The Relationship Between Maternal Postpartum Psychological State and Breast Milk Secretory Immunoglobulin A Level
Open accessAbstract
BACKGROUND: Maternal psychological state may influence the passive transfer of immune factors (e.g., immunoglobulin) via the mother’s breast milk. OBJECTIVE: The aim of this study was to determine whether a correlation exists between mothers’ postpartum psychological state and their breast milk secretory immunoglobulin A (SIgA) levels. STUDY DESIGN: Eighty-one mothers who delivered at an urban general hospital were included in our analysis. Two weeks after delivery, we measured their breast milk SIgA levels and simultaneously documented their psychological state using the Profile of Mood States (POMS), General Health Questionnaire (GHQ), and State-Trait Anxiety Inventory (STAI) scales. RESULTS: Breast milk SIgA levels were negatively correlated with negative POMS states (tension-anxiety, depression-dejection, anger-hostility, fatigue, and confusion). A negative correlation was also observed between SIgA levels and GHQ mental health ( r = −.625, P = .000), and a similar negative correlation was observed with STAI trait and state anxieties. However, no correlation existed between breast milk SIgA levels and the positive POMS state (vigor). CONCLUSIONS: These results indicate that the maternal psychological state may affect the immune properties of breast milk.
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Kawano and Emori identified weak negative correlations between breast milk secretory immunoglobulin A levels and all negative POMS states.
“Kawano and Emori32 identified weak negative correlations between breast milk secretory immunoglobulin A levels (breast milk SigA level) and all negative profile of mood states (POMS: tension–anxiety, depression–dejection, anger–hostility, fatigue, and confusion); however, there was no correlation between breast milk SigA level and positive POMS state.”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [32]
There was no correlation between breast milk SigA level and positive POMS state.
“Kawano and Emori32 identified weak negative correlations between breast milk secretory immunoglobulin A levels (breast milk SigA level) and all negative profile of mood states (POMS: tension–anxiety, depression–dejection, anger–hostility, fatigue, and confusion); however, there was no correlation between breast milk SigA level and positive POMS state.”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [32]
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- Authors
- Kawano, A., & Emori, Y.
- Affiliations
- University of Tsukuba (JP)
- Venue
- Journal of the American Psychiatric Nurses Association
- Publisher
- SAGE Publications
- Published
- 2015-01
- Volume
- 21
- Issue
- 1
- Pages
- 23-30
- ISSN
- 1078-3903 (ISSN-L)
- 1532-5725
- OpenAlex
- W2153245780
- Cited by
- 57
- References
- 55
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 4 · 2023: 7 · 2022: 9 · 2021: 10 · 2020: 4 · 2019: 10 · 2018: 1 · 2017: 2 · 2016: 1
- FWCI
- 1.05
- Type
- journal article
- Language
- en
- Open access
- Locations
- Journal of the American Psychiatric Nurses Association (publishedVersion)
- PubMed (publishedVersion)
- Institutional Repositories DataBase (IRDB) (acceptedVersion)
- Terrestrial Environment Research Center (University of Tsukuba) (submittedVersion, cc-by-nc-nd)
- Funders
- Japan Society for the Promotion of Science (15K11655, 24792485)
- Topics
- Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
- Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- breast milk, secretory IgA, maternal mental health, anxiety, depression, mood states, passive transfer
- MeSH terms
- Adult, Mental Disorders, Emotions, Female, Humans, Immunoglobulin A, Secretory, Japan, Milk, Human, Mothers, Stress, Psychological, Depression, Postpartum, Postpartum Period
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