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Predictors of Infant Care Competence Among Mothers With Postpartum Depression

BACKGROUND/OBJECTIVE: Postpartum depression is linked to decreased quality mother-infant interactions and long-term negative impacts on children’s behavior and health. Infant care competence may be reduced by postpartum depression and other maternal or environmental variables. Thus, the objective of...

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Autores principales: Jones, Debbie, Letourneau, Nicole, Leger, Linda Duffett
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6435878/
https://www.ncbi.nlm.nih.gov/pubmed/30936762
http://dx.doi.org/10.1177/1179558119834910
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author Jones, Debbie
Letourneau, Nicole
Leger, Linda Duffett
author_facet Jones, Debbie
Letourneau, Nicole
Leger, Linda Duffett
author_sort Jones, Debbie
collection PubMed
description BACKGROUND/OBJECTIVE: Postpartum depression is linked to decreased quality mother-infant interactions and long-term negative impacts on children’s behavior and health. Infant care competence may be reduced by postpartum depression and other maternal or environmental variables. Thus, the objective of this study was to explain factors that contribute to perceived infant care competence among mothers with postpartum depression. METHODS: Multiple regression analysis and correlational analysis were conducted to study associations between the predictors (depression severity, social support, child development, family functioning) and the outcome of perceived infant care competence among a peer support intervention study for mothers with postpartum depression (n = 55). RESULTS: Child development, specifically communication (P = .04), gross (P = .00) and fine (P = .00) motor skills, problem solving (P = .00), and personal-social development (P = .01), explained maternal perceptions of responsiveness, an aspect of infant care competence. The best-fit model was obtained for the responsiveness subscale, in which 37% of the variance was explained by mothers’ reports of infants’ fine motor skills (P = .000) and nurturance (P = .039) as an aspect of social support and family functioning (P = .078). CONCLUSIONS: Recognition of the importance of infant development to perceived infant care competence, particularly mothers’ perceptions of infant responsiveness, may offer targets for intervention. Helping mothers identify infant cues and milestones that signal infant responsiveness may be beneficial. Moreover, social support and family functioning may be targets for intervention to promote perceived infant care competence in mothers affected by postpartum depression.
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spelling pubmed-64358782019-04-01 Predictors of Infant Care Competence Among Mothers With Postpartum Depression Jones, Debbie Letourneau, Nicole Leger, Linda Duffett Clin Med Insights Reprod Health Original Research BACKGROUND/OBJECTIVE: Postpartum depression is linked to decreased quality mother-infant interactions and long-term negative impacts on children’s behavior and health. Infant care competence may be reduced by postpartum depression and other maternal or environmental variables. Thus, the objective of this study was to explain factors that contribute to perceived infant care competence among mothers with postpartum depression. METHODS: Multiple regression analysis and correlational analysis were conducted to study associations between the predictors (depression severity, social support, child development, family functioning) and the outcome of perceived infant care competence among a peer support intervention study for mothers with postpartum depression (n = 55). RESULTS: Child development, specifically communication (P = .04), gross (P = .00) and fine (P = .00) motor skills, problem solving (P = .00), and personal-social development (P = .01), explained maternal perceptions of responsiveness, an aspect of infant care competence. The best-fit model was obtained for the responsiveness subscale, in which 37% of the variance was explained by mothers’ reports of infants’ fine motor skills (P = .000) and nurturance (P = .039) as an aspect of social support and family functioning (P = .078). CONCLUSIONS: Recognition of the importance of infant development to perceived infant care competence, particularly mothers’ perceptions of infant responsiveness, may offer targets for intervention. Helping mothers identify infant cues and milestones that signal infant responsiveness may be beneficial. Moreover, social support and family functioning may be targets for intervention to promote perceived infant care competence in mothers affected by postpartum depression. SAGE Publications 2019-03-26 /pmc/articles/PMC6435878/ /pubmed/30936762 http://dx.doi.org/10.1177/1179558119834910 Text en © The Author(s) 2019 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Jones, Debbie
Letourneau, Nicole
Leger, Linda Duffett
Predictors of Infant Care Competence Among Mothers With Postpartum Depression
title Predictors of Infant Care Competence Among Mothers With Postpartum Depression
title_full Predictors of Infant Care Competence Among Mothers With Postpartum Depression
title_fullStr Predictors of Infant Care Competence Among Mothers With Postpartum Depression
title_full_unstemmed Predictors of Infant Care Competence Among Mothers With Postpartum Depression
title_short Predictors of Infant Care Competence Among Mothers With Postpartum Depression
title_sort predictors of infant care competence among mothers with postpartum depression
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6435878/
https://www.ncbi.nlm.nih.gov/pubmed/30936762
http://dx.doi.org/10.1177/1179558119834910
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