Breastfeeding and mental health in adulthood: A birth cohort study in Brazil

Christian Loret de Mola1, Bernardo Lessa Horta2, Helen Gonçalves2

  • 1Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil; Nursing Department, Federal University of Pelotas, Brazil.

Insights

Breastfeeding for six months or longer was associated with reduced odds of severe depressive symptoms in young adults. This study highlights the long-term mental health benefits of breastfeeding.

Area of Science:

  • Psychiatry
  • Public Health
  • Developmental Psychology

Background:

  • Breastfeeding is linked to better mental health, but specific disorder data is limited.
  • Young adults' mental health outcomes require further investigation regarding early life factors.
  • Previous research indicates negative associations between breastfeeding and behavioral issues, stress, and mood disorders.

Purpose of the Study:

  • To assess the association between breastfeeding and mental health outcomes in young adults.
  • To investigate the impact of breastfeeding duration on depression, anxiety, and common mental disorders.
  • To provide evidence on the long-term psychological benefits of breastfeeding.

Main Methods:

  • A cohort study followed 5914 individuals from birth in Pelotas, Brazil.
  • Breastfeeding data was collected in early childhood.
  • Mental health was assessed at age 30 using structured interviews (MINI) and symptom inventories (BDI-II, SRQ-20).

Main Results:

  • Among 3657 participants, 24.3% had common mental disorders (CMD).
  • Breastfeeding for ≥6 months was associated with reduced odds of more severe depressive symptoms (BDI-II: OR=0.69).
  • Similar trends were observed for major depression (MD) and CMD, though not statistically significant.

Conclusions:

  • Breastfeeding, particularly for six months or longer, is associated with a lower likelihood of severe depressive symptoms.
  • The findings suggest a protective effect of breastfeeding on long-term mental health.
  • Further research is needed to explore the mechanisms and potential confounding factors.
Abstract

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