Cited by 319Maternal Mental Health During Pregnancy and PostpartumInfant Development and Preterm CareChild and Adolescent Psychosocial and Emotional Development

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Maternal Depressive Symptoms at 2 to 4 Months Post Partum and Early Parenting Practices

McLearn, Kathryn Taaffe, Minkovitz, Cynthia S., Strobino, Donna M., Marks, Elisabeth, Hou, William·2006·Archives of Pediatrics & Adolescent Medicine

DOI 10.1001/archpedi.160.3.279

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Abstract

OBJECTIVE: To determine whether maternal depressive symptoms, reported when infants are 2 to 4 months old, are associated with mothers' early parenting practices. DESIGN: Secondary data analyses collected from the National Evaluation of Healthy Steps for Young Children. Data sources included newborn enrollment questionnaires and parent interviews when infants were 2 to 4 months old. Maternal depressive symptoms were assessed using the Center for Epidemiological Studies Depression Scale. SETTING: Twenty-four pediatric practices across the United States. PARTICIPANTS: A total of 5565 families enrolled in Healthy Steps; 4874 mothers (88%) completed 2- to 4-month interviews and provided Center for Epidemiologic Studies Depression Scale data; 17.8% of mothers reported having depressive symptoms. MAIN OUTCOME MEASURES: Ten parenting practices assessed in 3 domains: safety (sleep position and lowering water temperature), feeding (cereal, water, or juice; continuing breastfeeding), and practices to promote child development (showing books, playing with infant, talking to infant, and following 2 or more routines). RESULTS: Mothers with and without depressive symptoms reported similar uses of safety and feeding practices. Mothers with depressive symptoms had reduced odds of continuing breastfeeding (adjusted odds ratio [AOR], 0.73; 95% confidence interval [CI], 0.61-0.88), showing books (AOR, 0.81; 95% CI, 0.68-0.97), playing with the infant (AOR, 0.70; 95% CI, 0.54-0.90), talking to the infant (AOR, 0.74; 95% CI, 0.63-0.86), and following routines (AOR, 0.61; 95% CI, 0.52-0.72). CONCLUSION: Maternal depressive symptoms are common in early infancy and contribute to unfavorable parenting practices.

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Authors: McLearn, K. T., Minkovitz, C. S., Strobino, D. M., Marks, E., & Hou, W.
Affiliations: Columbia University (US)
Johns Hopkins University (US)
Université de Montréal (CA)
ORCID: Minkovitz, Cynthia S.
Venue: Archives of Pediatrics & Adolescent Medicine
Publisher: American Medical Association (AMA)
Published: 2006-03-01
Volume: 160
Issue: 3
Pages: 279
ISSN: 1072-4710 (ISSN-L)
DOI: 10.1001/archpedi.160.3.279
OpenAlex: W2137918531
Cited by: 319
References: 51
Citations by year: 2026: 5 · 2025: 9 · 2024: 17 · 2023: 8 · 2022: 18 · 2021: 14 · 2020: 10 · 2019: 17 · 2018: 15 · 2017: 18 · 2016: 17 · 2015: 19 · 2014: 18 · 2013: 17 · 2012: 26
FWCI: 19.33
Type: journal article
Language: en
Open access: closed
Locations: Archives of Pediatrics and Adolescent Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: Commonwealth Fund
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords: maternal depressive symptoms, postpartum depression, infant sleep safety, infant feeding practices, breastfeeding, infant stimulation
MeSH terms: Adult, Age Factors, Female, Humans, Infant, Newborn, Mother-Child Relations, Mothers, Surveys and Questionnaires, Severity of Illness Index, Time Factors, Parenting, Depression, Postpartum

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Maternal Depressive Symptoms at 2 to 4 Months Post Partum and Early Parenting Practices

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