Maternal attachment state of mind moderates the impact of postnatal depression on infant attachment
Abstract
BACKGROUND: Empirical studies have revealed a significant, but modest association between maternal depression and insecure mother-child attachment. Across studies, however, a substantial number of mothers with depression are able to provide a sensitive caretaking environment for their children. This paper aimed to explore whether a mother's own state of mind regarding attachment moderated the association between postpartum depression and insecure mother-child attachment. METHODS: Mothers (n = 111), mainly middle-class mothers, and their infants participated in a longitudinal study of postnatal depression, maternal attachment state of mind and child attachment. Depression was assessed using a diagnostic interview (at 4 and 12 months) and symptom checklists (at 4, 12 and 15 months). The Adult Attachment Interview was conducted at 12 months and the Strange Situation procedure at 15 months. RESULTS: Mothers diagnosed as depressed were more likely to have an insecure state of mind regarding attachment. Infants of chronically depressed mothers were more likely to be insecurely attached; however, the relationship between maternal depression and child attachment was moderated by maternal attachment state of mind. CONCLUSIONS: Results are discussed with reference to resiliency factors for women with postnatal depression and implications for intervention.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Mothers who were diagnosed as depressed were more likely to have an insecure state of mind regarding attachment and had more negative perceptions of their relationship with their infant than nondepressed mothers.
“mothers who were diagnosed as depressed were more likely to have an insecure state of mind regarding attachment; they had more negative perceptions of their relationship with their infant than nondepressed mothers.54,64”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [64]
Postnatal depressive symptoms were not related to attachment insecurity or disorganization at 14 months.
“Two studies showed that postnatal depressive symptoms were not related to attachment insecurity106 or disorganization64,106 at 14 months.”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [64]
Chronically depressed mothers were more likely to be classified as feeling insecure about their attachment, whereas briefly depressed mothers did not differ from mothers who had never been depressed.
“chronically depressed mothers were more likely to be classified as feeling insecure about their attachment, whereas briefly depressed mothers did not differ from mothers who had never been depressed.”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [64]
Infants of chronically depressed mothers were more likely to be insecurely attached, while infants of briefly depressed mothers did not differ from infants of mothers who had never been depressed.
“infants of chronically depressed mothers were more likely to be insecurely attached, while infants of briefly depressed mothers did not differ from infants of mothers who had never been depressed.64”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [64]
Chronic maternal depression seemed to have a more serious impact on child development than transient depression.
“Some studies64,108,121 compared the impact of chronic depression versus transient depression on child development and found that chronic maternal depression seemed to have a more serious impact on child development.”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [64]
The prevalence of PPD varied among the included studies, from 2.7% in a population of Pakistani mothers at 18 months postpartum to 68.8% in a population of Australian mothers at 4 months postpartum.
“Therefore, the prevalence of PPD varied among these studies, from 2.7% in a population of Pakistani mothers at 18 months postpartum94 to 68.8% in a population of Australian mothers at 4 months postpartum.64”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [64]
Cites
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267 · see citing works
(1978) · Medical Entomology and Zoology · Cited by 12,570 · see citing works
Handbook of attachment: theory, research, and clinical applications
(1999) · Choice Reviews Online · doi:10.5860/choice.37-1841 · Cited by 5,386 · see citing works
Goodman, S. H., & Gotlib, I. H. (1999) · Psychological Review · doi:10.1037/0033-295x.106.3.458 · Cited by 2,493 · see citing works
Children of depressed parents: An integrative review.
Downey, G., & Coyne, J. C. (1990) · Psychological Bulletin · doi:10.1037/0033-2909.108.1.50 · Cited by 2,363 · see citing works
Attachment in the preschool years: Theory, research, and intervention.
Greenberg, M. T., Cicchetti, D., & Cummings, E. M. (1990) · University of Chicago Press eBooks · Cited by 2,161 · see citing works
Less is more: meta-analyses of sensitivity and attachment interventions in early childhood
Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., & Juffer, F. (2003) · Psychological Bulletin · doi:10.1037/0033-2909.129.2.195 · Cited by 1,883 · see citing works
Disorganized attachment in early childhood: Meta-analysis of precursors, concomitants, and sequelae
VAN IJZENDOORN, M. H., SCHUENGEL, C., & BAKERMANS–KRANENBURG, M. J. (1999) · Development and Psychopathology · doi:10.1017/s0954579499002035 · Cited by 1,625 · see citing works
Postpartum Depression and Child Development
Tully, E. M. (1998) · Psychiatric Services · doi:10.1176/ps.49.5.707 · Cited by 654 · see citing works
Martins, C., & Gaffan, E. A. (2000) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00661 · Cited by 638 · see citing works
THE COMPOSITE INTERNATIONAL DIAGNOSTIC INTERVIEW (CIDI)
Robins, L. N. (1994) · IX World Congress of Psychiatry · doi:10.1142/9789814440912_0056 · Cited by 574 · see citing works
CARTER, A. S., GARRITY-ROKOUS, F. E., CHAZAN-COHEN, R., LITTLE, C., & BRIGGS-GOWAN, M. J. (2001) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200101000-00012 · Cited by 537 · see citing works
Murray, L., Cooper, P., Wilson, A., & Romaniuk, H. (2003) · The British Journal of Psychiatry · doi:10.1192/bjp.182.5.420 · Cited by 519 · see citing works
Teti, D. M., Gelfand, D. M., Messinger, D. S., & Isabella, R. (1995) · Developmental Psychology · doi:10.1037/0012-1649.31.3.364 · Cited by 506 · see citing works
Development, N. I. O. C. H. &. H. (1999) · Developmental Psychology · doi:10.1037/0012-1649.35.5.1297 · Cited by 466 · see citing works
Attachment organization and treatment use for adults with serious psychopathological disorders
Dozier, M. (1990) · Development and Psychopathology · doi:10.1017/s0954579400000584 · Cited by 330 · see citing works
Adult Attachment, Parent Emotion, and Observed Parenting Behavior: Mediator and Moderator Models
Adam, E. K., Gunnar, M. R., & Tanaka, A. (2004) · Child Development · doi:10.1111/j.1467-8624.2004.00657.x · Cited by 271 · see citing works
Earned–Secure Attachment Status in Retrospect and Prospect
Roisman, G. I., Padrón, E., Sroufe, L. A., & Egeland, B. R. (2002) · Child Development · doi:10.1111/1467-8624.00467 · Cited by 247 · see citing works
Pearson, J. L., Cohn, D. A., Cowan, P. A., & Cowan, C. P. (1994) · Development and Psychopathology · doi:10.1017/s0954579400004636 · Cited by 216 · see citing works
Lyons-Ruth, K., Repacholi, B., McLeod, S., & Silva, E. (1991) · Development and Psychopathology · doi:10.1017/s0954579400007586 · Cited by 215 · see citing works
Cicchetti, D., Toth, S. L., & Rogosch, F. A. (1999) · Attachment & Human Development · doi:10.1080/14616739900134021 · Cited by 214 · see citing works
Bifulco, A. T., Figueiredo, B., Guédeney, N., Gorman, L., Hayes, S. L., Muzik, M., Glatigny-Dallay, É., Valoriani, V., Kammerer, M. H., & Henshaw, C. A. (2004) · The British Journal of Psychiatry · doi:10.1192/bjp.184.46.s31 · Cited by 171 · see citing works
McMahon, C. A., Barnett, B. E. W., Kowalenko, N., & Tennant, C. (2004) · Journal of Affective Disorders · doi:10.1016/j.jad.2004.05.005 · Cited by 165 · see citing works
Self-citationAttachment insecurity, depression, and the transition to parenthood
Feeney, J. A., Alexander, R., Noller, P., & Hohaus, L. (2003) · Personal Relationships · doi:10.1046/j.1475-6811.2003.00061.x · Cited by 165 · see citing works
Earned security, daily stress, and parenting: A comparison of five alternative models
PHELPS, J. L., Belsky, J., & Crnic, K. A. (1998) · Development and Psychopathology · doi:10.1017/s0954579498001515 · Cited by 164 · see citing works
Davies, P. T., Harold, G. T., Goeke‐Morey, M. C., Cummings, E. M., Shelton, K. H., & Rasi, J. A. (2002) · Monographs of the Society for Research in Child Development · doi:10.1111/1540-5834.00207 · Cited by 160 · see citing works
Postnatal Depression, Anxiety and Unsettled Infant Behaviour
McMahon, C. A., Barnett, B. E. W., Kowalenko, N., Tennant, C., & Don, N. (2001) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/0004867010060505 · Cited by 152 · see citing works
Self-citationBefriending as an intervention for chronic depression among women in an inner city
Harris, T., Brown, G. W., & Robinson, R. (1999) · The British Journal of Psychiatry · doi:10.1192/bjp.174.3.219 · Cited by 149 · see citing works
Paley, B., Cox, M. J., Burchinal, M., & Payne, C. C. (1999) · Journal of Family Psychology · doi:10.1037/0893-3200.13.4.580 · Cited by 143 · see citing works
Crockenberg, S., & Leerkes, E. M. (2003) · Journal of Family Psychology · doi:10.1037//0893-3200.17.1.80 · Cited by 136 · see citing works
Outcome of patients with chronic affective disorder: a five-year follow- up
Coryell, W. H., Endicott, J., & Keller, M. B. (1990) · American Journal of Psychiatry · doi:10.1176/ajp.147.12.1627 · Cited by 125 · see citing works
Implications of Attachment Theory and Research for Developmental-Behavioral Pediatrics
Carlson, E. A., Sampson, M. C., & Sroufe, L. A. (2003) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/00004703-200310000-00010 · Cited by 118 · see citing works
Lyons‐Ruth, K., Lyubchik, A., Wolfe, R., & Bronfman, E. T. (2002) · American Psychological Association eBooks · doi:10.1037/10449-004 · Cited by 113 · see citing works
Crockenberg, S., & Leerkes, E. M. (2003) · Journal of Family Psychology · doi:10.1037/0893-3200.17.1.80 · Cited by 96 · see citing works
Enlow, M. B., & Egeland, B. R. (2001) · Attachment & Human Development · doi:10.1080/14616730010058007 · Cited by 84 · see citing works
Lara, M. E. (1999) · Clinical Psychology Review · doi:10.1016/s0272-7358(98)00066-x · Cited by 75 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes
Slomian, J., Honvo, G., Emonts, P., Reginster, J.-Y., & Bruyère, O. (2019) · Women's Health · doi:10.1177/1745506519844044 · Cited by 1,496 · see citing works
Magnitude and risk factors for postpartum symptoms: A literature review
Norhayati, M. N., Nik Hazlina, N. H., Asrenee, A. R., & Wan Emilin, W. M. A. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.12.041 · Cited by 816 · see citing works
Verhage, M. L., Schuengel, C., Madigan, S., Fearon, R. M. P., Oosterman, M., Cassibba, R., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2016) · Psychological Bulletin · doi:10.1037/bul0000038 · Cited by 550 · see citing works
Group-based parent training programmes for improving parental psychosocial health
Barlow, J., Smailagic, N., Huband, N., Roloff, V., & Bennett, C. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002020.pub3 · Cited by 262 · see citing works
Smorti, M., Ponti, L., & Pancetti, F. (2019) · Frontiers in Public Health · doi:10.3389/fpubh.2019.00295 · Cited by 119 · see citing works
Lefkovics, E., Baji, I., & Rigó, J. (2014) · Infant Mental Health Journal · doi:10.1002/imhj.21450 · Cited by 118 · see citing works
Heh, S., Huang, L., Ho, S., Fu, Y., & Wang, L. (2008) · Birth · doi:10.1111/j.1523-536x.2007.00192.x · Cited by 92 · see citing works
Tharner, A., Luijk, M. P. C. M., van IJzendoorn, M. H., Bakermans-Kranenburg, M. J., Jaddoe, V. W. V., Hofman, A., Verhulst, F. C., & Tiemeier, H. (2012) · Attachment & Human Development · doi:10.1080/14616734.2012.636659 · Cited by 69 · see citing works
Eastwood, J., Jalaludin, B., Kemp, L., Phung, H., Barnett, B., & Tobin, J. (2013) · Brain and Behavior · doi:10.1002/brb3.107 · Cited by 40 · see citing works
Al‐Maharma, D. Y., Abujaradeh, H., Mahmoud, K. F., & Jarrad, R. A. (2016) · Infant Mental Health Journal · doi:10.1002/imhj.21570 · Cited by 33 · see citing works
Olhaberry, M., José Leòn, M., Seguel, M., & Mena, C. (2015) · Research in Psychotherapy: Psychopathology, Process and Outcome · doi:10.4081/ripppo.2015.177 · Cited by 19 · see citing works
Fischer-Kern, M., Tmej, A., Naderer, A., Zimmermann, J., & Nolte, T. (2022) · Attachment & Human Development · doi:10.1080/14616734.2021.2015794 · Cited by 14 · see citing works
- Authors
- McMahon, C. A., Barnett, B., Kowalenko, N. M., & Tennant, C. C.
- Affiliations
- Macquarie University (AU)
- Sydney South West Area Health Service (AU)
- The University of Sydney (AU)
- Corresponding author
- McMahon, Catherine A.
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2005-09-28
- Volume
- 47
- Issue
- 7
- Pages
- 660-669
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- OpenAlex
- W1967304623
- Cited by
- 197
- References
- 36
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 5 · 2023: 7 · 2022: 9 · 2021: 11 · 2020: 14 · 2019: 9 · 2018: 8 · 2017: 9 · 2016: 13 · 2015: 16 · 2014: 16 · 2013: 11 · 2012: 13
- FWCI
- 5.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- postpartum depression, infant attachment, insecure attachment, mother-infant relationship, Adult Attachment Interview, Strange Situation Procedure, moderation, maternal depression, resilience
- MeSH terms
- Adult, Chronic Disease, Demography, Female, Follow-Up Studies, Humans, Infant, Newborn, Interview, Psychological, Mother-Child Relations, Object Attachment, Severity of Illness Index, Depression, Postpartum
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review