Citation

Ohara M, Okada T, Kubota C, Nakamura Y, Shiino T, Aleksic B, Morikawa M, Yamauchi A, Uno Y, Murase S, Goto S, Kanai A, Masuda T, Ando M, Ozaki N. Psychiatry Clin. Neurosci. 2017; 71(10): 733-741.

Affiliation

Department of Psychiatry, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8550, Japan.

Copyright

(Copyright © 2017, John Wiley and Sons)

DOI

10.1111/pcn.12541

PMID

28556440

Abstract

AIM: Although the association between maternal depression and bonding failure during pregnancy and after delivery has been investigated, the causal relationships remain unclear.

METHODS: A total of 751 women (mean [SD] age 32.1 [4.4] years) completed the Mother-Infant Bonding Questionnaire and the Edinburgh Postnatal Depression Scale in early pregnancy before week 25 (T1), in late pregnancy around week 36 (T2), and 5 days after delivery (T3). We created a structural regression model to clarify the relationships between depressive mood and bonding failure during pregnancy and 5 days after delivery. The model was tested with structural equation modeling.

RESULTS: Our non-recursive model fit the data well, and we found that (1) in T2, bonding failure predicted depressive mood (p<0.01, r = 0.23); (2) in T3, bonding failure predicted depressive mood (p<0.05, r = 0.31); (3) in T1, depressive mood was correlated with bonding failure (p<0.01, r = 0.45); (4) depressive mood in T1 predicted that in T2 (p<0.01, r = 0.58); (5) depressive mood in T2 predicted that in T3 (p<0.01, r = 0.45); (6) bonding failure in T1 predicted that in T2 (p<0.01, r = 0.84); and (7) bonding failure in T2 predicted that in T3 (p<0.01, r = 0.44). The determinant coefficients of depressive mood and bonding failure in T3 were 0.41 and 0.28, respectively.

CONCLUSIONS: Our large-scale cohort study indicates that bonding failure predicts depressive mood in pregnancy and 5 days after delivery. These findings suggest that protection and support for pregnant women with depressive mood and bonding failure may prevent both issues during pregnancy and the early stage after delivery.

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Language: en

Keywords

Edinburgh Postnatal Depression Scale; Mother-to-Infant Bonding Questionnaire; bonding failure; maternal depression; structural equation modeling