Maternal role development: the impact of maternal distress and social support following childbirth

Emmanuel, Elizabeth; Creedy, Debra; John, Winsome St; Brown, Courtney C.

doi:10.1016/j.midw.2009.07.003

Cited by 59 publications

(73 citation statements)

References 39 publications

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“…Several studies suggest that the EPDS is a good measure of distress levels among mothers (Fisher et al 2002;Morse et al 2004). In fact, this instrument reflects the symptoms included in the concept of maternal distress as an emotional response experienced by mothers (Emmanuel et al 2011). …”

Section: Clinical Assessmentmentioning

confidence: 99%

“…The transition to motherhood is stressful (Nelson 2003;Leung et al 2005) as it requires several important changes in family dynamics, finances, and working life, along with physical and psychological adjustments. The development of the maternal role is considered a key component of motherhood (Emmanuel et al 2011). Some women find that the transition can exceed their coping resources due to a loss of confidence in their ability to provide for the infant's physical, behavioral, emotional, and social development (Rubin 1984).…”

Section: Introductionmentioning

confidence: 99%

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Coping strategies for postpartum depression: a multi-centric study of 1626 women

Gutiérrez-Zotes

Labad

Martín‐Santos

et al. 2015

Arch Womens Ment Health

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The transition to motherhood is stressful as it requires several important changes in family dynamics, finances, and working life, along with physical and psychological adjustments. This study aimed at determining whether some forms of coping might predict postpartum depressive symptomatology. A total of 1626 pregnant women participated in a multi-centric longitudinal study. Different evaluations were performed 8 and 32 weeks after delivery. Depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS) and the structured Diagnostic Interview for Genetic Studies (DIGS). The brief Coping Orientation for Problem Experiences (COPE) scale was used to measure coping strategies 2-3 days postpartum. Some coping strategies differentiate between women with and without postpartum depression. A logistic regression analysis was used to explore the relationships between the predictors of coping strategies and major depression (according to DSM-IV criteria). In this model, the predictor variables during the first 32 weeks were self-distraction (OR 1.18, 95 % CI 1.04-1.33), substance use (OR 0.58, 95 % CI 0.35-0.97), and self-blame (OR 1.18, 95 % CI 1.04-1.34). In healthy women with no psychiatric history, some passive coping strategies, both cognitive and behavioral, are predictors of depressive symptoms and postpartum depression and help differentiate between patients with and without depression.

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Section: Clinical Assessmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Coping strategies for postpartum depression: a multi-centric study of 1626 women

Gutiérrez-Zotes

Labad

Martín‐Santos

et al. 2015

Arch Womens Ment Health

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“…Social support has been described as a buffer to stressful life events, enhancing the mother’s self-esteem and self-efficacy and aiding in the transition to motherhood, consequently promoting healthy child development [49, 50]. Social support refers to emotional, affirmational, informational and instrumental assistance, from social relationships including partners [51].…”

Section: Introductionmentioning

confidence: 99%

Maternal sensitivity and social support protect against childhood atopic dermatitis

Létourneau

Kozyrskyj

Cosic

et al. 2017

Allergy Asthma Clin Immunol

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BackgroundMany studies have identified associations between qualities of maternal–child relationships and childhood asthma, but few have examined associations with childhood atopic dermatitis (AD), a common precursor to asthma. Moreover, maternal psychological distress, including prenatal and postnatal depression, anxiety and stress, may increase risk, while social support from partners may reduce risk for childhood AD. We sought to uncover the association between maternal–infant relationship qualities (maternal sensitivity towards infant behavioral signals, controlling behavior, and unresponsiveness) and child AD after accounting for risk (i.e., prenatal and postnatal maternal depression, anxiety and stress) and protective (i.e., social support) factors.MethodsWe conducted a secondary analysis of data collected on a subsample of 242 women and their infants enrolled during pregnancy in the ongoing Alberta Pregnancy Outcomes and Nutrition cohort study. Inclusion criteria required mothers to be >16 years of age, English speaking and <22 weeks gestational age at enrollment. Data on depression, anxiety and stress in the prenatal and postnatal periods and physician diagnosis of childhood AD at 18 months were gathered via maternal report. Maternal sensitivity, unresponsiveness and controlling behaviours were assessed via videotaped observations using the Child-Adult Relationship Experimental (CARE)-Index at 6 months of infant age.ResultsHigher maternal sensitivity, or the inability of the mother to appropriately understand and respond to infant needs based on behavioral signals, predicted reduced odds of AD independent of and in combination with low prenatal and postnatal anxiety and high paternal support. After adjustment, higher maternal controlling behaviours and unresponsiveness also predicted greater odds of AD.ConclusionsLow maternal sensitivity is a risk factor for childhood AD, independently and in combination with perinatal anxiety and low social support. Thus, interventions that improve maternal–infant relationship quality, especially sensitivity, reduce anxiety and improve social support from partners could reduce odds of childhood AD.

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“…Women who perceive sufficient social support normally have better coping behaviors, as well as higher personal competence, sense of stability, and self-esteem. In addition, social support has been reported to reduce the incidence of depression and anxiety in women (13).…”

Section: Introductionmentioning

confidence: 99%

Social support in the pregnant and non-pregnant women and its associated dimensions

Najmeh

Nazari

Shayeghian

et al. 2016

J Nurs Midwifery Sci

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Background and Purpose: Social support is considered as a facilitator of health behaviors in women. This study aimed to evaluate and compare the status of social support and its associated dimensions in pregnant and non-pregnant women. Methods: This analytical study was conducted on 310 pregnant and non-pregnant women referring to the health-care centers of Zarqan city in Shiraz, Iran in 2011. Participants were selected via convenience sampling. Data collection tools included demographic questionnaire and Social Support Appraisals (SS-A) scale. Data analysis was performed in SPSS V.16 using descriptive (frequency, percentage, mean, and standard deviation) and inferential statistics (Chi-square, T-test, and Pearson's and Spearman's correlationcoefficient). Results: In non-pregnant women, mean of the total social support was 40.08±2.80, and mean scores of support from friends, spouse, family and others were 12.08±1.33, 14.02±1.56, 14.53±0.96 and 13.54±1.09 respectively. Among pregnant women these values were 39.52±2.85, 11.72±1.59, 14.54±1.12, 14.38±1.06 and 13.41±1.18, respectively. The total support and support from friends were significantly higher in non-pregnant women compared to pregnant women (P = 0.05 and P = 0.03, respectively). On the other hand, support from the spouse was significantly higher in pregnant women compared to non-pregnant women (P = 0.01). Moreover, a significant correlation was observed between the total scores of social support and employment status of spouse among pregnant women (P<0.01). Also, significant associations were found between social support and employment status of spouse (P<0.01), mother' availability (P<0.05), and education status (P<0.05). Family support in pregnant women had a significant relationship with the employment status of spouse (P<0.05), father's availability (P<0.01), and mother's availability (P<0.05). In addition, there was a significant correlation between the social support from others and employment status of the pregnant women (P<0.05). Conclusion: According to the results of this study, there were significant differences in the total scores of social support and mean scores of support from the spouse and friends between pregnant and non-pregnant women. It seems that physical and psychological changes during pregnancy largely influence the perception of expecting mothers towards social support.

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Maternal role development: the impact of maternal distress and social support following childbirth

Cited by 59 publications

References 39 publications

Coping strategies for postpartum depression: a multi-centric study of 1626 women

Coping strategies for postpartum depression: a multi-centric study of 1626 women

Maternal sensitivity and social support protect against childhood atopic dermatitis

Social support in the pregnant and non-pregnant women and its associated dimensions

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