.org/10.1002/da.22687.

    Article  PubMed  Google Scholar 

  78. Van Doesum KT, Riksen-Walraven JM, Hosman CM, Hoefnagels C. A randomized controlled trial of a home‐visiting intervention aimed at preventing relationship problems in depressed mothers and their infants. Child Dev. 2008;79(3):547–61.

    Article  PubMed  Google Scholar 

  79. Stein A, Netsi E, Lawrence PJ, Granger C, Kempton C, Craske MG, Nickless A, Mollison J, Stewart DA, Rapa E. Mitigating the effect of persistent postnatal depression on child outcomes through an intervention to treat depression and improve parenting: a randomised controlled trial. The Lancet Psychiatry. 2018;5(2):134–44. https://doi.org/10.1016/S2215-0366(18)30006-3.

    Article  PubMed  Google Scholar 

  80. Bridgett DJ, Burt NM, Edwards ES, Deater-Deckard K. Intergenerational transmission of self-regulation: a multidisciplinary review and integrative conceptual framework. Psychol Bull. 2015;141(3):602–54. https://doi.org/10.1037/a0038662.

    Article  PubMed  PubMed Central  Google Scholar 

  81. Tan L, Smith CL. Intergenerational transmission of maternal emotion regulation to child emotion regulation: Moderated mediation of maternal positive and negative emotions. Emotion. 2019;19(7):1284. https://doi.org/10.1037/emo0000523.

    Article  PubMed  Google Scholar 

  82. Ostlund BD, Vlisides-Henry RD, Crowell SE, Raby KL, Terrell S, Brown MA, Tinajero R, Shakiba N, Monk C, Shakib JH. Intergenerational transmission of emotion dysregulation: part II. Developmental origins of newborn neurobehavior. Dev Psychopathol. 2019;31(3):833–46. https://doi.org/10.1017/S0954579419000440.

    Article  PubMed  PubMed Central  Google Scholar 

  83. Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T. Perinatal depression: a systematic review of prevalence and incidence, Obstet Gynecol 106(5 pt 1) 2005; 1071–83. https://doi.org/10.1097/01.AOG.0000183597.31630.db.

  84. Rubertsson C, Wickberg B, Gustavsson P, Rådestad I. Depressive symptoms in early pregnancy, two months and one year postpartum-prevalence and psychosocial risk factors in a national swedish sample. Archives of women’s mental health. 2005;8(2):97–104. https://doi.org/10.1007/s00737-005-0078-8.

    Article  CAS  PubMed  Google Scholar 

  85. Ali E, Women’s experiences with postpartum anxiety disorders: A narrative literature review, International journal of women’s health 10 2018; 237. https://doi.org/10.2147/IJWH.S158621.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hua Li.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Supplementary Material 1

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Li, H. Maternal-Infant Attachment and its Relationships with Postpartum Depression, Anxiety, Affective Instability, Stress, and Social Support in a Canadian Community Sample. Psychiatr Q 94, 9–22 (2023). https://doi.org/10.1007/s11126-022-10011-w

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11126-022-10011-w

Keywords

Navigation