Posttraumatic stress symptoms and postpartum depression in couples after childbirth: The role of partner support and attachment

Iles, Jane; Slade, Pauline; Spiby, Helen

doi:10.1016/j.janxdis.2010.12.006

Cited by 132 publications

(128 citation statements)

References 53 publications

(63 reference statements)

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“…Gender comparisons revealed that as predicted and in line with previous studies (Goodman, 2004;Ramchandani et al, 2005), on average, women suffered from worse mental health than men, with significantly higher levels of PTSD and depressive symptoms. In contrast to the study of Iles et al (2011), none of the psychological symptoms in the present study were significantly related within couples, which may be explained by differences in type and timing of measures between these two studies. However, the finding that the couple's relationship and reports of the infant characteristics and the parent-baby bond were significantly associated within couples, is supported by literature regarding family interactions (Fivaz-Depeursinge, Favez, Lavanchy, De Noni, & Frascarolo, 2005) and co-parenting (Barnett et al, 2008;Davis, Schoppe-Sullivan, Mangelsdorf, & Brown, 2009;Ryan et al, 2006).…”

Section: Journal Of Reproductive and Infant Psychology 451contrasting

confidence: 99%

“…Recent studies (Iles, Slade, & Spiby, 2011;Wee, Skouteris, Pier, Richardson, & Milgrom, 2011) also suggest that psychological symptoms of depression and posttraumatic stress disorder (PTSD) could be associated within couples. Findings regarding the course of mental health during the transition to parenthood are inconclusive, with some studies suggesting higher rates of mental health problems in pregnancy both in women and men, especially for anxiety (Figueiredo & Conde, 2011), while others show higher rates in the early postpartum, in particular for depression (e.g.…”

Section: Parental Mental Healthmentioning

confidence: 99%

“…An explanation of the crucial importance of the pregnancy relationship may be that this measure is representative of the parents fundamental underlying internal mental representations of attachment relationships in general (e.g. Iles et al, 2011;Mantymaa et al, 2006), and as such may have a greater influence on the parent's ability to bond with their baby both short term and long term, compared to later measures.…”

Section: Journal Of Reproductive and Infant Psychology 451mentioning

confidence: 99%

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A prospective study of the parent–baby bond in men and women 15 months after birth

Parfitt

Ayers

Pike

et al. 2014

Journal of Reproductive and Infant Psychology

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Objective: To prospectively examine the impact of parental mental health (PTSD, depression and anxiety), the couple's relationship quality and the infant temperament on the parent-baby bond in first-time mothers and fathers. Background: Evidence suggests that poor parental mental health, difficult infant temperament and/or lower quality of the couple's relationship may impede the parent-baby bond. However, little research has included both parents or followed these measures across time. Methods: 75 women and 66 men completed questionnaire measures during pregnancy, 3 and 15 months postpartum, assessing mental health symptoms, the parent-baby bond, the couple's relationship and infant characteristics. The response rates at different time-points were 90%, 77% and 70%. Results: The parent-baby bond was associated with parental mental health, the couple's relationship and infant characteristics. The most important predictors of the parent-baby bond three months postpartum for both men and women were the couple's relationship during pregnancy and their baby's temperament at three months. At 15 months postpartum, after accounting for the parent-baby bond at 3 months, only concurrent infant temperament remained a significant predictor for women. However, men's bond with their baby at 15 months was predicted by their relationship with their partner in pregnancy and concurrent affective symptoms. Few significant gender differences were found, apart from women reporting more mental health symptoms than men. Conclusion: This study highlights the significance of the couple's relationship in pregnancy and the infant's temperament on the development of the parent-baby bond. Future research is needed to examine this in larger more representative samples.Keywords: parent-baby bond; mental health; longitudinal; father(s); mother(s) IntroductionThe formation of a close positive early relationship between a parent and their baby is widely viewed as important for a range of child outcomes, such as social, emotional and cognitive development. Impaired parent-baby relationships have been estimated to range between 3% and 9% in the general population (Righetti-Veltema, Conne-Perrard, Bousquet, & Manzano, 2002;Skovgaard et al., 2008) and between 10% and 25% in psychiatric samples (Brockington, 2004).

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Section: Journal Of Reproductive and Infant Psychology 451contrasting

confidence: 99%

Section: Parental Mental Healthmentioning

confidence: 99%

Section: Journal Of Reproductive and Infant Psychology 451mentioning

confidence: 99%

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A prospective study of the parent–baby bond in men and women 15 months after birth

Parfitt

Ayers

Pike

et al. 2014

Journal of Reproductive and Infant Psychology

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“…Postpartum PTSD is highly comorbid with depression (White, Matthey, Boyd, & Barnett, 2006) and there is evidence it impacts on the couple's relationship (Iles, Slade, & Spiby, 2011), parent-baby bond (Parfitt & Ayers, 2009), and possibly child development (Parfitt, Pike & Ayers, in press). Research on the etiology of postpartum PTSD has identified a range of vulnerability, risk and protective factors during and after birth, such as previous psychiatric problems, history of trauma, severe complications during birth, women's subjective experiences of birth, and support (Andersen, Melvaer, Videbech, Lamont, & Joergensen, 2012).…”

Section: Introductionmentioning

confidence: 99%

The role of adult attachment style, birth intervention and support in posttraumatic stress after childbirth: A prospective study

Ayers

Jessop

Pike

et al. 2014

Journal of Affective Disorders

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“…Studies report the frequency of this disorder between 5 to 40 percent [1]. Post-delivery depression is a basic depression and necessitates the simultaneous existence of 5 items disturbing physiological order of the body at least one of which is a depressed temper or losing interest in activities [2].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Mixed Attachment Intervention on Postpartum Depression of Women in Isfahan

Bahadori

Jahanbakhsh

Faramarzi

et al. 2015

Zahedan J Res Med Sci

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Background: Most of women experience postpartum short or long term mood disorders and secure attachment between couple and being supported from husband has important role in improvement of this disorders. Objectives: Recent research aimed to investigate efficacy of mixed attachment intervention on postpartum depression in women of Isfahan. Patients and Methods:This study was an experimental plan with pretest-posttest and follow up with control group that conducted in a depended hospital of Isfahan University of medical sciences. Though 325 women that had natural delivery, 38 individuals were chosen who had no history of physical or mental disorder in pregnancy or before that and had taken higher scores in Edinburg depression questionnaire. Selected sample administered randomly to both 19 individuals experimental and control group. Mixed attachment intervention had been accomplished for experimental group as though control group had no intervention. ANCOVA method had been used to analysis the data. Results: Results of ANCOVA showed that the mean post-test and follow up scores of depression in the experimental group is significantly lower than that of the control group (P < 0.05). The effect rate of mixed attachment intervention on depression symptoms was 0.38 in posttest and 0.41 in three months follow up. Conclusions: With regard to function of couple`s affective relationship and importance of mother-child attachment, mixed attachment intervention was effective in reduction of postpartum depression symptoms and has important mentions in paying attention to attachment based therapies for decreasing the symptoms of postpartum depression.

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Posttraumatic stress symptoms and postpartum depression in couples after childbirth: The role of partner support and attachment

Cited by 132 publications

References 53 publications

A prospective study of the parent–baby bond in men and women 15 months after birth

A prospective study of the parent–baby bond in men and women 15 months after birth

The role of adult attachment style, birth intervention and support in posttraumatic stress after childbirth: A prospective study

Efficacy of Mixed Attachment Intervention on Postpartum Depression of Women in Isfahan

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