“…In addition, there are many factors that affect the mother's perception of maternal distress in the postpartum period including the infant's crying and temperament (Kim, Capistrano, & Congleton, 2016;Loutzenhiser, McAuslan, & Sharpe, 2015;Pilkington, Whelan, Maternal distress in early parenting may not be due to ''depression,'' but rather to the mother's current social context and dramatic lifestyle changes that occur with becoming a new mother. & Milne, 2016;Russell & Lincoln, 2016;Staehelin, Kurth, Schindler, Schmid, & Zemp Stutz, 2013); health, recovery needs, and quality of life (Declercq, Sakala, Corry, Applebaum, & Herrlich, 2014;Emmanuel & Sun, 2013;McGovern et al, 2006;Suplee et al, 2014;Runquist, 2007); maternal attitudes (Castle, Slade, Carranco-Wadlow, & Rogers, 2008;Sockol, Epperson, & Barber, 2014); social support and partner support (Emmanuel, St John, & Sun, 2012;Fenwick et al, 2013;Glazier, Elgar, Goel, & Holzapfel, 2004;McClain, Villarreal, & Padilla, 2015;Nam, Wikoff, & Sherraden, 2015;Razurel, Kaiser, Sellenet, & Epiney, 2013;Stapleton et al, 2012); depression, anxiety, and stress (Clout & Brown, 2015;McFarlane, Burrell, Duggan, & Tandon, 2017;Sockol & Battle, 2015;Sockol et al, 2014); and mothers with prior mental health problems (Seimyr, Welles-Nystrom, & Nissen, 2013) or postpartum posttraumatic stress (Iles & Pote, 2015;Simpson & Catling, 2016). Further, the presence of maternal distress can compromise maternal infant interactions (Beebe et al, 2008;…”