Mother-infant interaction, life events and prenatal and postpartum depressive symptoms among urban minority women in primary care

Rhonda C. Boyd, Luis H. Zayas, Melissa D. McKee

Research output: Contribution to journalArticle

66 Citations (Scopus)

Abstract

Objectives: Prenatal and postpartum depression are significant mental health problems that can have negative effects on mother-infant interactions. We examined the relationships among mother-infant interactions, depressive symptoms, life events, and breastfeeding of low-income urban African American and Hispanic women in primary care settings. Methods: Participants were 89 African American and Hispanic women who were part of a larger mental health intervention study conducted in community health centers. Questionnaire data on depression, as well as negative and positive life events, were collected during pregnancy and at three-months postpartum, while mother-infant interaction observations and breastfeeding practice were only collected at three-months postpartum. Results: The ratings of maternal behavior for 'depressed' mothers did not differ from 'nondepressed' mothers. Except for gaze aversion behavior, infants' behavior while interacting with their mothers did not differ by maternal depression level. Hierarchical regression analyses revealed that maternal positive life events positively predicted infant interactional summary ratings, while maternal negative life events were inversely associated with maternal interactional summary ratings. Conclusions: To improve services in primary care, perinatal screenings for depression can help identify those women most at risk. When follow-up use of structured diagnostic instruments is not possible or cost-effective, clinician assessment of severity of depression will determine women with clinical levels of depression. Reducing negative life events is beyond the control of women or clinicians but cognitive interventions to help women focus on positive life events can reduce the deleterious effects of depression on mothers and their infants.

Original languageEnglish (US)
Pages (from-to)139-148
Number of pages10
JournalMaternal and Child Health Journal
Volume10
Issue number2
DOIs
StatePublished - Apr 2006

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Mother-Child Relations
Postpartum Period
Primary Health Care
Mothers
Depression
Breast Feeding
Hispanic Americans
African Americans
Mental Health
Infant Behavior
Community Health Centers
Maternal Behavior
Postpartum Depression
Regression Analysis
Costs and Cost Analysis
Pregnancy

Keywords

  • Ethnic minority
  • Mother-infant interaction
  • Perinatal depression

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Mother-infant interaction, life events and prenatal and postpartum depressive symptoms among urban minority women in primary care. / Boyd, Rhonda C.; Zayas, Luis H.; McKee, Melissa D.

In: Maternal and Child Health Journal, Vol. 10, No. 2, 04.2006, p. 139-148.

Research output: Contribution to journalArticle

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