Maternal self-efficacy, postpartum depression, and their relationship with functional status in Iranian mothers

Fathi, Farhad; Mohammad‐Alizadeh‐Charandabi, Sakineh; Mirghafourvand, Mojgan

doi:10.1080/03630242.2017.1292340

Cited by 53 publications

(51 citation statements)

References 38 publications

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“…However, this result is not in agreement with the majority of the scientific literature which indicates that increased resources are protective [28,43]. In a cross-sectional study conducted by Fathi et al (2018) in Iran, a direct significant relationship existed between income and maternal functional status [28]. Additionally, in a study carried out by Ahn et al (2007) in the United States, higher maternal functioning at 6 weeks postpartum had a strong relationship with high family income [43]; this result is intuitive, as having financial resources generally equates having greater range of choices.…”

Section: Discussioncontrasting

confidence: 86%

“…In this particular study, having a low to moderate income was associated with higher maternal functioning. However, this result is not in agreement with the majority of the scientific literature which indicates that increased resources are protective [28,43]. In a cross-sectional study conducted by Fathi et al (2018) in Iran, a direct significant relationship existed between income and maternal functional status [28].…”

Section: Discussioncontrasting

confidence: 66%

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The Relationship between Maternal Functioning and Mental Health after Childbirth in Iranian Women

Shamasbi

Barkin

Ghanbari‐Homayi

et al. 2020

IJERPH

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The postpartum period is critical for new mothers, in terms of performing maternal functions, which can be affected by physical or psychological complications. The purpose of the present study is to determine the relationship between maternal functioning and mental health in the postpartum period. This cross-sectional descriptive-analytic study was conducted on 530 eligible women who referred to health centers in Tabriz, Iran in 2018. The participants were selected through randomized cluster sampling, and data were collected by using a socio-demographic characteristics questionnaire, Mental Health Inventory (MHI), and the Barkin Index of Maternal Functioning (BIMF). These assessments were collected between 1 and 4 months postpartum. The relationship between maternal functioning and mental health was determined by conducting bivariate analysis via Pearson and Spearman correlation analysis and the general linear model (GLM) in a multivariate analysis. The mean (SD) mental health score in women was 79.1 (15.0) in the obtainable score range of 18 to 108, and the mean (SD) BIMF score in women was 97.4 (12.9) in the obtainable score range of 0 to 120. Based on Pearson or Spearman correlations, mental health and its sub-domains had positive, significant correlations with infant care, mother-child interaction, mental well-being, social support, management, adjustment, self-care, and maternal functioning (p < 0.001). Based on the GLM, increased maternal functioning was associated with higher total mental health score, having a moderate income, and receiving support for infant care (p < 0.05). High levels of postpartum mental health can have a positive impact on maternal functioning. Additionally, having support with infant care tasks can also improve functioning.

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Section: Discussioncontrasting

confidence: 86%

Section: Discussioncontrasting

confidence: 66%

The Relationship between Maternal Functioning and Mental Health after Childbirth in Iranian Women

Shamasbi

Barkin

Ghanbari‐Homayi

et al. 2020

IJERPH

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“…However, our findings confirm the claim that depressive mothers are not a homogeneous group. This is in line with the view that depressive mothers are able to create very good conditions for raising their children, regardless of the severity of symptoms [66], and that no significant relation exists between depressive symptoms and quality of infant care [67]. Therefore, the role of maternal sensitivity, emotional availability and time devoted to a child is more important than the presence of depression itself [25,39,60,61].…”

Section: Discussionsupporting

confidence: 81%

The Effect of Maternal Depression on Infant Attachment: A Systematic Review

Śliwerski

Kossakowska

Jarecka

et al. 2020

IJERPH

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Aims and objectives: The aim of this systematic review was to summarize the key findings of empirical studies assessing the influence of maternal depression on child attachment security measured before 24 months after birth. Method: The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement guidelines. A literature search was conducted on the EBSCO (Academic Search Complete; Health Source: Nursing/Academic Edition; MEDLINE; PsycARTICLES) and PubMed databases, with infant attachment AND depression as search terms with Boolean operators. Study design or sample size did not affect inclusion. After screening, 29 of the 1510 unique publications originally identified were included in the review. Results: The studies reveal an equivocal association between maternal depression and child attachment security. Our findings indicate that depression had a significant influence on the attachment style almost only when diagnosed by structured interview: Depression measured by self-descriptive questionnaires was unrelated to attachment style. Furthermore, postpartum depression was found to be significant only when measured up to six months after childbirth. Conclusion: The relationship between maternal depression and infant attachment is both complex and dynamic, and the possible negative effects of depression might be compensated by maternal involvement in childcare. Therefore, further studies in this area should employ a reliable methodology for diagnosing depression and a suitable time point for measuring it; they should also adopt a multifactorial and prospective approach. It is important to note that breastfeeding/formula feeding was omitted as a factor in the majority of studies.To qualify for review, the studies were required to meet the following three inclusion criteria: (a) the study was empirical and published in an English-language peer reviewed journal from 1 January 1981 to 31 December 2018; (b) child attachment was assessed up to 24 months after birth; (c) the study assessed both maternal depression and child attachment style. Studies were included regardless of the study design or sample size.Articles were excluded if they were (a) non-empirical (such as reviews, commentaries, or letters to editors); (b) the child was older than 24 months when measuring attachment style; (c) the study assessed only mother-child bond; (d) the study assessed the efficacy of therapeutic intervention; (e) depression was not considered as a separate variable i.e., depression was aggregated into cumulative risk score, see: [32]. Research Strategy and Data ExtractionThe present review followed the guidelines given in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement [33], using a three-step procedure to identify relevant studies. A systematic search of literature was conducted on the following electronic databases: EBSCO (Academic Search Complete; Health Source: Nursing/Academic Edition; MEDLINE; PsycARTICLES) and PubMed. The search strategy compri...

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“…People with high self-efficacy feel more capable than those with poor self-efficacy (19). Also, self-efficacy affects one's healthy behaviors and the management of chronic diseases (20). Previous studies also confirm this.…”

mentioning

confidence: 83%

Effect of Counseling on Self-Efficacy in Iranian Middle-Aged Women: A Randomized Controlled Clinical Trial

Karimlou

Mohammad‐Alizadeh‐Charandabi

Malakouti

et al. 2017

Iran Red Crescent Med J

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Background: Attention to women's health is considered a health priority in every country. One of the factors that promote women's general health is self-efficacy. Objectives: The present study was conducted to determine the effect of counseling on the self-efficacy of middle-aged women. Methods: The present randomized controlled clinical trial was conducted on 102 middle-aged women (51 women in each group) and was covered by health centers in Tabriz in 2015 -16. Participants were randomly assigned into two groups (one group received counseling and another did not) using the block randomization stratified based on age (40 to 50 and 50 to 60) in block sizes of 4 and 6. The intervention group received counseling on health promotion over three 45-minute sessions. Sherer et al's general self-efficacy scale was completed in both groups before the intervention, and four and eight weeks after the intervention. Data were analyzed using independent t-test and repeated measures ANOVA. Results: Before the intervention, no significant difference was observed between the two groups in terms of self-efficacy. Four and eight weeks after intervention, mean (SD) of self-efficacy scores were 69.0 (11.4) and 71.7 (11.1) respectively in the counseling group and 65.7 (13.2) and 64.9 (11.3) respectively in the control group. After the intervention, and with adjusting the baseline values, repeated measures ANOVA test showed a significantly higher mean self-efficacy score in the counseling group compared to the control group (Adjusted mean difference = 5.3; 95% confidence interval = 2.1 to 8.5; P < 0.001). Conclusions: Counseling in middle-aged women can lead to improved self-efficacy, resulting in improved health in this age group.

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Maternal self-efficacy, postpartum depression, and their relationship with functional status in Iranian mothers

Cited by 53 publications

References 38 publications

The Relationship between Maternal Functioning and Mental Health after Childbirth in Iranian Women

The Relationship between Maternal Functioning and Mental Health after Childbirth in Iranian Women

The Effect of Maternal Depression on Infant Attachment: A Systematic Review

Effect of Counseling on Self-Efficacy in Iranian Middle-Aged Women: A Randomized Controlled Clinical Trial

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