Maternal lifetime history of depression and depressive symptoms in the prenatal and early postnatal period do not predict infant-mother attachment quality in a large, population-based Dutch cohort study
Authors: Tharner, Anne1; Luijk, Maartje P.C.M.2; van IJzendoorn, Marinus H.2; Bakermans-Kranenburg, Marian J.2; Jaddoe, Vincent W.V.1; Hofman, Albert3; Verhulst, Frank C.4; Tiemeier, Henning4
Source: Attachment & Human Development, Volume 14, Number 1, 1 January 2012 , pp. 63-81(19)
Abstract:
We examined the effects of maternal history of depressive disorder and the effects of depressive symptoms during pregnancy and the early postpartum period on attachment insecurity and disorganization. A total of 627 mother-infant dyads from the Generation R Study participated in a population-based cohort from fetal life onwards. Maternal history of depression was assessed by diagnostic interviews during pregnancy; maternal peri- and postnatal depressive symptoms were assessed with questionnaires in 506 of these women at 20 weeks pregnancy and two months postpartum; and infant-mother attachment security was observed when infants were aged 14 months. A history of maternal depressive disorder, regardless of severity or psychiatric comorbidity, was not associated with an increased risk of infant attachment insecurity or disorganization. Likewise, maternal peri- and postnatal depressive symptoms were not related to attachment insecurity or disorganization at 14 months. These results are important because mothers from otherwise low risk backgrounds often have previously been depressed or are struggling with non-clinical depressive symptoms during pregnancy and after giving birth. Our findings are discussed in terms of protective factors that may limit the potentially negative effects of maternal depressive symptoms on the infant-mother attachment relationship in the general population. The role of selective attrition and lack of information about the mothers' attachment status for the current null-findings are also discussed.Keywords: infant-mother attachment; disorganized attachment; maternal depression; population-based; cohort
Document Type: Research article
DOI: http://dx.doi.org/10.1080/14616734.2012.636659
Affiliations: 1: The Generation R Study Group,Erasmus University Medical Center, Rotterdam, The Netherlands 2: Center for Child and Family Studies,Leiden University, The Netherlands 3: Department of Epidemiology and Biostatistics,Erasmus University Medical Center, Rotterdam, The Netherlands 4: Department of Child and Adolescent Psychiatry,Erasmus University Medical Center, Rotterdam, The Netherlands
Publication date: 2012-01-01
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- In this Subject: Neurology & Psychiatry , Pediatrics , Psychology
- By this author: Tharner, Anne ; Luijk, Maartje P.C.M. ; van IJzendoorn, Marinus H. ; Bakermans-Kranenburg, Marian J. ; Jaddoe, Vincent W.V. ; Hofman, Albert ; Verhulst, Frank C. ; Tiemeier, Henning

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