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.
Background:
Breastfeeding is negatively associate with behavioral and internalization problems, psychological stress, and depressive/anxiety symptoms. However, studies evaluating specific mental health disorders are scarce. We aimed to assess the association between breastfeeding and mental health outcomes in young adults.
Methods:
In 1982, hospital deliveries in Pelotas (Southern Brazil) were identified; liveborns were examined and their mothers interviewed (n=5914). Information on breastfeeding was collected in early childhood. In 2012-13, at 30 years of age, we used the Mini International Neuropsychiatric Interview (MINI) for the diagnosis of major depression (MD), generalized anxiety disorder (GAD) and social anxiety disorder (SAD). In addition, we used the Beck Depression Inventory (BDI-II) and the Self-reported Questionnaire (SRQ-20), to evaluate depressive symptoms severity and common mental disorders (CMD), respectively. We used multivariable regression models to evaluate the association between breastfeeding and mental health outcomes.
Results:
We evaluated 3657 individuals. Prevalence of CMD, MD, GAD and SAD was 24.3%, 7.9%, 12.7% and 3.6%, respectively. In multivariable models the odds of having a more severe case of depression (BDI-II) was smaller among those breastfed for 6 or more months (OR=0.69 95%CI [0.53-0.89]). We observed a similar pattern for MD and CMD, however, confidence intervals included the reference.
Limitations:
We had no information on home environment characteristics during childhood. Lack of power and a small effect size could explain why we did not detect an association between breastfeeding and MD.
Conclusion:
Breastfeeding reduced the odds of having more severe depressive symptoms.
Related Concept Videos
Development of Human Microbiota
Stress and Mental Health
Individuals with depression often experience challenges in both their personal and professional...
Socioemotional Development during Infancy
Primary Temperament Types
Gut-Brain Axis
Psychosexual Stages of Personality: Oral
Weaning, typically occurring...
Development of the Oral Microbiota


