From adolescence to parenthood: a multi-decade study of preconception mental health problems and postpartum
J A Macdonald1,2,3, C Greenwood4,5, P Letcher6
1Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Deakin University, 225 Burwood Hwy, Burwood, VIC, 3125, Australia. jacqui.macdonald@deakin.edu.au.
Insights
Persistent depression and anxiety from adolescence into young adulthood are linked to weaker parent-infant bonding one year after birth for both mothers and fathers.
Area of Science:
- Developmental psychology
- Perinatal mental health
- Parent-infant relationships
Background:
- Mental health during adolescence and young adulthood can impact later life outcomes.
- Early parent-infant bonding is crucial for child development.
- Understanding long-term mental health effects on parenting is important.
Purpose of the Study:
- To investigate the association between adolescent and young adult anxiety and depressive symptoms and parent-infant bonding.
- To examine these associations separately for mothers and fathers at one year postpartum.
Main Methods:
- Prospective, intergenerational cohort study.
- Self-reported depression and anxiety data collected across adolescence and young adulthood.
- Parent-infant bonding assessed at one year postpartum using generalized estimating equations.
Main Results:
- Persistent depressive symptoms were associated with lower maternal and paternal bonding scores.
- Persistent anxiety symptoms were also linked to reduced maternal and paternal bonding.
- These associations remained significant, though attenuated, after accounting for concurrent postpartum mental health.
Conclusions:
- Long-term symptoms of depression and anxiety from adolescence through young adulthood predict poorer emotional bonding with infants.
- This effect is observed in both mothers and fathers.
- Early and persistent mental health challenges may have lasting impacts on parenting.
Purpose:
To examine associations between anxiety and depressive symptoms across adolescence and young adulthood with subsequent maternal- and paternal-infant bonding at 1 year postpartum.
Methods:
The data were from a prospective, intergenerational cohort study. Participants (381 mothers of 648 infants; 277 fathers of 421 infants) self-reported depression and anxiety at three adolescent waves (ages 13, 15 and 17 years) and three young adult waves (ages 19, 23 and 27 years). Subsequent parent-infant bonds with infants were reported at 1 year postpartum (parent age 29-35 years). Generalised estimating equations (GEE) separately assessed associations for mothers and fathers.
Results:
Mean postpartum bonding scores were approximately half a standard deviation lower in parents with a history of persistent adolescent and young adult depressive symptoms (maternal βadj = - 0.45, 95% CI - 0.69, - 0.21; paternal βadj = - 0.55, 95% CI - 0.90, 0.20) or anxiety (maternal βadj = - 0.42, 95% CI - 0.66, - 0.18; paternal βadj = - 0.49, 95% CI - 0.95, 0.03). Associations were still mostly evident, but attenuated after further adjustment for postpartum mental health concurrent with measurement of bonding.
Conclusions:
Persistent symptoms of depression or anxiety spanning adolescence and young adulthood predict poorer emotional bonding with infants 1-year postbirth for both mothers and fathers.
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