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Maternal depressive symptoms at 2 to 4 months post partum and early parenting practices.
Arch Pediatr Adolesc Med. 2006 Mar; 160(3):279-84.AP

Abstract

OBJECTIVE

To determine whether maternal depressive symptoms, reported when infants are 2 to 4 months old, are associated with mothers' early parenting practices.

DESIGN

Secondary data analyses collected from the National Evaluation of Healthy Steps for Young Children. Data sources included newborn enrollment questionnaires and parent interviews when infants were 2 to 4 months old. Maternal depressive symptoms were assessed using the Center for Epidemiological Studies Depression Scale.

SETTING

Twenty-four pediatric practices across the United States.

PARTICIPANTS

A total of 5565 families enrolled in Healthy Steps; 4874 mothers (88%) completed 2- to 4-month interviews and provided Center for Epidemiologic Studies Depression Scale data; 17.8% of mothers reported having depressive symptoms.

MAIN OUTCOME MEASURES

Ten parenting practices assessed in 3 domains: safety (sleep position and lowering water temperature), feeding (cereal, water, or juice; continuing breastfeeding), and practices to promote child development (showing books, playing with infant, talking to infant, and following 2 or more routines).

RESULTS

Mothers with and without depressive symptoms reported similar uses of safety and feeding practices. Mothers with depressive symptoms had reduced odds of continuing breastfeeding (adjusted odds ratio [AOR], 0.73; 95% confidence interval [CI], 0.61-0.88), showing books (AOR, 0.81; 95% CI, 0.68-0.97), playing with the infant (AOR, 0.70; 95% CI, 0.54-0.90), talking to the infant (AOR, 0.74; 95% CI, 0.63-0.86), and following routines (AOR, 0.61; 95% CI, 0.52-0.72).

CONCLUSION

Maternal depressive symptoms are common in early infancy and contribute to unfavorable parenting practices.

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Authors+Show Affiliations

McLearn KT
National Center for Children in Poverty, Mailman School of Public Health, Columbia University, New York, NY, USA.
Minkovitz CS
No affiliation info available
Strobino DM
No affiliation info available
Marks E
No affiliation info available
Hou W
No affiliation info available

MeSH

AdultAge FactorsDepression, PostpartumFemaleHumansInfant, NewbornMother-Child RelationsMothersParentingSeverity of Illness IndexSurveys and QuestionnairesTime Factors

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16520447

Citation

McLearn, Kathryn Taaffe, et al. "Maternal Depressive Symptoms at 2 to 4 Months Post Partum and Early Parenting Practices." Archives of Pediatrics & Adolescent Medicine, vol. 160, no. 3, 2006, pp. 279-84.
McLearn KT, Minkovitz CS, Strobino DM, et al. Maternal depressive symptoms at 2 to 4 months post partum and early parenting practices. Arch Pediatr Adolesc Med. 2006;160(3):279-84.
McLearn, K. T., Minkovitz, C. S., Strobino, D. M., Marks, E., & Hou, W. (2006). Maternal depressive symptoms at 2 to 4 months post partum and early parenting practices. Archives of Pediatrics & Adolescent Medicine, 160(3), 279-84.
McLearn KT, et al. Maternal Depressive Symptoms at 2 to 4 Months Post Partum and Early Parenting Practices. Arch Pediatr Adolesc Med. 2006;160(3):279-84. PubMed PMID: 16520447.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maternal depressive symptoms at 2 to 4 months post partum and early parenting practices. AU - McLearn,Kathryn Taaffe, AU - Minkovitz,Cynthia S, AU - Strobino,Donna M, AU - Marks,Elisabeth, AU - Hou,William, PY - 2006/3/8/pubmed PY - 2006/4/14/medline PY - 2006/3/8/entrez SP - 279 EP - 84 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 160 IS - 3 N2 - OBJECTIVE: To determine whether maternal depressive symptoms, reported when infants are 2 to 4 months old, are associated with mothers' early parenting practices. DESIGN: Secondary data analyses collected from the National Evaluation of Healthy Steps for Young Children. Data sources included newborn enrollment questionnaires and parent interviews when infants were 2 to 4 months old. Maternal depressive symptoms were assessed using the Center for Epidemiological Studies Depression Scale. SETTING: Twenty-four pediatric practices across the United States. PARTICIPANTS: A total of 5565 families enrolled in Healthy Steps; 4874 mothers (88%) completed 2- to 4-month interviews and provided Center for Epidemiologic Studies Depression Scale data; 17.8% of mothers reported having depressive symptoms. MAIN OUTCOME MEASURES: Ten parenting practices assessed in 3 domains: safety (sleep position and lowering water temperature), feeding (cereal, water, or juice; continuing breastfeeding), and practices to promote child development (showing books, playing with infant, talking to infant, and following 2 or more routines). RESULTS: Mothers with and without depressive symptoms reported similar uses of safety and feeding practices. Mothers with depressive symptoms had reduced odds of continuing breastfeeding (adjusted odds ratio [AOR], 0.73; 95% confidence interval [CI], 0.61-0.88), showing books (AOR, 0.81; 95% CI, 0.68-0.97), playing with the infant (AOR, 0.70; 95% CI, 0.54-0.90), talking to the infant (AOR, 0.74; 95% CI, 0.63-0.86), and following routines (AOR, 0.61; 95% CI, 0.52-0.72). CONCLUSION: Maternal depressive symptoms are common in early infancy and contribute to unfavorable parenting practices. SN - 1072-4710 UR - https://www.unboundmedicine.com/medline/citation/16520447/Maternal_depressive_symptoms_at_2_to_4_months_post_partum_and_early_parenting_practices_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpedi.160.3.279 DB - PRIME DP - Unbound Medicine ER -