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The role of maternal depressed mood and behavioural soothing on infant response to routine vaccination
Abstract
BACKGROUND: It has been hypothesized that maternal characteristics may affect infants' experience of pain during stressful medical procedures. AIM: To investigate the role of maternal depressed mood on infants' response to vaccination, and to determine the effectiveness of different soothing behaviours in reducing infant distress. METHODS: Twenty-eight mothers and their healthy, full-term infants participated in a prospective study. At infant age 2 mo, mothers completed the Edinburgh Postnatal Depression Scale (EPDS) and an adapted version of the Profile of Mood States (POMS); at infant age 4.5 mo, mothers were administered the mood scale and were observed with their infants during routine vaccination. RESULTS: Higher levels of maternal depressed mood were predictive of a stronger infant pain response at routine vaccination. Contingencies derived from sequential analyses revealed that the soothing behaviours most effective in reducing infant distress were holding and face-to-face contact, whereas looking at the child from a distance was significantly associated with an increase in infant distress. CONCLUSION: Our findings suggest that interventions to reduce infant pain during stressful medical procedures may include early detection and referral for maternal postpartum depression as well as the promotion of soothing behaviours involving close physical and emotional contact between mother and baby.
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Infants of depressed mothers had a stronger pain response during routine vaccinations.
“Two studies reported greater overall pain in the infants of depressed mothers48 and a stronger infant pain response during routine vaccinations.123”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [123]
Citations
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Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes
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A relação entre fatores maternos e a resposta à dor e ao estresse do prematuro em posição canguru
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A relação entre fatores maternos e a resposta à dor e ao estresse do prematuro em posição canguru
Preto, E. D. E. D. R. (2010)
Metadata
- Authors
- MOSCARDINO, U., AXIA, G., & ALTOÈ, G.
- Affiliations
- University of Padua (IT)
- Corresponding author
- MOSCARDINO, UGHETTA
- Venue
- Acta Paediatrica
- Publisher
- Wiley
- Published
- 2006-12
- Volume
- 95
- Issue
- 12
- Pages
- 1680-1684
- ISSN
- 0365-1436 (ISSN-L)
- 0803-5253
- 1651-2227
- OpenAlex
- W2037117499
- Cited by
- 13
- References
- 19
- Citations by year
- 2020: 2 · 2019: 1 · 2018: 1 · 2017: 1 · 2013: 1 · 2012: 1
- FWCI
- 0.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Paediatrica (publishedVersion)
- PubMed (publishedVersion)
- Padua Research Archive (University of Padova) (submittedVersion)
- Funders
- University of Connecticut
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Health and Development
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- postpartum depression, routine immunization, infant distress, mother-infant interaction, postpartum depression screening
- MeSH terms
- Adult, Female, Humans, Infant, Italy, Male, Maternal Behavior, Mother-Child Relations, Pain, Prospective Studies, Surveys and Questionnaires, Stress, Psychological, Vaccination, Infant Behavior, Depression, Postpartum
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