The impact of postpartum depression on maternal responsiveness in infant care
ObjectiveTo analyze the impact of maternal postpartum depression (PPD) at 2 months postpartum on caregiving for infants aged 2 to 24 months, and to provide a scientific basis for future maternal and infant healthcare services.MethodsBased on the Shanghai Maternal-Child Pairs Cohort, 1 060 mother...
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Shanghai Preventive Medicine Association
2025-03-01
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| Series: | Shanghai yufang yixue |
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| Online Access: | http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2025.24337 |
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| author | LI Shuzhen WANG Fang WANG Ke LIU Su WEI Qian YANG Qing LIU Leilei SHI Huijing |
| author_facet | LI Shuzhen WANG Fang WANG Ke LIU Su WEI Qian YANG Qing LIU Leilei SHI Huijing |
| author_sort | LI Shuzhen |
| collection | DOAJ |
| description | ObjectiveTo analyze the impact of maternal postpartum depression (PPD) at 2 months postpartum on caregiving for infants aged 2 to 24 months, and to provide a scientific basis for future maternal and infant healthcare services.MethodsBased on the Shanghai Maternal-Child Pairs Cohort, 1 060 mother-child pairs were selected from those fully participating in follow-up visits at 2, 6, 12, and 24 months postpartum. Pregnancy and childbirth-related information was collected using standardized questionnaire surveys and hospital obstetric and maternity records. The Edinburgh postpartum depression scale was used to assess the maternal postpartum depressive symptoms at 2 months postpartum. At 2, 6, 12, and 24 months postpartum, questionnaire survey was used to evaluate the maternal responsiveness in caregiving and the provision of early learning opportunities for infants. Scores for responsive caregiving and early learning opportunities at 2, 6, 12, and 24 months were grouped based on the 25th percentile (P25) of total scores. The mixed-effects model was used to analyze the longitudinal impact of maternal postpartum depression at 2 months on the caregiving of 2 to 24-month-old infants.ResultsThe longitudinal results from the mixed-effects model did not show an impact of maternal PPD on infant responsive caregiving within 12 months and early learning opportunities within 24 months. However, cross-sectional analysis revealed that, compared to the non-PPD group, the risk of low responsive caregiving at 2 months in the PPD group was 93% higher (OR=1.931, 95%CI: 1.113‒3.364, P=0.019). The risks for low provision of early learning opportunities at 2 months and 24 months increased by 59% (OR=1.589, 95%CI: 1.082‒2.324, P=0.017) and 60% (OR=1.598, 95%CI:1.120‒2.279, P=0.010), respectively.ConclusionMaternal postpartum depression increases the risk of low responsive caregiving at 2 months, but its long-term effects warrant further research. |
| format | Article |
| id | doaj-art-e0a590ca936f4df68e63e499406033f2 |
| institution | DOAJ |
| issn | 1004-9231 |
| language | zho |
| publishDate | 2025-03-01 |
| publisher | Shanghai Preventive Medicine Association |
| record_format | Article |
| series | Shanghai yufang yixue |
| spelling | doaj-art-e0a590ca936f4df68e63e499406033f22025-08-20T02:40:13ZzhoShanghai Preventive Medicine AssociationShanghai yufang yixue1004-92312025-03-0137327127510.19428/j.cnki.sjpm.2025.243371004-9231（2025）03-0271-05The impact of postpartum depression on maternal responsiveness in infant careLI Shuzhen0WANG Fang1WANG Ke2LIU Su3WEI Qian4YANG Qing5LIU Leilei6SHI Huijing7Maternal and Child Health Institute, Songjiang District, Shanghai 201620, ChinaMaternal and Child Health Institute, Songjiang District, Shanghai 201620, ChinaSchool of Public Health, Fudan University, Shanghai 200032, ChinaSchool of Public Health, Fudan University, Shanghai 200032, ChinaSchool of Public Health, Fudan University, Shanghai 200032, ChinaMaternal and Child Health Institute, Songjiang District, Shanghai 201620, ChinaMaternal and Child Health Institute, Songjiang District, Shanghai 201620, ChinaSchool of Public Health, Fudan University, Shanghai 200032, ChinaObjectiveTo analyze the impact of maternal postpartum depression (PPD) at 2 months postpartum on caregiving for infants aged 2 to 24 months, and to provide a scientific basis for future maternal and infant healthcare services.MethodsBased on the Shanghai Maternal-Child Pairs Cohort, 1 060 mother-child pairs were selected from those fully participating in follow-up visits at 2, 6, 12, and 24 months postpartum. Pregnancy and childbirth-related information was collected using standardized questionnaire surveys and hospital obstetric and maternity records. The Edinburgh postpartum depression scale was used to assess the maternal postpartum depressive symptoms at 2 months postpartum. At 2, 6, 12, and 24 months postpartum, questionnaire survey was used to evaluate the maternal responsiveness in caregiving and the provision of early learning opportunities for infants. Scores for responsive caregiving and early learning opportunities at 2, 6, 12, and 24 months were grouped based on the 25th percentile (P25) of total scores. The mixed-effects model was used to analyze the longitudinal impact of maternal postpartum depression at 2 months on the caregiving of 2 to 24-month-old infants.ResultsThe longitudinal results from the mixed-effects model did not show an impact of maternal PPD on infant responsive caregiving within 12 months and early learning opportunities within 24 months. However, cross-sectional analysis revealed that, compared to the non-PPD group, the risk of low responsive caregiving at 2 months in the PPD group was 93% higher (OR=1.931, 95%CI: 1.113‒3.364, P=0.019). The risks for low provision of early learning opportunities at 2 months and 24 months increased by 59% (OR=1.589, 95%CI: 1.082‒2.324, P=0.017) and 60% (OR=1.598, 95%CI:1.120‒2.279, P=0.010), respectively.ConclusionMaternal postpartum depression increases the risk of low responsive caregiving at 2 months, but its long-term effects warrant further research.http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2025.24337postpartum depressioninfantsresponsive careearly learning opportunitiesinfluence |
| spellingShingle | LI Shuzhen WANG Fang WANG Ke LIU Su WEI Qian YANG Qing LIU Leilei SHI Huijing The impact of postpartum depression on maternal responsiveness in infant care Shanghai yufang yixue postpartum depression infants responsive care early learning opportunities influence |
| title | The impact of postpartum depression on maternal responsiveness in infant care |
| title_full | The impact of postpartum depression on maternal responsiveness in infant care |
| title_fullStr | The impact of postpartum depression on maternal responsiveness in infant care |
| title_full_unstemmed | The impact of postpartum depression on maternal responsiveness in infant care |
| title_short | The impact of postpartum depression on maternal responsiveness in infant care |
| title_sort | impact of postpartum depression on maternal responsiveness in infant care |
| topic | postpartum depression infants responsive care early learning opportunities influence |
| url | http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2025.24337 |
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