Impact of parental perinatal depressive and anxiety symptoms trajectories on early parent‑infant impaired bonding: a cohort study in east and west coasts of Malaysia

Nasreen, Hashima E and Pasi, Hafizah and Md Aris, Mohd Aznan and Ab Rahman, Jamalludin and Mohd Rus, Razman and Edhborg, Maigun (2021) Impact of parental perinatal depressive and anxiety symptoms trajectories on early parent‑infant impaired bonding: a cohort study in east and west coasts of Malaysia. Archives of Women’s Mental Health. ISSN 1434-1816 E-ISSN 1435-1102 (In Press)

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Abstract

The association between maternal depressive and anxiety symptoms and impaired bonding with infants were widely studied, but not in fathers and none in Malaysia. We investigated the impact of different trajectories of perinatal depressive and anxiety symptoms on parent-infant impaired bonding during 2–3 months postpartum in both mothers and fathers in two areas of Malaysia. This study originated from a psychiatric morbidity cohort study carried out in health clinics in east and west Malaysia. Edinburgh Postnatal Depression Scale and anxiety subscale of Depression, Anxiety, and Stress Scale at late pregnancy and 2–3 months postpartum and Postpartum Bonding Questionnaire were completed by 566 mothers and 457 fathers. About 11.7% mothers and 16.1% fathers reported depressive symptoms during pregnancy, 6.5% mothers and 10.5% fathers during 2–3 months postpartum, and 3–4% mothers and fathers both depressive and anxiety symptoms 2–3 months postpartum. The mean impaired bonding score was highest in mothers and fathers who had both depressive and anxiety symptoms 2–3 months postpartum. Impaired bonding is associated with higher EPDS and DASS (anxiety subscale) scores 2–3 months postpartum in both parents. Physical partner violence and deteriorated marital relationship were associated with increased risk of impaired bonding in mothers. The association between depressive, anxiety, and comorbidity of depressive and anxiety symptoms in both mothers and fathers and parent-infant impaired bonding during 2–3 months postpartum urges for screening and treatment of depressive and anxiety symptoms in both parents during early parenthood.

Item Type:	Article (Journal)
Additional Information:	7047/91682
Uncontrolled Keywords:	Depressive symptoms, Anxiety symptom, Mothers, Fathers, Impaired bonding
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA790 Mental Health. Mental Illness Prevention
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Community Medicine (Effective: 1st January 2011) Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Depositing User:	nur hakimah a manan
Date Deposited:	25 Aug 2021 11:48
Last Modified:	07 Jul 2022 15:18
URI:	http://irep.iium.edu.my/id/eprint/91682

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