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BMC Pediatrics
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Open Access 01-12-2024 | Postpartum Depression | Research

Effects of postpartum PTSD on maternal mental health and child socioemotional development - a two-year follow-up study

Authors: Anna Suarez, Vera Yakupova

Published in: BMC Pediatrics | Issue 1/2024

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Abstract

Background

Postpartum posttraumatic stress disorder (PP-PTSD) is a prevalent, yet often unrecognized mental health problem, particularly in low- and middle-income countries. Moreover, the long-term effects of PP-PTSD symptoms on maternal well-being and child socioemotional development beyond the first year postpartum remain largely unknown. This study focused on the association between PP-PTSD symptoms within one year after childbirth and maternal depressive symptoms and child behavioral problems two years later.

Methods

Russian women (n = 419) completed the City Birth Trauma Scale and the Edinburgh Postnatal Depression Scale evaluating symptoms of PP-PTSD and postpartum depression (PPD) via a web-based survey. Mothers also filled in the Beck Depression Inventory that assessed their depressive symptoms and the Child Behavior Checklist that assessed child’s behavioral problems 2.24 years later.

Results

The regression analysis showed a significant association between PP-PTSD and elevated depressive symptoms 2 years later even after adjustment for PPD (β = 0.19, 95% Confidence Interval 0.11, 0.26, p < 0.01). Children of mothers with higher PP-PTSD symptoms had higher internalizing, externalizing, and total behavioral problems, independent of PPD and concurrent depressive symptoms (β > 0.12, p < 0.01 for all).

Conclusions

Childbirth-related PTSD presents risk for maternal psychological well-being and child socioemotional development beyond comorbidity with maternal depression. Raising awareness about PP-PTSD among families, communities, healthcare providers, and policymakers is essential in order to decrease stigma of childbirth-related distress, particularly, in low- and middle-income countries like Russia, improve support system during the postpartum period, promote mother–infant bonding in affected women, and, thus, prevent long-term consequences of traumatic childbirth for maternal and child mental health outcomes.

Clinical trial number

Not applicable.
Literature
1.
de Graaff LF, Honig A, van Pampus MG, Stramrood CAI. Preventing post-traumatic stress disorder following childbirth and traumatic birth experiences: a systematic review. Acta Obstet Gynecol Scand 2018, 97(6):648-656.
2.
Yildiz PD, Ayers S, Phillips L. The prevalence of posttraumatic stress disorder in pregnancy and after birth: a systematic review and Meta-analysis. J Affect Disord 2017, 208:634-645.
3.
American Psychological Association (APA) Diagnostic and Statistical Manual of Mental Disorders: Depressive Disorders; American Psychiatric Publishing, Inc. 2013; ISBN 9780890425541.
4.
5.
Garthus-Niegel S, Horsch A, Handtke E, von Soest T, Ayers S, Weidner K, Eberhard-Gran M. The impact of Postpartum Posttraumatic stress and depression symptoms on couples’ relationship satisfaction: a Population-based prospective study. Front Psychol. 2018;9. https://​doi.​org/​10.​3389/​fpsyg.​2018.​01728
6.
Delicate A, Ayers S, Easter A, McMullen S. The impact of Childbirth-related post-traumatic stress on a couple’s relationship: a systematic review and Meta-synthesis. J Reprod Infant Psychol. 2018;36:102–15.CrossRefPubMed
7.
8.
9.
10.
11.
Parfitt Y, Pike A, Ayers S. Infant Developmental outcomes: a Family systems Perspective. Infant Child Dev. 2014;23.
12.
13.
14.
Roddy Mitchell A, Gordon H, Lindquist A, Walker SP, Homer CSE, Middleton A, et al. Prevalence of Perinatal Depression in Low- and Middle-Income countries: a systematic review and Meta-analysis. JAMA Psychiatry. 2023;80(5):425–31.CrossRefPubMedPubMedCentral
15.
16.
17.
Yakupova V, Suarez A, Shraibman L. Socioeconomic risk factors for postpartum depression and postpartum post-traumatic stress disorder. Russian Psychol J. 2023;20(1):182–201.
18.
Ahsan A, Nadeem A, Habib A, Basaria AAA, Tariq R, Raufi N. Post-traumatic stress disorder following childbirth: a neglected cause. Front Glob Womens Health. 2023;4:1273519.CrossRefPubMedPubMedCentral
19.
Yakupova V, Suarez A. Postpartum PTSD and birth experience in russian-speaking women. Midwifery. 2022;112:103385.CrossRefPubMed
20.
21.
Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry J Ment Sci. 1987;150:782–6.CrossRef
22.
Yakupova VA. The impact of psychological and physiological conditions of motherhood on postnatal depression. (in Russ). Russ J Psychol. 2018;15(1):8–23.
23.
Beck AT, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. San Antonio, TX, USA: Psychological Corporation; 1996.
24.
Zlobina MV, Pervushina ON. Analysis of two Depression questionnaires PHQ-9 and BDI-II. Reflexio. 2018;11:83–98.CrossRef
25.
Achenbach T, Rescorla L. Manual for the ASEBA Preschool forms & profiles. Burlingt Univ Vt Res Cent Child Youth Fam; 2000.
26.
Kolmagorova AV, Slobodskaya ER, Kinsht IA. Evaluation of Psychological Health at Early Age. Bull Sib Dep Russ Acad Sci. 2007; (3); 46–52.
27.
Corp IBM. IBM SPSS Statistics for Macintosh. Armonk, NY: IBM Corp; 2020.
28.
Ayers S, Bond R, Bertullies S, Wijma K. The aetiology of post-traumatic stress following childbirth: a meta-analysis and theoretical framework. Psychol Med. 2016;46(6):1121–34.CrossRefPubMed
29.
30.
Söderquist J, Wijma B, Thorbert G, Wijma K. Risk factors in pregnancy for post-traumatic stress and depression after childbirth. BJOG Int J Obstet Gynaecol. 2009;116(5):672–80.CrossRef
31.
32.
Suarez A, Shraibman L, Yakupova V. Long-Term effects of maternal depression during Postpartum and Early Parenthood Period on Child Socioemotional Development. Child Basel Switz. 2023;10(10):1718.
33.
Dekel S. A call for a formal diagnosis for childbirth-related PTSD. Nat Ment Health. 2024;2(3):259–60.CrossRef
34.
Almazova ОV, Azimzade АА, Gavrilova МV, Babayev МА. Modern motherhood in rural areas of Azerbaijan: career, family and values of upbringing. Russ Psychol J. 2022;19(4):6–22.
35.
Gurieva SD, Kazantseva TV, Mararitsa LV, Gundelakh OE. Social Perceptions of Gender Differences and the subjective significance of the gender inequality issue. Psychol Russ 2022;15(2):65–82.
36.
Kalindi AM, Houle B, Smyth BM, Chisumpa VH. Gender inequities in women’s access to maternal health care utilisation in Zambia: a qualitative analysis. BMC Pregnancy Childbirth. 2023;23(1):755.CrossRefPubMedPubMedCentral
37.
Garthus-Niegel S, Ayers S, Martini J, von Soest T, Eberhard-Gran M. The impact of postpartum post-traumatic stress disorder symptoms on child development: a population-based, 2-year follow-up study. Psychol Med. 2017;47(1):161–70.CrossRefPubMed
38.
Bosquet Enlow M, Kitts RL, Blood E, Bizarro A, Hofmeister M, Wright RJ. Maternal posttraumatic stress symptoms and infant emotional reactivity and emotion regulation. Infant Behav Dev. 2011;34(4):487–503.CrossRefPubMed
39.
Van Sieleghem S, Danckaerts M, Rieken R, Okkerse JME, de Jonge E, Bramer WM, et al. Childbirth related PTSD and its association with infant outcome: a systematic review. Early Hum Dev. 2022;174:105667.CrossRefPubMed
40.
Krol KM, Grossmann T. Psychological effects of breastfeeding on children and mothers. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2018;61(8):977–85.CrossRefPubMedPubMedCentral
41.
Winston R, Chicot R. The importance of early bonding on the long-term mental health and resilience of children. Lond J Prim Care. 2016;8(1):12–4.CrossRef
42.
Korja R, McMahon C. Maternal prenatal mood problems and lower maternal emotional availability associated with lower quality of child’s emotional availability and higher negative affect during still-face procedure. Infancy off J Int Soc Infant Stud. 2021;26(6):901–19.
43.
Bernier A, Tarabulsy GM, Cyr C, Matte-Gagné C. Further evidence for the multidimensional nature of maternal sensitivity: differential links with child socioemotional functioning at preschool age. Infancy off J Int Soc Infant Stud. 2021;26(2):238–47.
44.
Copeland A, Korja R, Nolvi S, Rajasilta O, Pulli EP, Kumpulainen V, et al. Maternal sensitivity at the age of 8 months associates with local connectivity of the medial prefrontal cortex in children at 5 years of age. Front Neurosci. 2022;16:920995.CrossRefPubMedPubMedCentral
45.
Perry RE, Blair C, Sullivan RM. Neurobiology of infant attachment: attachment despite adversity and parental programming of emotionality. Curr Opin Psychol. 2017;17:1–6.CrossRefPubMedPubMedCentral
46.
McDonald SW, Kehler HL, Tough SC. Protective factors for child development at age 2 in the presence of poor maternal mental health: results from the all our babies (AOB) pregnancy cohort. BMJ Open. 2016;6(11):e012096.CrossRefPubMedPubMedCentral
47.
Yan Z, Yu S, Lin W. Parents’ perceived social support and children’s mental health: the chain mediating role of parental marital quality and parent–child relationships. Curr Psychol. 2024;43(5):4198–210.CrossRef
48.
Erickson N, Julian M, Muzik M. Perinatal depression, PTSD, and trauma: impact on mother-infant attachment and interventions to mitigate the transmission of risk. Int Rev Psychiatry Abingdon Engl. 2019;31(3):245–63.CrossRef
49.
Bahari S, Nourizadeh R, Esmailpour K, Hakimi S. The Effect of supportive counseling on Mother psychological reactions and mother-infant Bonding following traumatic childbirth. Issues Ment Health Nurs. 2022;43(5):447–54.CrossRefPubMed
50.
Kahalon R, Preis H, Benyamini Y. Mother-infant contact after birth can reduce postpartum post-traumatic stress symptoms through a reduction in birth-related fear and guilt. J Psychosom Res. 2022;154:110716.CrossRefPubMed
51.
Huffhines L, Coe JL, Busuito A, Seifer R, Parade SH. Understanding links between maternal perinatal posttraumatic stress symptoms and infant socioemotional and physical health. Infant Ment Health J. 2022;43(3):474–92.CrossRefPubMedPubMedCentral
52.
Mughal MK, Giallo R, Arshad M, Arnold PD, Bright K, Charrois EM, et al. Trajectories of maternal depressive symptoms from pregnancy to 11 years postpartum: findings from Avon Longitudinal Study of parents and children (ALSPAC) cohort. J Affect Disord. 2023;328:191–9.CrossRefPubMed
53.
Horsch A, Garthus-Niegel S, Ayers S, Chandra P, Hartmann K, Vaisbuch E, et al. Childbirth-related posttraumatic stress disorder: definition, risk factors, pathophysiology, diagnosis, prevention, and treatment. Am J Obstet Gynecol. 2024;230(3S):S1116–27.CrossRefPubMed
54.
Almeida IL, de Rego L, Teixeira JF, Moreira ACG. MR. Social isolation and its impact on child and adolescent development: a systematic review. Rev Paul Pediatr 2021; 40:e2020385.
55.
Humphreys KL, LeMoult J, Wear JG, Piersiak HA, Lee A, Gotlib IH. Child maltreatment and depression: a meta-analysis of studies using the Childhood Trauma Questionnaire. Child Abuse Negl. 2020;102:104361.CrossRefPubMedPubMedCentral
56.
Ayers S, Horsch A, Garthus-Niegel S, Nieuwenhuijze M, Bogaerts A, Hartmann K, et al. Traumatic birth and childbirth-related post-traumatic stress disorder: International expert consensus recommendations for practice, policy, and research. Women Birth. 2024;37(2):362–7.CrossRefPubMed
57.
Altuntuğ K, Kiyak S, Ege E. Relationship between birth memories and recall and perception of traumatic birth in women in the postpartum one-year period and affecting factors. Curr Psychol N B Nj. 2023; 15:1–9.
58.
Simkin P. Just another day in a woman’s life? Women’s long-term perceptions of their first birth experience. Part I. Birth Berkeley Calif. 1991;18(4):203–10.CrossRefPubMed
59.
Metadata
Title
Effects of postpartum PTSD on maternal mental health and child socioemotional development - a two-year follow-up study
Authors
Anna Suarez
Vera Yakupova
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2024
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-024-05282-0

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