A network analysis of postpartum depression and mother-to-infant bonding shows common and unique symptom-level connections across three postpartum periods

Abstract Postpartum depression and mother-to-infant bonding difficulties (MIBD), two issues crucial to maternal and infant mental health, often coexist and affect each other. Our study aims to dissect their complex relationship through a graphical LASSO network analysis of individual symptoms in 559...

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Main Authors: Norihiro Harasawa, Chong Chen, Sumiyo Okawa, Ryo Okubo, Toshio Matsubara, Shin Nakagawa, Takahiro Tabuchi
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Communications Psychology
Online Access:https://doi.org/10.1038/s44271-024-00171-9
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author Norihiro Harasawa
Chong Chen
Sumiyo Okawa
Ryo Okubo
Toshio Matsubara
Shin Nakagawa
Takahiro Tabuchi
author_facet Norihiro Harasawa
Chong Chen
Sumiyo Okawa
Ryo Okubo
Toshio Matsubara
Shin Nakagawa
Takahiro Tabuchi
author_sort Norihiro Harasawa
collection DOAJ
description Abstract Postpartum depression and mother-to-infant bonding difficulties (MIBD), two issues crucial to maternal and infant mental health, often coexist and affect each other. Our study aims to dissect their complex relationship through a graphical LASSO network analysis of individual symptoms in 5594 Japanese postpartum women, whose geographical distribution was nationally representative. We identified ‘fear’, ‘enjoyment’, ‘overwhelm’, and ‘insomnia’ as common bridge symptoms linking postpartum depression and MIBD across three distinct postpartum periods. Moreover, ‘self-harm’ emerged as a bridge symptom in the first 6 months and the 7–12 month period, while ‘laugh’ was a bridge symptom in the first 6 months and the 13–24 month period. Notably, ‘self-blame’ was identified as a unique bridge symptom specific to the 13–24 month period. Our analysis highlights the complexities of symptom connectivity across postpartum stages and underscores the critical need for interventions that address both common and stage-specific bridge symptoms to effectively support maternal mental health and strengthen mother-to-infant bonding.
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spelling doaj-art-50d2aad0bbf041e99483dd0808e9e1452025-01-26T12:51:01ZengNature PortfolioCommunications Psychology2731-91212025-01-01311910.1038/s44271-024-00171-9A network analysis of postpartum depression and mother-to-infant bonding shows common and unique symptom-level connections across three postpartum periodsNorihiro Harasawa0Chong Chen1Sumiyo Okawa2Ryo Okubo3Toshio Matsubara4Shin Nakagawa5Takahiro Tabuchi6RIKEN Center for Brain ScienceDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, UbeInstitute for Global Health Policy Research, Bureau of International Health Cooperation, National Center for Global Health and MedicineDepartment of Psychiatry, National Hospital Organization Obihiro HospitalDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, UbeDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, UbeCancer Control Center, Osaka International Cancer InstituteAbstract Postpartum depression and mother-to-infant bonding difficulties (MIBD), two issues crucial to maternal and infant mental health, often coexist and affect each other. Our study aims to dissect their complex relationship through a graphical LASSO network analysis of individual symptoms in 5594 Japanese postpartum women, whose geographical distribution was nationally representative. We identified ‘fear’, ‘enjoyment’, ‘overwhelm’, and ‘insomnia’ as common bridge symptoms linking postpartum depression and MIBD across three distinct postpartum periods. Moreover, ‘self-harm’ emerged as a bridge symptom in the first 6 months and the 7–12 month period, while ‘laugh’ was a bridge symptom in the first 6 months and the 13–24 month period. Notably, ‘self-blame’ was identified as a unique bridge symptom specific to the 13–24 month period. Our analysis highlights the complexities of symptom connectivity across postpartum stages and underscores the critical need for interventions that address both common and stage-specific bridge symptoms to effectively support maternal mental health and strengthen mother-to-infant bonding.https://doi.org/10.1038/s44271-024-00171-9
spellingShingle Norihiro Harasawa
Chong Chen
Sumiyo Okawa
Ryo Okubo
Toshio Matsubara
Shin Nakagawa
Takahiro Tabuchi
A network analysis of postpartum depression and mother-to-infant bonding shows common and unique symptom-level connections across three postpartum periods
Communications Psychology
title A network analysis of postpartum depression and mother-to-infant bonding shows common and unique symptom-level connections across three postpartum periods
title_full A network analysis of postpartum depression and mother-to-infant bonding shows common and unique symptom-level connections across three postpartum periods
title_fullStr A network analysis of postpartum depression and mother-to-infant bonding shows common and unique symptom-level connections across three postpartum periods
title_full_unstemmed A network analysis of postpartum depression and mother-to-infant bonding shows common and unique symptom-level connections across three postpartum periods
title_short A network analysis of postpartum depression and mother-to-infant bonding shows common and unique symptom-level connections across three postpartum periods
title_sort network analysis of postpartum depression and mother to infant bonding shows common and unique symptom level connections across three postpartum periods
url https://doi.org/10.1038/s44271-024-00171-9
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