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Wang M, Bai T, Zhang J, Liu H, Wu L, Zhang F. Relationship between maternal postpartum depression, fatigue, sleep quality and infant growth: A cross-sectional study. Jpn J Nurs Sci 2024:e12614. [PMID: 39154653 DOI: 10.1111/jjns.12614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2024] [Revised: 07/07/2024] [Accepted: 07/14/2024] [Indexed: 08/20/2024]
Abstract
BACKGROUND Current research separately analyzed the connection between postpartum depression, fatigue, sleep and infant development. However, depression, fatigue and sleep quality often coexisted as adverse symptoms in postpartum women and influenced infant development together. This study explored the maternal postpartum symptoms on infant growth. METHODS Our study included 224 pairs of singleton full-term mothers and their infants who underwent routine pediatric outpatient clinics. Latent profile analysis was applied to identify the latent classes based on mothers' postpartum depression, fatigue and sleep profile characteristics. We evaluated the maternal adverse symptoms and infant development using multivariable logistic regressions. RESULTS Totally, 224 pairs of eligible mothers (28.85 ± 4.43 years) and infants (30.93 ± 3.26 days) participated in this study. Latent profile analysis identified 3 latent groups: mild (58.04%), moderate (34.37%), and severe (7.59%) postpartum adverse symptoms. Postpartum adverse symptoms were associated with delayed development in the baby's motor level (χ2 = 6.572, p = .037) and weight-for-length (χ2 = 9.652, p = .008). After controlling for mother and infant related factors, postpartum adverse symptoms remained a risk factor for infant motor level (odds ratio [OR]: 4.35; 95% confidence interval [CI]: 1.25-15.08) and weight-for-length (OR: 5.53; 95% CI: 1.55-19.74). CONCLUSIONS Maternal postpartum depression, fatigue and sleep quality are associated with infant development. Clinically, mothers with these symptoms should be intervened timely to avoid the aggravation of maternal symptoms, which affect baby's development.
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Affiliation(s)
- Mingbo Wang
- School of Nursing and Rehabilitation, Nantong University, Nantong, Jiangsu Province, China
- Department of Nursing, Jingjiang People's Hospital, Jingjiang, Jiangsu Province, China
| | - Ting Bai
- Department of Obstetrics, Affiliate Hospital of the Xuzhou Medical University, Xuzhou, Jiangsu Province, China
| | - Jie Zhang
- School of Medicine, Nantong University, Nantong, Jiangsu Province, China
| | - Huahua Liu
- Obstetrical Department, Nantong Maternity and Child Health Care Hospital Affiliated to Nantong University, Nantong, Jiangsu Province, China
| | - Lingling Wu
- School of Nursing and Rehabilitation, Nantong University, Nantong, Jiangsu Province, China
| | - Feng Zhang
- School of Nursing and Rehabilitation, Nantong University, Nantong, Jiangsu Province, China
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Endevelt-Shapira Y, Bosseler AN, Mizrahi JC, Meltzoff AN, Kuhl PK. Mother-infant social and language interactions at 3 months are associated with infants' productive language development in the third year of life. Infant Behav Dev 2024; 75:101929. [PMID: 38581728 DOI: 10.1016/j.infbeh.2024.101929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2023] [Revised: 02/12/2024] [Accepted: 02/21/2024] [Indexed: 04/08/2024]
Abstract
Previous studies underscore the importance of social interactions for child language development-particularly interactions characterized by maternal sensitivity, infant-directed speech (IDS), and conversational turn-taking (CT) in one-on-one contexts. Although infants engage in such interactions from the third month after birth, the prospective link between speech input and maternal sensitivity in the first half year of life and later language development has been understudied. We hypothesized that social interactions embodying maternal sensitivity, IDS and CTs in the first 3 months of life, are significantly associated with later language development and tested this using a longitudinal design. Using a sample of 40 3-month-old infants, we assessed maternal sensitivity during a structured mother-infant one-on-one (1:1) interaction based on a well-validated scoring system (the Coding Interactive Behavior system). Language input (IDS, CT) was assessed during naturally occurring interactions at home using the Language ENvironment Analysis (LENA) system. Language outcome measures were obtained from 18 to 30 months of age using the MacArthur-Bates Communicative Development Inventory. Three novel findings emerged. First, maternal sensitivity at 3 months was significantly associated with infants' productive language scores at 18, 21, 24, 27, and 30 months of age. Second, LENA-recorded IDS during mother-infant 1:1 interaction in the home environment at 3 months of age was positively correlated with productive language scores at 24, 27, and 30 months of age. Third, mother-infant CTs during 1:1 interaction was significantly associated with infants' productive language scores at 27 and 30 months of age. We propose that infants' social attention to speech during this early period-enhanced by sensitive maternal one-on-one interactions and IDS-are potent factors in advancing language development.
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Affiliation(s)
| | - Alexis N Bosseler
- Institute for Learning & Brain Sciences, University of Washington, USA
| | - Julia C Mizrahi
- Institute for Learning & Brain Sciences, University of Washington, USA
| | - Andrew N Meltzoff
- Institute for Learning & Brain Sciences, University of Washington, USA; Department of Psychology, University of Washington, Seattle, WA, USA
| | - Patricia K Kuhl
- Institute for Learning & Brain Sciences, University of Washington, USA; Department of Speech and Hearing Sciences, University of Washington, USA
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Duyile BE, LoCasale-Crouch J, NeSmith TB, Turnbull KLP, Colson E, Corwin MJ, Mateus MC, Forbes E, Geller N, Heeren T, Hauck FR, Jaworski B, Kellams A, Kerr S, Moon RY. Maternal Education and Child Self-Regulation: Do Maternal Self-Regulation and Responsiveness Mediate the Association? Acad Pediatr 2024:S1876-2859(24)00111-6. [PMID: 38513966 PMCID: PMC11411012 DOI: 10.1016/j.acap.2024.03.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2023] [Revised: 03/09/2024] [Accepted: 03/14/2024] [Indexed: 03/23/2024]
Abstract
OBJECTIVE To examine the mediating role of observed maternal responsiveness and maternal self-regulation on the association between maternal education and children's self-regulation. METHODS English-speaking mother-child dyads (n = 189) were recruited from a previous study and were eligible if the child was kindergarten eligible at the start of the 2020 to 2021 or 2021 to 2022 school year. Key measures included: Difficulties in Emotion Regulation Scale-Short Form for maternal emotional self-regulation, Culturally Affirming and Responsive Experiences for maternal responsiveness, and the Head-Toes-Knees-Shoulders for child self-regulation. The association between years of maternal education and child self-regulation was examined with linear regression, and the mediation analyses utilized 4 subsequent steps examining their relations. These steps were checked through a series of linear regressions, and beta weights were used to describe associations. Each potential mediator was examined separately. RESULTS Children of mothers with higher education had significantly higher self-regulation, slope of 1.3 (95% confidence interval 0.3, 2.4, P = 0.015, beta = 0.18). Further, mothers with higher education had significantly higher observed responsiveness. The beta-weight of 0.34 (P < 0.001) supported maternal responsiveness as a mediator. Finally, in the test for direct and indirect effects, observed maternal responsiveness explained 29% (95% confidence interval 3.3%, 115%) of the association between maternal education and child self-regulation. CONCLUSIONS This study highlights a key mechanism related to children's self-regulation skills and the significant role of observed maternal responsiveness in explaining the association between maternal education and child self-regulation.
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Affiliation(s)
- Bisola E Duyile
- Department of Counseling (BE Duyile), Montclair State University, NJ
| | - Jennifer LoCasale-Crouch
- Department of Educational Psychology (J LoCasale-Crouch), Virginia Commonwealth University, Richmond.
| | - Tessa B NeSmith
- Virginia Commonwealth University School of Education (TB NeSmith), Richmond
| | - Khara L P Turnbull
- Center for Advanced Study of Teaching and Learning (KLP Turnbull), University of Virginia, School of Education and Human Development, Charlottesville
| | - Eve Colson
- Department of Pediatrics (E Colson), Washington University School of Medicine, Mo
| | - Michael J Corwin
- Slone Epidemiology Center (MJ Corwin, N Geller, and S Kerr), Boston University, Mass
| | - Mayaris Cubides Mateus
- School of Education and Human Development (MC Mateus), University of Virginia, Charlottesville
| | | | - Nicole Geller
- Slone Epidemiology Center (MJ Corwin, N Geller, and S Kerr), Boston University, Mass
| | - Tim Heeren
- Department of Biostatistics (T Heeren), Boston University School of Public Health, Mass
| | - Fern R Hauck
- Department of Family Medicine (FR Hauck), University of Virginia, Charlottesville
| | - Brianna Jaworski
- Center for Advanced Study of Teaching and Learning (B Jaworski), University of Virginia, Charlottesville
| | - Ann Kellams
- Division of General Pediatrics (A Kellams), Department of Pediatrics, University of Virginia, Charlottesville
| | - Stephen Kerr
- Slone Epidemiology Center (MJ Corwin, N Geller, and S Kerr), Boston University, Mass
| | - Rachel Y Moon
- Division of General Pediatrics (RY Moon), Department of Pediatrics, University of Virginia School of Medicine, Charlottesville
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Kay TL, Moulson MC, Vigod SN, Schoueri-Mychasiw N, Singla DR. The Role of Social Support in Perinatal Mental Health and Psychosocial Stimulation. THE YALE JOURNAL OF BIOLOGY AND MEDICINE 2024; 97:3-16. [PMID: 38559463 PMCID: PMC10964812 DOI: 10.59249/wmge9032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
Social support refers to the help someone receives emotionally or instrumentally from their social network. Poor social support in the perinatal period has been associated with increased risk for symptoms of common mental disorders, including depression and posttraumatic stress symptoms (PTS), which may impact parenting behavior. Whether social support impacts parenting behaviors, independent of mental health symptomatology, remains unclear. Among N=309 participants of the Scaling Up Maternal Mental healthcare by Increasing access to Treatment (SUMMIT Trial), a large perinatal depression and anxiety treatment trial, we explored the relations between perceived social support, perinatal depressive and PTS symptoms, and psychosocial stimulation provided by the parent in their home environment. Social support was measured at baseline using the Multidimensional Scale of Perceived Social Support (MSPSS). Perinatal depressive symptoms were measured by the Edinburgh Postnatal Depression Scale (EPDS) and PTS symptoms were measured by the Abbreviated PTSD Checklist (PCL-6) at baseline, 3-, and 6-months post-randomization. Psychosocial stimulation was assessed by the Home Observation Measurement of the Environment (HOME) when the infant was between 6 to 24 months. Using stepwise hierarchical regressions, we found: (1) perceived social support at baseline significantly predicted both depressive and PTS symptoms at 3-months post-randomization, even when controlling for baseline depressive and PTS symptoms; and (2) while neither depressive nor PTS symptoms were significantly associated with psychosocial stimulation, perceived social support at baseline was a significant predictor. Clinical implications regarding treatment of perinatal patients are discussed.
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Affiliation(s)
- Tatjana L. Kay
- Department of Psychology, Toronto Metropolitan
University, Toronto, ON, Canada
- Department of Psychiatry, Sinai Health, Toronto, ON,
Canada
| | - Margaret C. Moulson
- Department of Psychology, Toronto Metropolitan
University, Toronto, ON, Canada
| | - Simone N. Vigod
- Department of Psychiatry, Temerty Faculty of Medicine,
University of Toronto, Toronto, ON, Canada
- Department of Psychiatry, Women’s College Hospital,
Toronto, ON, Canada
| | | | - Daisy R. Singla
- Department of Psychiatry, Temerty Faculty of Medicine,
University of Toronto, Toronto, ON, Canada
- Lunenfeld Tanenbaum Research Institute, Sinai Health,
Toronto, ON, Canada
- Campbell Family Mental Health Research Institute,
Centre for Addiction and Mental Health, Toronto, ON, Canada
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Ding Y, Li G, Shi X, Wang M, Peng Y, Deng H, Yang Z, Liang Q, Wang Z. Correlation of lifestyle behaviors during pregnancy with postpartum depression status of puerpera in the rural areas of South China. Front Public Health 2023; 11:1304226. [PMID: 38192564 PMCID: PMC10773618 DOI: 10.3389/fpubh.2023.1304226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 11/30/2023] [Indexed: 01/10/2024] Open
Abstract
Background Postpartum depression (PPD) is among the most common postpartum complications. Its prevalence is associated with strong regional variability. Women in rural areas of China have a high risk of PPD. The aim of this study was to investigate the PPD status of women in rural South China and explore the effects of modifiable lifestyle behaviors during pregnancy on their PPD status, thereby providing a scientific basis for the prevention and intervention of PPD in rural China. Methods A cohort study was conducted on 261 women from four maternal health institutions situated in rural areas of Guangdong Province and the Guangxi Zhuang Autonomous Region from October 2021 to December 2022. The questionnaires were administered to these women to obtain data about sociodemographic characteristics, health literacy, physical activity during pregnancy, and sleep and dietary status during pregnancy, as well as depression status on the 42nd day after delivery. The lifestyle behaviors during pregnancy and the PPD status of the study population were analyzed. Multiple linear regression models were used to determine the correlation between lifestyle behaviors and PPD status. Path analysis was performed to explore the interaction between various lifestyle behaviors. Results A total of 14.6% of women had a PPD status. Women who continued to work during pregnancy had an Edinburgh Postpartum Depression Scale (EPDS) score of 1.386 points higher than that of women who did not (В = 1.386, β = 0.141, p = 0.029). For every 1-point increase in the infant feeding-related knowledge score and pregnancy diet diversity score, the EPDS score decreased by 0.188 and 0.484 points, respectively, and for every 1-point increase in the Pittsburgh sleep quality index score, the EPDS score increased by 0.288 points. Age was related to infant feeding-related knowledge (indirect path coefficient = 0.023). During pregnancy, sedentary time was correlated with sleep quality (indirect path coefficient = 0.031) and employment status (indirect path coefficient = 0.043). Conclusion Employment status, infant feeding-related knowledge, sleep quality, and diet diversity during pregnancy directly influenced the PPD status, while age and sedentary time during pregnancy indirectly influenced the PPD status. Promoting healthy lifestyle behaviors, including reducing sedentary time, improving sleep quality, and increasing dietary diversity, may be effective in reducing PPD occurrence.
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Affiliation(s)
- Ye Ding
- Department of Maternal, Child and Adolescent Health, School of Public Health, Nanjing Medical University, Nanjing, China
| | - Genyuan Li
- Jiaxing Center for Disease Control and Prevention, Jiaxing, China
| | - Xi Shi
- Department of Maternal, Child and Adolescent Health, School of Public Health, Nanjing Medical University, Nanjing, China
| | - Mengyi Wang
- Department of Nutrition and Food Hygiene, School of Public Health, Institute of Nutrition, Fudan University, Shanghai, China
| | - Yanxia Peng
- Zijin Maternal and Child Health Hospital, Heyuan, China
| | - Huiqin Deng
- Longchuan Maternal and Child Health Hospital, Heyuan, China
| | - Ziqi Yang
- Tianyang Maternal and Child Health Hospital, Baise, China
| | - Qingfen Liang
- Lingshan Maternal and Child Health Hospital, Qinzhou, China
| | - Zhixu Wang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Nanjing Medical University, Nanjing, China
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Saharoy R, Potdukhe A, Wanjari M, Taksande AB. Postpartum Depression and Maternal Care: Exploring the Complex Effects on Mothers and Infants. Cureus 2023; 15:e41381. [PMID: 37546054 PMCID: PMC10400812 DOI: 10.7759/cureus.41381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Accepted: 07/04/2023] [Indexed: 08/08/2023] Open
Abstract
Postpartum depression (PPD) is a common and debilitating mental health condition affecting many mothers worldwide. This review article aims to explore the complex effects of PPD on mothers and infants, focusing on maternal care. The transition to motherhood is a critical period characterized by numerous physical, psychological, and social changes, making women vulnerable to the onset of PPD. Consequently, PPD can significantly impact a mother's ability to provide optimal care for her infant, leading to potential adverse consequences for both parties. The article synthesizes existing research literature on the topic, encompassing studies from various disciplines, including psychology, psychiatry, obstetrics, and pediatrics. It begins by providing an overview of the prevalence and risk factors associated with PPD, emphasizing the importance of early detection and intervention. The impact of PPD on maternal caregiving behaviors, such as bonding, sensitivity, and responsiveness, is then examined, highlighting the potential disruptions in the mother-infant relationship. Furthermore, the article delves into the potential consequences of impaired maternal care on infant development, including emotional, cognitive, and social domains. Several factors contributing to the complex interplay between PPD and maternal care are discussed, including hormonal changes, psychosocial stressors, and the influence of social support networks. The review also addresses the bidirectional nature of the mother-infant relationship, whereby infant characteristics and behaviors can exacerbate or mitigate the effects of PPD on maternal care. Moreover, the article explores the role of healthcare providers and the importance of implementing effective screening, assessment, and treatment strategies for PPD to promote optimal maternal-infant outcomes. By consolidating current knowledge on the topic, this review article provides valuable insights into the multifaceted effects of PPD on both mothers and infants. Recognizing the significance of maternal care and understanding the mechanisms through which PPD disrupts it can inform the development of targeted interventions to promote early detection, effective treatment, and supportive interventions for mothers experiencing PPD. Ultimately, improving maternal mental health and enhancing maternal-infant relationships can yield long-term positive effects on mothers' and infants' well-being and development.
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Affiliation(s)
- Rishika Saharoy
- Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Ashwini Potdukhe
- Medical Surgical Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Mayur Wanjari
- Research and Development, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Avinash B Taksande
- Physiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
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