Mediating role of prenatal depression in attachment and maternal-fetal attachment in primigravida in late pregnancy

2020 ◽  
Author(s):  
Ling Zhang ◽  
Lei Wang ◽  
Qiuyu Yuan ◽  
Cui Huang ◽  
Shu Cui ◽  
...  
Keyword(s):  
Maternal Depression ◽  
Depression Scale ◽  
Late Pregnancy ◽  
Depression Score ◽  
Prenatal Depression ◽  
Insecure Attachment ◽  
Mediating Role ◽  
Maternal Fetal Attachment ◽  
Close Relationship ◽  
Fetal Attachment

Abstract Background: Prenatal depression and attachment are factors that affect the establishment of an intimate relationship between a mother and fetus. The study explored differences in prenatal depression and maternal-fetal attachment (MFA) scores between different type of attachment as well as the effects of maternal depression scores and attachment dimensions on maternal intimacy with fetus.Methods: The Edinburgh Postnatal Depression Scale (EPDS), Experience of Close Relationship (ECR) scale, Maternal Antenatal Attachment Scale (MAAS) and a general data scale were used to investigate 260 primigravida. Exploratory analysis was performed to analyze the effects of depression score and attachment on MFA.Results: The results showed that pregnant women with insecure attachment exhibited an increased prevalence of prenatal depression, lower total score of MFA and lower MFA quality compared with those women with secure attachment. Explorative analysis showed that depression score mediated the relationship between attachment avoidance and MFA quality.Conclusions: Primigravida who had insecure attachment exhibited an increased prevalence of prenatal depression and lower MFA. Maternal depression and attachment may affect the emotional bond between a mother and fetus. This finding should be taken seriously, and early intervention needs to take personality traits into consideration.

scholarly journals The mediating role of prenatal depression in adult attachment and maternal-fetal attachment in primigravida in the third trimester

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ling Zhang ◽  
Lei Wang ◽  
Qiuyu Yuan ◽  
Cui Huang ◽  
Shu Cui ◽  
...  
Keyword(s):  
Maternal Depression ◽  
Adult Attachment ◽  
Depression Scale ◽  
Depression Score ◽  
Prenatal Depression ◽  
Mediating Role ◽  
Maternal Fetal Attachment ◽  
Close Relationship ◽  
General Data ◽  
Fetal Attachment

Abstract Background Prenatal depression and adult attachment are factors that affect the establishment of an intimate relationship between a mother and fetus. The study explored differences in prenatal depression and maternal-fetal attachment (MFA) scores between different types of adult attachment and the effects of maternal depression scores and attachment dimensions on maternal intimacy with the fetus. Methods The Edinburgh Postnatal Depression Scale (EPDS), Experience of Close Relationship (ECR) scale, Maternal Antenatal Attachment Scale (MAAS) and a general data scale were used to investigate 260 primigravida. An exploratory analysis was performed to analyze the effects of the depression score and adult attachment on MFA. Results The results showed that pregnant women with insecure attachment exhibited an increased prevalence of prenatal depression, lower total MFA scores, and lower MFA quality compared with those women with secure adult attachment. The explorative analysis showed that the depression scores mediated the relationship between adult attachment avoidance and MFA quality. Conclusions Primigravida who had insecure adult attachment exhibited an increased prevalence of prenatal depression and lower MFA. Maternal depression and adult attachment may affect the emotional bond between a mother and fetus. This finding should be seriously considered, and timely intervention needs to take personality traits into consideration.

Mediating role of prenatal depression in attachment and maternal-fetal attachment in women who receive prenatal education

2020 ◽  
Author(s):  
Ling Zhang ◽  
Lei Wang ◽  
Qiuyu Yuan ◽  
Shu Cui ◽  
Cui Huang ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Maternal Depression ◽  
Depression Scale ◽  
Depression Score ◽  
Prenatal Depression ◽  
Prenatal Education ◽  
Attachment Avoidance ◽  
Education Group ◽  
Maternal Fetal Attachment ◽  
Fetal Attachment

Abstract Background Prenatal depression and attachment are factors that affect the establishment of an intimate relationship between a mother and fetus, and prenatal education plays an important role in helping pregnant women adapt to a maternal role and changes during pregnancy. The study explored differences in prenatal depression and maternal-fetal attachment (MFA) scores between a prenatal education group and no prenatal education group, as well as the effects of maternal depression scores and attachment dimensions on maternal intimacy with the fetus. Methods The Edinburgh Postnatal Depression Scale (EPDS), Experience of Close Relationship (ECR) scale, Maternal Antenatal Attachment Scale (MAAS) and a general data scale were used to investigate 222 pregnant women who received prenatal education and 118 pregnant women who did not receive prenatal education in the third trimester of pregnancy. An exploratory analysis was performed to analyze the effects of depression score and attachment on MFA in pregnant women who received prenatal education. Results The results showed that pregnant women who received prenatal education had higher MFA and lower depression scores than those who did not receive prenatal education, and prenatal depression partially mediated the relationship between attachment avoidance and MFA quality. Conclusions Women who received prenatal education had low prenatal depression scores and high MFA. Maternal depression and attachment avoidance may affect the emotional bond between mother and fetus and should be taken seriously; they can be prevented by prenatal education and early intervention.

scholarly journals Relation between Mother’s Taekyo, Prenatal and Postpartum Depression, and Infant’s Temperament and Colic: A Longitudinal Prospective Approach

2020 ◽  
Vol 17 (20) ◽  
pp. 7691
Author(s):  
Kyung-Sook Bang ◽  
Insook Lee ◽  
Sungjae Kim ◽  
Yunjeong Yi ◽  
Iksoo Huh ◽  
...  
Keyword(s):  
Postpartum Depression ◽  
Maternal Depression ◽  
Depression Scale ◽  
Final Analysis ◽  
Significant Negative Correlation ◽  
Infant Temperament ◽  
Maternal Fetal Attachment ◽  
Before And After ◽  
Depression Level ◽  
Fetal Attachment

This longitudinal cohort correlational study aimed to confirm the relation among taekyo or traditional prenatal practice, prenatal depression, postpartum depression, maternal–fetal interaction, and infant temperament and colic using a prospective design. We recruited 212 women 16–20 weeks pregnant from July 2017 to September 2018; they were followed up until six months postpartum. Data from 97 participants were used in the final analysis. We used the Edinburgh Postnatal Depression Scale, Cranley’s Maternal–Fetal Attachment Scale, and What My Baby Is Like as measurement tools. We observed a significant correlation between prenatal maternal depression in the first to third trimesters and 6–8 weeks and six months postpartum. In addition, infant temperament at six months old showed a significant negative correlation with prenatal and postpartum depression: the higher the prenatal and postpartum depression level, the more difficult the infant’s temperament. Taekyo practice was significantly related to maternal–fetal attachment (r = 0.45−0.68, p < 0.001). Difficult infants showed more colic episodes than any other type of infant (χ2 = 18.18, p < 0.001). Prenatal and postnatal maternal depression affected infants’ temperament and colic episodes. The management of mothers’ mental health before and after pregnancy is important for infants’ and mothers’ health.

scholarly journals The Mediation Effect of Health Behavior on the Relationship Between Maternal Depression and Maternal-Fetal Attachment

2020 ◽  
Author(s):  
Rufidah Maulina ◽  
◽  
Su-Chen Kuo ◽  
Chieh Yu Liu ◽  
Yu-Ying Lu ◽  
...  
Keyword(s):  
Health Behavior ◽  
Maternal Depression ◽  
Depression Scale ◽  
Mediating Effect ◽  
Mediation Effect ◽  
Maternal Fetal Attachment ◽  
Health Promoting ◽  
Health Promoting Lifestyle ◽  
Fetal Attachment ◽  
The Relationship

Background: Numerous studies have shown the adverse effects of maternal depression, which impacts both mother and child as well as can lower the maternal-fetal attachment. However, during pregnancy, a pregnant woman tends to practice healthier behavior to improve her health and the baby. A gap remains in our understanding of the effect of health behavior as the variable which influences the relationship between depression and maternal-fetal attachment. This study aimed to investigate the mediating effect of healthy behavior on the relationship between maternal depression and maternal-fetal attachment. Subjects and Method: A cross sectional study was conducted at Community Health Centers in Surakarta, from July to September 2019. A sample of 224 pregnant women was selected for this study. The dependent variable was a healthy lifestyle. The independent variable was depression and maternal-fetal attachment. Depression was measured by Edinburgh Postpartum Depression Scale (EPDS). The data were analyzed by Hayes’ process mediation analysis. Results: Health-promoting lifestyle totally mediated the relationship between maternal depression and maternal-fetal attachment (b= -0.25; SE= 0.10; 95% CI= -0.47 to 0.05). Conclusion: Health-promoting lifestyle and behavior mediates the relationship between maternal depression and maternal-fetal attachment. Keywords: Nursing, midwife, maternal-fetal attachment, prenatal depression, health-promoting lifestyle Correspondence: Rufidah Maulina. National Taipei University of Nursing and Health Sciences. Taipei, Taiwan. Email: [email protected]. Mobile: +6282221525673. DOI: https://doi.org/10.26911/the7thicph.02.40

scholarly journals The Relationship between Insecure Attachment to Depression: Mediating Role of Sleep and Cognitive Reappraisal

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Yige Liu ◽  
Hongfan Li ◽  
Xiayue Xu ◽  
Yukun Li ◽  
Zhutao Wang ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Emotional Disorders ◽  
Cognitive Reappraisal ◽  
Depression Scale ◽  
Attachment Anxiety ◽  
Insecure Attachment ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Close Relationship

Previously, we have shown that neuromodulators are important factors in stress-induced emotional disorders, such as depression, for example, serotonin is the major substance for depression. Many psychological studies have proved that depression is due to insecure attachment. In addition, sleep is a major symptom of depression. Furthermore, serotonin is the substrate for both sleep and depression. To explore the role of sleep in the relationships between insecure attachment and depression, we investigated 755 college students with Close Relationship Inventory, Emotion Regulation Questionnaire, Self-rated Depression Scale, and Pittsburgh Sleep Quality Index. The results showed that (1) insecure attachment positively predicted poor sleep quality; (2) sleep quality partially affected depression, possibly due the same stress neuromodulators such as norepinephrine and cortisol; and (3) cognitive reappraisal moderated the mediating path leading from attachment anxiety to poor sleep quality. These findings highlight the moderating role of cognitive reappraisal in the effects of attachment anxiety on sleep quality and finally on depression. In conclusion, sleep quality links attachment anxiety and emotional disorders.

scholarly journals Prenatal Depression in Women in the Third Trimester: Prevalence, Predictive Factors, and Relationship With Maternal-Fetal Attachment

2021 ◽  
Vol 8 ◽  
Author(s):  
Ling Zhang ◽  
Lei Wang ◽  
Shu Cui ◽  
Qiuyu Yuan ◽  
Cui Huang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Correlation Analysis ◽  
Pregnant Women ◽  
Sleep Disorders ◽  
Prenatal Depression ◽  
Prenatal Education ◽  
Third Trimester ◽  
The Third ◽  
Maternal Fetal Attachment ◽  
Fetal Attachment

Objective: The prevalence of prenatal depression in pregnant women has found to be high, which may adversely affect the intimacy of a mother to her fetus. Few studies have investigated the relationship between prenatal depression and maternal-fetal attachment in pregnant Chinese women. This study is thus designed to evaluate the prevalence rate, predictive factors of prenatal depression in Chinese pregnant women in the third trimester of pregnancy, and the effect of prenatal depression on maternal-fetal attachment.Methods: A total of 340 pregnant women in the third trimester of pregnancy were recruited from a hospital in Anhui Province. The Edinburgh Postpartum Depression Scale (EPDS) was rated to assess the prenatal depression; the Pittsburgh Sleep Quality Index (PSQI) and Zung Self-Rating Anxiety Scale (SAS) were used to assess sleep quality and anxiety level for all participants. The Maternal Antenatal Attachment Scale (MAAS) was used to assess maternal-fetal attachment.Results: The prevalence of prenatal depression in the participants was high (19.1%) in our study. The scores of prenatal anxiety and sleep disorders were higher with prenatal depression than in those without prenatal depression (47.6 ± 9.5 vs. 38.9 ± 6.9; 8.3 ± 3.3 vs. 6.1 ± 2.7, all p &lt; 0.01). MAAS quality was lower in prenatal depression women than those in non-prenatal depression women (43.8 ± 5.6 vs. 46.4 ± 4.5, p &lt; 0.01). Correlation analysis showed that prenatal depression was associated with parity, prenatal education, education level, marital satisfaction, anxiety and sleep disorders (all p &lt; 0.05). Furthermore, binary logistic regression results showed that anxiety and sleep disorders were risk factors for prenatal depression. Prenatal education, higher marriage satisfaction were protective factors for prenatal depression. In addition, correlation analysis also showed that prenatal depression was positively correlated with MAAS intensity, but negatively correlated with MAAS quality.Conclusions: Our results indicated a high prevalence of prenatal depression in women in the third trimester. Prenatal education and higher marital satisfaction were protective factors for prenatal depression; antenatal anxiety and sleep disorders during pregnancy were risk factors for prenatal depression. Prenatal depression was negatively correlated with MAAS quality, but positively correlated with MAAS intensity.

scholarly journals 0973 Maternal Depression And Infant Sleep Duration Trajectory In The First 3 Years: A Prospective Cohort Study

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A369-A370
Author(s):  
Y Gui ◽  
G Wang ◽  
Y Deng ◽  
W Li ◽  
F Jiang
Keyword(s):  
Maternal Depression ◽  
Sleep Duration ◽  
Post Partum ◽  
Depression Scale ◽  
Late Pregnancy ◽  
Epidemiological Survey ◽  
Infant Sleep ◽  
Night Sleep ◽  
Depression Status ◽  
Child Health Promotion

Abstract Introduction The study was to investigate trajectories of infant sleep duration and associations with trajectories of maternal depression status during 3 years post-partum. Methods Data were from the Child Health Promotion Project in Shanghai (CHPPS). Mothers were recruited at the third trimester of pregnancy and followed up together with the infants until 36 months postpartum. Between 2012 and 2013, 262 women (Mage=29.5, SDage=3.2, range: 22-39 years old) were recruited and were followed from June 2012 to August 2015. Sleep duration of the children was assessed using Brief Infant Sleep Questionnaire (BISQ) at 42 days, 3 months, 6 months, 9 months, 12 months, 18 months, 24 months, and 36 months postpartum. Center for Epidemiological Survey-Depression Scale (CESD), Edinburgh Postnatal Depression Scale (EPDS), and the Profile of Mood States (POMS) were used to measure the mother’s depression status at late pregnancy, 42 days postpartum, and 12-36 months postpartum, respectively. The group-based trajectory models (GBTM) were used to estimate patterns of infant sleep duration development and maternal depression status. Results Two trajectories of infant day sleep duration were identified, defined as “initial short sleepers” (54.8%) and “initial long sleepers” (45.2%). Three trajectories of infant night sleep duration were identified, labeled as “increasing” (8.5%), “stable” (61.7%), and “mild declining” (29.8%). Two trajectories infant total sleep duration were identified, defined as “initial short sleepers” (51.5%) and “initial long sleepers” (48.5%). Two trajectories of maternal depression status were identified, labeled as “low” (74.2%) and “high” (25.8%). After controlling for covariates, women who have higher depression status had infants of shorter day sleep duration. There was no significant association with infant night sleep duration. Conclusion Our study suggests that maternal postpartum depression is associated with short infant day sleep duration, but not with infant night sleep duration. Support Supported by the Chinese National Natural Science Foundation of China (81773443, 81728017, 81602870, 81601162, 81602868)

FC11-04 - Patterns of depression and trajectories of treatment over the perinatal period

2011 ◽  
Vol 26 (S2) ◽  
pp. 1873-1873
Author(s):  
A. Bowen ◽  
R. Bowen ◽  
N. Muhajarine
Keyword(s):  
Maternal Depression ◽  
Treatment Response ◽  
Early Pregnancy ◽  
Symptom Relief ◽  
Depression Scale ◽  
Late Pregnancy ◽  
Perinatal Period ◽  
Depression Symptoms ◽  
History Of ◽  
History Of Depression

IntroductionPerinatal depression is an important problem with potentially deleterious health outcomes; however, we know little about the trajectories of depression and treatment.PurposeWe report the patterns of maternal depression and trajectories of treatment response in early and late pregnancy and during postpartum in 649 women recruited from the general population of pregnant women in Western Canada. Women who scored ≥ 12 on the Edinburgh Postnatal Depression Scale were classified as depressed.FindingsFifty-two percent of participants were primiparas, 90% were partnered, 83.3% Caucasian, 67% earn more than $40,000 per year, 90% completed high school, and 77% had planned pregnancy. The unadjusted prevalence of depression in early pregnancy (17 weeks) was 14%, late pregnancy (30 weeks) 11.5%, and postpartum (4.1 weeks) was 9.8%. All of the psychosocial factors measured - history of depression, mood instability, lack of social support, relationship problems, worry, and stressors heighten depression symptoms throughout parturition. Our practice of referring women who screened positive for depression changed prevalence rates of women who were depressed and in treatment. The number of women in treatment increased from 12.2% in early pregnancy to 24.8% at postpartum. Women were significantly more likely to get symptom relief counselling in pregnancy compared to psychotropic medication use in postpartum, with the exception of those women with history of depression and treatment engagement.SummaryIncreased understanding of the patterns and nature of maternal depression and treatment response is essential to early identification of women who are depressed and lead to treatment that is more effective.

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