Preconception depression and anxiety symptoms and maternal-infant bonding: a 20-year intergenerational cohort study
Craig A Olsson1,2,3, Elizabeth A Spry4,5, Yvette Alway5
1Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Deakin University, Victoria, Geelong, Australia. craig.olsson@rch.org.au.
Insights
Adolescent and young adult depression and anxiety symptoms predict maternal-infant bonding difficulties. Early mental health support for young women is crucial for preventing postpartum bonding issues.
Area of Science:
- Psychiatry
- Developmental Psychology
- Public Health
Background:
- Early maternal-infant bonding is critical for child development.
- Maternal mental health issues, including depression and anxiety, can negatively impact bonding.
- Current interventions often focus on the perinatal period, potentially missing earlier risk factors.
Purpose of the Study:
- To investigate the predictive relationship between adolescent and young adult depression and anxiety symptoms and later maternal-infant bonding difficulties.
- To determine if mental health issues established before pregnancy impact postpartum bonding.
- To inform preconception care strategies by highlighting the importance of early mental health support.
Main Methods:
- Utilized data from the Victorian Intergenerational Health Cohort Study (VIHCS), following offspring of the Victorian Adolescent Health Cohort Study (VAHCS).
- Assessed depression and anxiety symptoms in female participants from adolescence to young adulthood (ages 14-29).
- Administered the Postpartum Bonding Questionnaire (PBQ) at 2 and 12 months postpartum to mothers (n=395).
Main Results:
- Preconception depression and anxiety symptoms, persisting from adolescence into young adulthood, significantly predicted maternal-infant bonding problems at both 2 and 12 months postpartum.
- Depression and anxiety symptoms emerging in young adulthood also predicted bonding problems at 12 months postpartum.
- These associations remained significant even after accounting for antenatal and concurrent postpartum depressive symptoms.
Conclusions:
- Mental health support for young women, starting in adolescence, is essential for preventing future maternal-infant bonding challenges.
- Preconception care should extend beyond physical health to encompass comprehensive mental health support.
- Addressing adolescent and young adult depression and anxiety is a critical step in promoting positive maternal-infant relationships.
Abstract:
Early maternal-infant bonding problems are often forerunners of later emotional and behavioural difficulties. Interventions typically target the perinatal period but many risks may be established well before pregnancy. Here we examine the extent to which adolescent and young adult depression and anxiety symptoms predict perinatal maternal-infant bonding difficulties. The Victorian Intergenerational Health Cohort Study (VIHCS, est. 2006) is following offspring born to the Victorian Adolescent Health Cohort Study (VAHCS; est. 1992). VAHCS participants were assessed for depression and anxiety symptoms nine times during adolescence and young adulthood (age 14-29 years), and then contacted bi-annually (from age 29-35 years) to identify pregnancies. The Postpartum Bonding Questionnaire (PBQ) was administered to mothers at 2 and 12 months postpartum. A total of 395 women (606 infants) completed the 2-month and/or 12-month postpartum interviews. For most infants (64%), mothers had experienced depression and/or anxiety before pregnancy. Preconception depression and anxiety symptoms that persisted from adolescence into young adulthood predicted maternal-infant bonding problems at 2 months (β = 0.30, 95% CI 0.04, 0.55) and 12 months postpartum (β = 0.40, 95% CI 0.16, 0.63). Depression and anxiety symptoms occurring in young adulthood only, also predicted bonding problems at 12 months postpartum (β = 0.37, 95% CI 0.02, 0.71). Associations between preconception depression and anxiety symptoms and anxiety-related maternal-infant bonding problems at 12 months postpartum remained after adjustment for antenatal and concurrent postpartum depressive symptoms. This study puts forward a case for extending preconception health care beyond contraception and nutrition to a broader engagement in supporting the mental health of young women from adolescence.
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