Journal
ARCHIVES OF WOMENS MENTAL HEALTH
Volume 19, Issue 5, Pages 871-882Publisher
SPRINGER WIEN
DOI: 10.1007/s00737-016-0627-3
Keywords
Prospective; Depression; Anxiety; Risk factors; Maternal caregiving; Adolescent mothers
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Funding
- NICHD NIH HHS [R01 HD067185] Funding Source: Medline
- NIMH NIH HHS [K01 MH071790] Funding Source: Medline
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Symptoms of depression and anxiety in pregnancy have been linked to later impaired caregiving. However, mood symptoms are often elevated in pregnancy and may reflect motherhood-specific concerns. In contrast, little is known about the effects of prepregnancy depression and anxiety on postpartum caregiving. Understanding these developmental risk factors is especially important when childbearing also occurs during adolescence. The sample comprised 188 adolescent mothers (ages 12-19 years) who had participated in a longitudinal study since childhood. Mothers were observed in face-to-face interaction with the infant at 4 months postpartum, and caregiving behaviors (sensitivity, hostile-intrusive behavior, and mental state talk) were coded independently. Data on self-reported depression and anxiety gathered in the 5 years prior to childbirth were drawn from the large-scale longitudinal study. Parallel process latent growth curve models revealed unique effects of distal anxiety and slow decline in anxiety over time on lower levels of maternal mental state talk after accounting for the overlap with depression development. Depressive symptoms showed significant stability from distal measurement to the postpartum period, but only concurrent postpartum mood was associated with poorer quality of maternal speech. The results highlight specific targets for well-timed preventive interventions with vulnerable dyads.
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