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Effective treatment for postpartum depression is not sufficient to improve the developing mother-child relationship.
Dev Psychopathol. 2007 Spring; 19(2):585-602.DP

Abstract

Maternal depression is prevalent, and puts children at risk. Little evidence addresses whether treatment for maternal depression is sufficient to improve child outcomes. An experiment was conducted testing whether psychotherapeutic treatment for mothers, suffering from major depression in the postpartum period, would result in improved parenting and child outcomes. Participants included depressed women randomly assigned to interpersonal psychotherapy (n = 60) or to a waitlist (n = 60), and a nondepressed comparison group (n = 56). At 6 months, depressed mothers were less responsive to their infants, experienced more parenting stress, and viewed their infants more negatively than did nondepressed mothers. Treatment affected only parenting stress, which improved significantly but was still higher than that for nondepressed mothers. Eighteen months later, treated depressed mothers still rated their children lower in attachment security, higher in behavior problems, and more negative in temperament than nondepressed mothers. Initial response to treatment did not predict reduced risk for poor child outcomes. Early maternal negative perceptions of the child predicted negative temperament and behavior problems 18 months after treatment. Treatment for depression in the postpartum period should target the mother-infant relationship in addition to the mothers' depressive symptoms.

Links

Publisher Full Text

Authors+Show Affiliations

Forman DR
Department of Psychology, Concordia University, Montreal, Quebec, Canada. david.forman@concordia.ca
O'Hara MW
No affiliation info available
Stuart S
No affiliation info available
Gorman LL
No affiliation info available
Larsen KE
No affiliation info available
Coy KC
No affiliation info available

MeSH

Child Behavior DisordersChild of Impaired ParentsChild, PreschoolDepression, PostpartumDepressive Disorder, MajorEmotionsFemaleFollow-Up StudiesHumansInfantMaleMaternal BehaviorMother-Child RelationsObject AttachmentParentingPersonality AssessmentPsychotherapyRisk FactorsTemperament

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17459185

Clinical Trial Links

A Comparative RCT of Brief Internet-based Compassionate Mind Training and Cognitive-behavioral Therapy for Mothers and Their Babies

Citation

Forman, David R., et al. "Effective Treatment for Postpartum Depression Is Not Sufficient to Improve the Developing Mother-child Relationship." Development and Psychopathology, vol. 19, no. 2, 2007, pp. 585-602.
Forman DR, O'Hara MW, Stuart S, et al. Effective treatment for postpartum depression is not sufficient to improve the developing mother-child relationship. Dev Psychopathol. 2007;19(2):585-602.
Forman, D. R., O'Hara, M. W., Stuart, S., Gorman, L. L., Larsen, K. E., & Coy, K. C. (2007). Effective treatment for postpartum depression is not sufficient to improve the developing mother-child relationship. Development and Psychopathology, 19(2), 585-602.
Forman DR, et al. Effective Treatment for Postpartum Depression Is Not Sufficient to Improve the Developing Mother-child Relationship. Dev Psychopathol. 2007;19(2):585-602. PubMed PMID: 17459185.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effective treatment for postpartum depression is not sufficient to improve the developing mother-child relationship. AU - Forman,David R, AU - O'Hara,Michael W, AU - Stuart,Scott, AU - Gorman,Laura L, AU - Larsen,Karin E, AU - Coy,Katherine C, PY - 2007/4/27/pubmed PY - 2007/8/28/medline PY - 2007/4/27/entrez SP - 585 EP - 602 JF - Development and psychopathology JO - Dev Psychopathol VL - 19 IS - 2 N2 - Maternal depression is prevalent, and puts children at risk. Little evidence addresses whether treatment for maternal depression is sufficient to improve child outcomes. An experiment was conducted testing whether psychotherapeutic treatment for mothers, suffering from major depression in the postpartum period, would result in improved parenting and child outcomes. Participants included depressed women randomly assigned to interpersonal psychotherapy (n = 60) or to a waitlist (n = 60), and a nondepressed comparison group (n = 56). At 6 months, depressed mothers were less responsive to their infants, experienced more parenting stress, and viewed their infants more negatively than did nondepressed mothers. Treatment affected only parenting stress, which improved significantly but was still higher than that for nondepressed mothers. Eighteen months later, treated depressed mothers still rated their children lower in attachment security, higher in behavior problems, and more negative in temperament than nondepressed mothers. Initial response to treatment did not predict reduced risk for poor child outcomes. Early maternal negative perceptions of the child predicted negative temperament and behavior problems 18 months after treatment. Treatment for depression in the postpartum period should target the mother-infant relationship in addition to the mothers' depressive symptoms. SN - 0954-5794 UR - https://www.unboundmedicine.com/medline/citation/17459185/Effective_treatment_for_postpartum_depression_is_not_sufficient_to_improve_the_developing_mother_child_relationship_ L2 - https://www.cambridge.org/core/product/identifier/S0954579407070289/type/journal_article DB - PRIME DP - Unbound Medicine ER -