Maternal attachment style and psychiatric history as independent predictors of mood symptoms in the immediate postpartum period

Nanni, Roberta Croce; Troisi, Alfonso

doi:10.1016/j.jad.2017.01.039

Cited by 11 publications

(7 citation statements)

References 28 publications

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“…In nuclear families, the partner is thought to be the only person who can understand the situation and to assist the mother at home. Second, mothers who did not have support from their partner may have preoccupied attachment style, and thus, they are not good at developing interpersonal relationships, including asking for support from their partner [35]. Previous studies found that preoccupied attachment style is associated with depression [35].…”

Section: Discussionmentioning

confidence: 99%

“…Second, mothers who did not have support from their partner may have preoccupied attachment style, and thus, they are not good at developing interpersonal relationships, including asking for support from their partner [35]. Previous studies found that preoccupied attachment style is associated with depression [35]. Third, based on marital relationship theory, poor marital relationship itself was associated with increased stress in the postpartum period and risk of PPD [13].…”

Section: Discussionmentioning

confidence: 99%

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Association between Lack of Social Support from Partner or Others and Postpartum Depression among Japanese Mothers: A Population-Based Cross-Sectional Study

Yamada

Isumi

Fujiwara

2020

IJERPH

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Lack of social support is a known risk factor for postpartum depression (PPD). However, the association between lack of social support from a partner or others and PPD remains unknown. We examined this association among Japanese mothers. We distributed an original questionnaire to mothers participating in a three- or four-month health check-up program over October to November 2012 in Aichi Prefecture, Japan. Of the 9707 eligible mothers, 6590 responded to the questionnaire (response rate: 68%). Social support from a partner or others was assessed based on whether the mother can consult with her partner or others (i.e., parents, relatives, and friends who are close by or far) on childcare. PPD was assessed with the Edinburgh Postnatal Depression Scale. The data were analyzed using multiple logistic regression analysis for four categories: no social support from either a partner/others, social support from a partner only, social support from others only, and social support from both, adjusted for possible covariates. Mothers who have no social support from either a partner/others, have social support from a partner only, and have social support from others only were 7.22 (95% confidence interval [CI], 1.76–29.6), 2.34 (95% CI, 1.37–3.98), and 3.13 (95% CI, 2.11–4.63) times more likely to show PPD, respectively, in comparison with mothers who have social support from both, after adjustment of possible covariates. Mothers with no social support from a partner, but have social support from others, showed significant risk for PPD, which may be invisible. Further prevention effort is needed to detect PPD cases, with a focus on mothers without support from their partner.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Association between Lack of Social Support from Partner or Others and Postpartum Depression among Japanese Mothers: A Population-Based Cross-Sectional Study

Yamada

Isumi

Fujiwara

2020

IJERPH

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“…Attachment studies provide a predictive ability for clinically interesting outcomes. For example, insecure attachment types among post-natal women are associated with post-traumatic stress symptoms and the development of anxiety and depression [8,9]. Post-traumatic stress and low psychological adjustment were found in insecurely attached hospitalized burn patients [10].…”

Section: Introductionmentioning

confidence: 99%

“…Categorical measurements are used by clinicians because they are easy to communicate and explain in theoretical terms [8][9][10]16]. Some use it to maximize the comparability of the current long-term results with earlier outcomes [17].…”

Section: Introductionmentioning

confidence: 99%

Validation of the Relationships Questionnaire (RQ) against the Experience of Close Relationship-Revised Questionnaire in a Clinical Psychiatric Sample

Wongpakaran

DeMaranville

2021

Healthcare

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Background: The Relationship Questionnaire (RQ) is a commonly used self-reporting questionnaire used to measure adult attachment styles. The RQ has two parts. RQ1, a single item where individuals have to indicate their preferred relationship style, and RQ2, where individuals can rate their relationship style in more detail using four different scales. Agreement is expected between the highest levels selected and the style chosen in RQ1. An advantage of the RQ is its brevity, whereas a disadvantage is that it constitutes a single item. A validation of RQ has not been clearly demonstrated, even though it has convergent validity in relation to other measurements in this area. Methods: 168 patients completed the RQ, the short version of the Experience in Close Relationships (Revised) questionnaire (ECR-R), and scales of depression and interpersonal problems. Regression analysis was conducted to examine the congruity in regard to attachment theory. Results: ratings from 15.5% of the patients showed disagreement between RQ1 and RQ2. Each type of attachment measured by the RQ was predicted by the ECR-R scores, as hypothesized. In the predictive analysis of depression and interpersonal problems, both RQ dimensions and ECR-R scores were coherent. Conclusions: RQ is a valid self-reported measurement that can be applied clinically on the condition that the rater identifies an agreement between RQ1 and RQ2.

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“…Lack of support from family was not significantly associated with postpartum depression. The current study hypothesized that support from family would be associated with postpartum depression because the lack of support from family has been reported to reflect preoccupied attachment style 36 and poor marital relationship, 37 both of which are risks for postpartum depression. However, the perceived familial support measured with MSPSS may not have depended on attachment style or marital relationship in the present setting.…”

Section: Discussionmentioning

confidence: 99%

The relationship between postpartum depression and social support during the COVID‐19 pandemic: A cross‐sectional study

Terada

Kinjo

Fukuda

2021

J of Obstet and Gynaecol

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Aim This study aims to examine the prevalence of postpartum depression and its relationship with social support adjusted for self‐perceived impact of COVID‐19 in parturient women admitted to a perinatal medical center in Japan. Methods This cross‐sectional study included 513 women who underwent a 1‐month postpartum checkup between August 3 and November 27, 2020. Postpartum depression was measured using the Edinburgh Postnatal Depression Scale. Social support was measured using the Multidimensional Scale of Perceived Social Support and the score was dichotomized using the Youden index. Nineteen demographic and obstetric characteristics were also assessed. Results Postpartum depression was observed in 35 (7.6%) of 461 women: 25 (26.6%) and 10 (2.7%) in the low‐ and high‐support groups, respectively. Women in the low‐support group were significantly more likely to have postpartum depression than those in the high‐support group (odds ratio [OR], 11.7; 95% confidence interval [CI], 5.4–27.3; p < 0.001). Furthermore, no interaction was observed between social support and the impact of COVID‐19 for postpartum depression (p = 0.32). Conclusions The prevalence of postpartum depression in the study institution was lower than that reported by previous studies in Japan. Moreover, social support was an important predictive factor for postpartum depression during the COVID‐19 pandemic.

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Maternal attachment style and psychiatric history as independent predictors of mood symptoms in the immediate postpartum period

Cited by 11 publications

References 28 publications

Association between Lack of Social Support from Partner or Others and Postpartum Depression among Japanese Mothers: A Population-Based Cross-Sectional Study

Association between Lack of Social Support from Partner or Others and Postpartum Depression among Japanese Mothers: A Population-Based Cross-Sectional Study

Validation of the Relationships Questionnaire (RQ) against the Experience of Close Relationship-Revised Questionnaire in a Clinical Psychiatric Sample

The relationship between postpartum depression and social support during the COVID‐19 pandemic: A cross‐sectional study

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