Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-28T19:53:09.054Z Has data issue: false hasContentIssue false

The Relationship between Post-natal Depression and Mother–Child Interaction

Published online by Cambridge University Press:  02 January 2018

Alan Stein*
Affiliation:
Department of Psychiatry, University of Oxford, Warneford Hospital, Headington, Oxford
Dennis H. Gath
Affiliation:
Department of Psychiatry, University of Oxford
Janet Bucher
Affiliation:
Department of Psychiatry, University of Oxford
Alison Bond
Affiliation:
Department of Psychiatry, University of Oxford
Ann Day
Affiliation:
Department of Psychiatry, University of Oxford
Peter J. Cooper
Affiliation:
Paxton House Child and Adolescent Unit, Bath Road, Reading
*
Correspondence

Abstract

The study was based on an index group of 49 mothers who had had depressive disorders in the post-natal year, and 49 control mothers who had been free from any psychiatric disorder since delivery. Nineteen months after childbirth, the interaction between mother and child was assessed by blind assessors using defined observational methods. Compared with controls, index mother-child pairs showed a reduced quality of interaction (e.g. mothers showed less facilitation of their children, children showed less affective sharing and less initial sociability with a stranger). Similar but reduced effects were seen in a subgroup of index mothers and children where the mother had recovered from depression by 19 months. Social and marital difficulties were associated with reduced quality of mother-child interaction.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Billings, A. G. & Moos, R. H. (1983) Comparisons of children of depressed and non-depressed parents: a social-environmental perspective. Journal of Abnormal Psychology, 2, 463468.Google Scholar
Bothwell, S. & Weissman, M. M. (1977) Social impairments four years after an acute depressive episode. American Journal of Orthopsychiatry, 47, 231237.Google Scholar
Cooper, P. J., Campbell, E. A., Day, A., et al (1988) Non-psychotic psychiatric disorder after childbirth: a prospective study of prevalence, incidence, course and nature. British Journal of Psychiatry, 152, 799806.CrossRefGoogle ScholarPubMed
Cox, A. D., Puckering, C., Pound, A., et al (1987) The impact of maternal depression in young children. Journal of Child Psychology and Psychiatry, 28, 917928.CrossRefGoogle ScholarPubMed
Field, T. M. (1984) Early interactions between infants and their postpartum depressed mothers. Infant Behaviour and Development, 7, 517522.Google Scholar
Frankenberg, W. K. & Dodds, J. B. (1967) The Denver developmental screening test. Journal of Pediatrics, 71, 181191.Google Scholar
Ghodsian, M., Zajicek, E., & Wolkind, S. (1984) A longitudinal study of maternal depression and child behaviour problems. Journal of Child Psychology and Psychiatry, 25, 91109.Google Scholar
Goldberg, D. P. (1972) The Detection of Psychiatric Illness by Questionnaire. London: Oxford University Press.Google Scholar
McCullagh, P. & Nelder, J. A. (1984) Generalised Linear Models (GLIM). London: Chapman & Hall.Google Scholar
Mills, M., Puckering, C. & Pound, A. (1985) What is it about depressed mothers that influences their children's functioning? In Recent Research in Developmental Psychopathology (ed. J. E. Stevenson). Oxford: Pergamon Press.Google Scholar
Montgomery, S. A. & Asberg, M. (1979) A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382389.CrossRefGoogle ScholarPubMed
Paykel, E. S., Emms, E. M., Fletcher, J., et al (1980) Life events and social support in puerpural depression. British Journal of Psychiatry, 136, 339346.Google Scholar
Pound, A., Cox, A. D., Puckering, C., et al (1985) The impact of maternal depression on young children. In Recent Research in Developmental Psychopathology (ed. J. E. Stevenson). Oxford: Pergamon Press.Google Scholar
Radke-Yarrow, M., Cummings, E. M., Kuczynski, L., et al (1985) Patterns of attachment in two- and three-year olds in normal families and families with parental depression. Child Development, 56, 884893.Google Scholar
Richman, N. (1977) Behavioural problems in pre-school children: family and social factors. British Journal of Psychiatry, 131, 523527.Google Scholar
Richman, N., Stevenson, J. & Graham, P. J. (1982) Pre-school to School. London: Academic Press.Google Scholar
Rutter, M. (1990) Psychiatric disorder in parents as a risk factor for children. Journal of the American Academy of Child Psychiatry (in press).Google Scholar
Rutter, M. & Quinton, D. (1984) Parental psychiatric disorder: effects on children. Psychological Medicine, 14, 853880.Google Scholar
Stevenson, M. B. & Lamb, M. E. (1979) Effects of infant sociability and the caretaking environment on infant cognitive performance. Child Development, 50, 340349.Google ScholarPubMed
Waters, E., Wippman, J. & Sroufe, L. A. (1979) Attachment, positive affect, and competence in the peer group: two studies in construct validation. Child Development, 50, 821829.Google Scholar
Weissman, M. M. & Paykel, E. S. (1974) The Depressed Woman: a Study of Social Relationships. Chicago: University of Chicago Press.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.