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Infant Behav Dev. 2018 May;51:15-23. doi: 10.1016/j.infbeh.2018.02.003. Epub 2018 Mar 10.

Is the Effect of Postpartum Depression on Mother-Infant Bonding Universal?

Author information

1
Azusa Pacific University, 701 E Foothill Blv., Azusa California, 91702. Electronic address: lbadr@apu.edu.
2
Obstetrics and Gynecology, America n University of Beirut Medical Center, Beirut, Lebanon.
3
Associate Professor of Clinical Specialty, Department of Pediatrics, America n University of Beirut Medical Center, Beirut, Lebanon.

Abstract

PURPOSE:

Although the negative consequences of maternal depression on infants has been documented in several Western societies, similar studies have not been conducted in Middle-Eastern countries where cultural norms and traditions may differ. The main objective of this study was to determine the risk factors for postpartum depression (PPD) and its relationship to mother -infant bonding in a Lebanese population.

METHODS:

One hundred and fifty participants were administered the Edinburgh Postpartum Depression Scale (EPDS), and the social support scale at 2-3 days postpartum. At 10-12 weeks mother-infant bonding using the Postpartum Bonding Questionnaire (PBQ) and depression using the Beck Inventory (BDI-II) were assessed during a telephone interview.

RESULTS:

The prevalence of depression was 19% with an average score of 10.9 ± 6.02 on the EPDS. At 10-12 weeks 2.7% of the whole sample was depressed with an average score of 18.60 ± 16.87 on the BDI-II. Risk factors of PPD on the EPDS were; history of alcohol use, complications during pregnancy, not a good marital relationship, baby admitted to an intensive care unit, history of depression and low social support. Risk factors for impaired bonding were age, history of depression, BDI-II scores above 20 and low social support. The multiple regression analysis found that impaired bonding was associated with older age, history of depression and low social support, which explained 39% of the variance, F = 7.12, p = 0.02.

CONCLUSION:

The prevalence of PPD was higher than previously reported at day 2-3 post-delivery, but lower at 10-12 weeks postpartum. Impaired mother- infant bonding was associated older mothers, history of depression, low social support and BDI-II scores above 20 which should alert practitioner to assessing these factors in post-partum mothers.

KEYWORDS:

Edinburgh postnatal depression scale; Mother-infant bonding; Postpartum depression

PMID:
29533871
DOI:
10.1016/j.infbeh.2018.02.003
[Indexed for MEDLINE]

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