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Open Access 22-09-2023 | Postpartum Depression | Original Article

One size doesn’t fit all: Attitudes towards work modify the relation between parental leave length and postpartum depression

Authors: Christine Y. Chang, Sabrina R. Liu, Laura M. Glynn

Published in: Archives of Women's Mental Health

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Abstract

The present study aimed to investigate the relationship between parental leave length and maternal depressive symptoms at six- and twelve-months postpartum and whether this relation was influenced by women’s attitudes towards leave, whether leave was paid or unpaid, and the reason they returned to work. The sample included 115 working women recruited during pregnancy as part of a larger longitudinal study. Analyses revealed that maternal attitudes toward leave influenced the association between leave length and depressive symptoms. Specifically, longer leaves were associated with increased depressive symptoms for women who missed their previous activities at work. Furthermore, women who missed work and had leave for 16 weeks or more, exhibited higher depressive symptoms at six- and twelve-months. Last, results also indicated that women who returned to work solely for monetary reasons exhibited more depressive symptoms at six-months postpartum than those who returned to work for other reasons. This study is among the first to show that women’s attitudes towards parental leave and their individual reasons for returning to work are important factors to consider that may have potential implications for parental leave policies.
Literature
go back to reference American College of Obstetricians and Gynecologists statement of policy: Paid parental leave (2020) ACOG. International labour standards on maternity protection. Accessed 15 Mar 2023 American College of Obstetricians and Gynecologists statement of policy: Paid parental leave (2020) ACOG. International labour standards on maternity protection. Accessed 15 Mar 2023
go back to reference Baruch GK, Biener L, Barnett RC (1987) Women and gender in research on work and family stress. Am Psychol 42:130–136 PubMedCrossRef Baruch GK, Biener L, Barnett RC (1987) Women and gender in research on work and family stress. Am Psychol 42:130–136 PubMedCrossRef
go back to reference Berger LM, Hill J, Waldfogel J (2005) Maternity leave, early maternal employment and child health and development in the US. Econ J 115(501):F29–F47 CrossRef Berger LM, Hill J, Waldfogel J (2005) Maternity leave, early maternal employment and child health and development in the US. Econ J 115(501):F29–F47 CrossRef
go back to reference Bottino MN, Nadanovsky P, Moraes CL, Reichenheim ME, Lobato G (2012) Reappraising the relationship between maternal age and postpartum depression according to the evolutionary theory: Empirical evidence from a survey in primary health services. J Affect Disord 142(1–3):219–224 PubMedCrossRef Bottino MN, Nadanovsky P, Moraes CL, Reichenheim ME, Lobato G (2012) Reappraising the relationship between maternal age and postpartum depression according to the evolutionary theory: Empirical evidence from a survey in primary health services. J Affect Disord 142(1–3):219–224 PubMedCrossRef
go back to reference Chatterji P, Markowitz S (2012) Family leave after childbirth and the mental health of new mothers. J Ment Health Policy Econ 15(2):61–76 PubMed Chatterji P, Markowitz S (2012) Family leave after childbirth and the mental health of new mothers. J Ment Health Policy Econ 15(2):61–76 PubMed
go back to reference Clark R, Hyde JS, Essex MJ, Klein MH (1997) Length of maternity leave and quality of mother-infant interactions. Child Dev 364–383 Clark R, Hyde JS, Essex MJ, Klein MH (1997) Length of maternity leave and quality of mother-infant interactions. Child Dev 364–383
go back to reference Clout D, Brown R (2016) Marital relationship and attachment predictors of postpartum stress, anxiety, and depression symptoms. J Soc Clin Psychol 35(4):322–341 CrossRef Clout D, Brown R (2016) Marital relationship and attachment predictors of postpartum stress, anxiety, and depression symptoms. J Soc Clin Psychol 35(4):322–341 CrossRef
go back to reference Da Costa D, Dritsa M, Rippen N, Lowensteyn I, Khalife S (2006) Health-related quality of life in postpartum depressed women. Arch Womens Ment Health 9(2):95–102 PubMedCrossRef Da Costa D, Dritsa M, Rippen N, Lowensteyn I, Khalife S (2006) Health-related quality of life in postpartum depressed women. Arch Womens Ment Health 9(2):95–102 PubMedCrossRef
go back to reference Dagher RK, McGovern PM, Dowd BE (2014) Maternity leave duration and postpartum mental and physical health: Implications for leave policies. J Health Polit Policy Law 39(2):369–416 PubMedCrossRef Dagher RK, McGovern PM, Dowd BE (2014) Maternity leave duration and postpartum mental and physical health: Implications for leave policies. J Health Polit Policy Law 39(2):369–416 PubMedCrossRef
go back to reference Darcy JM, Grzywacz JG, Stephens RL, Leng I, Clinch CR, Arcury TA (2011) Maternal depressive symptomatology: 16-month follow-up of infant and maternal health-related quality of life. J Am Board Fam Med 24(3):249–257 PubMedPubMedCentralCrossRef Darcy JM, Grzywacz JG, Stephens RL, Leng I, Clinch CR, Arcury TA (2011) Maternal depressive symptomatology: 16-month follow-up of infant and maternal health-related quality of life. J Am Board Fam Med 24(3):249–257 PubMedPubMedCentralCrossRef
go back to reference Edhborg M, Nasreen HE, Kabir ZN (2011) Impact of postpartum depressive and anxiety symptoms on mothers’ emotional tie to their infants 2–3 months postpartum: A population-based study from rural Bangladesh. Arch Womens Ment Health 14(4):307–316 PubMedCrossRef Edhborg M, Nasreen HE, Kabir ZN (2011) Impact of postpartum depressive and anxiety symptoms on mothers’ emotional tie to their infants 2–3 months postpartum: A population-based study from rural Bangladesh. Arch Womens Ment Health 14(4):307–316 PubMedCrossRef
go back to reference Elgar K, Chester A (2007) The mental health implications of maternal employment: Working versus at-home mothering identities. Aust e-J Adv Ment Health 6(1):47–55 CrossRef Elgar K, Chester A (2007) The mental health implications of maternal employment: Working versus at-home mothering identities. Aust e-J Adv Ment Health 6(1):47–55 CrossRef
go back to reference Farías-Antúnez S, Xavier MO, Santos IS (2018) Effect of maternal postpartum depression on offspring’s growth. J Affect Disord 228:143–152 PubMedCrossRef Farías-Antúnez S, Xavier MO, Santos IS (2018) Effect of maternal postpartum depression on offspring’s growth. J Affect Disord 228:143–152 PubMedCrossRef
go back to reference Gjerdingen DK, Chaloner KM (1994) The relationship of women’s postpartum mental health to employment, childbirth, and social support. J Fam Pract 38(5):465–472 PubMed Gjerdingen DK, Chaloner KM (1994) The relationship of women’s postpartum mental health to employment, childbirth, and social support. J Fam Pract 38(5):465–472 PubMed
go back to reference Goyal D, Gay C, Lee KA (2010) How much does low socioeconomic status increase the risk of prenatal and postpartum depressive symptoms in first-time mothers? Womens Health Issues 20(2):96–104 PubMedPubMedCentralCrossRef Goyal D, Gay C, Lee KA (2010) How much does low socioeconomic status increase the risk of prenatal and postpartum depressive symptoms in first-time mothers? Womens Health Issues 20(2):96–104 PubMedPubMedCentralCrossRef
go back to reference Hahn-Holbrook J, Haselton MG, Dunkel Schetter C, Glynn LM (2013) Does breastfeeding offer protection against maternal depressive symptomatology? Arch Womens Ment Health 16(5):411–422 PubMedCrossRef Hahn-Holbrook J, Haselton MG, Dunkel Schetter C, Glynn LM (2013) Does breastfeeding offer protection against maternal depressive symptomatology? Arch Womens Ment Health 16(5):411–422 PubMedCrossRef
go back to reference Hahn-Holbrook J, Cornwell-Hinrichs T, Anaya I (2018) Economic and health predictors of national postpartum depression prevalence: A systematic review, meta-analysis, and meta-regression of 291 studies from 56 countries. Front Psych 8:248 CrossRef Hahn-Holbrook J, Cornwell-Hinrichs T, Anaya I (2018) Economic and health predictors of national postpartum depression prevalence: A systematic review, meta-analysis, and meta-regression of 291 studies from 56 countries. Front Psych 8:248 CrossRef
go back to reference Hayes AF (2018) Introduction to mediation, moderation, and conditional process analysis, second edition: A regression-based approach. Guilford Press Hayes AF (2018) Introduction to mediation, moderation, and conditional process analysis, second edition: A regression-based approach. Guilford Press
go back to reference Hetherington E, McDonald S, Williamson T, Patten SB, Tough SC (2018) Social support and maternal mental health at 4 months and 1 year postpartum: Analysis from the All Our Families cohort. J Epidemiol Community Health 72(10):933–939 PubMedCrossRef Hetherington E, McDonald S, Williamson T, Patten SB, Tough SC (2018) Social support and maternal mental health at 4 months and 1 year postpartum: Analysis from the All Our Families cohort. J Epidemiol Community Health 72(10):933–939 PubMedCrossRef
go back to reference Hewitt B, Strazdins L, Martin B (2017) The benefits of paid maternity leave for mothers’ post-partum health and wellbeing: Evidence from an Australian evaluation. Soc Sci Med 182:97–105 PubMedCrossRef Hewitt B, Strazdins L, Martin B (2017) The benefits of paid maternity leave for mothers’ post-partum health and wellbeing: Evidence from an Australian evaluation. Soc Sci Med 182:97–105 PubMedCrossRef
go back to reference Hyde JS, Klein MH, Essex MJ, Clark R (1995) Maternity leave and women’s mental health. Psychol Women Q 19(2):257–285 CrossRef Hyde JS, Klein MH, Essex MJ, Clark R (1995) Maternity leave and women’s mental health. Psychol Women Q 19(2):257–285 CrossRef
go back to reference Jou J, Kozhimannil KB, Abraham JM, Blewett LA, McGovern PM (2018) Paid maternity leave in the United States: Associations with maternal and infant health. Matern Child Health J 22(2):216–225 PubMedCrossRef Jou J, Kozhimannil KB, Abraham JM, Blewett LA, McGovern PM (2018) Paid maternity leave in the United States: Associations with maternal and infant health. Matern Child Health J 22(2):216–225 PubMedCrossRef
go back to reference Kasamatsu H, Tsuchida A, Matsumura K, Shimao M, Hamazaki K, Inadera H (2020) Understanding the relationship between postpartum depression one month and six months after delivery and mother-infant bonding failure one-year after birth: Results from the Japan Environment and Children’s study (JECS). Psychol Med 50(1):161–169 PubMedCrossRef Kasamatsu H, Tsuchida A, Matsumura K, Shimao M, Hamazaki K, Inadera H (2020) Understanding the relationship between postpartum depression one month and six months after delivery and mother-infant bonding failure one-year after birth: Results from the Japan Environment and Children’s study (JECS). Psychol Med 50(1):161–169 PubMedCrossRef
go back to reference Kiernan K, Pickett KE (2006) Marital status disparities in maternal smoking during pregnancy, breastfeeding and maternal depression. Soc Sci Med 63(2):335–346 PubMedCrossRef Kiernan K, Pickett KE (2006) Marital status disparities in maternal smoking during pregnancy, breastfeeding and maternal depression. Soc Sci Med 63(2):335–346 PubMedCrossRef
go back to reference Klein MH, Hyde JS, Essex MJ, Clark R (1998) Maternity leave, role quality, work involvement, and mental health one year after delivery. Psychol Women Q 22(2):239–266 CrossRef Klein MH, Hyde JS, Essex MJ, Clark R (1998) Maternity leave, role quality, work involvement, and mental health one year after delivery. Psychol Women Q 22(2):239–266 CrossRef
go back to reference Lara-Cinisomo S, McKenney K, Di Florio A, Meltzer-Brody S (2017) Associations between postpartum depression, breastfeeding, and oxytocin levels in Latina mothers. Breastfeed Med 12(7):436–442 PubMedPubMedCentralCrossRef Lara-Cinisomo S, McKenney K, Di Florio A, Meltzer-Brody S (2017) Associations between postpartum depression, breastfeeding, and oxytocin levels in Latina mothers. Breastfeed Med 12(7):436–442 PubMedPubMedCentralCrossRef
go back to reference Mandal B (2018) The effect of paid leave on maternal mental health. Matern Child Health J 22(10):1470–1476 PubMedCrossRef Mandal B (2018) The effect of paid leave on maternal mental health. Matern Child Health J 22(10):1470–1476 PubMedCrossRef
go back to reference Nakao K, Treas J (1994) Updating occupational prestige and socioeconomic scores: How the new measures measure up. Sociol Methodol 24:1–72 CrossRef Nakao K, Treas J (1994) Updating occupational prestige and socioeconomic scores: How the new measures measure up. Sociol Methodol 24:1–72 CrossRef
go back to reference Nandi A, Hajizadeh M, Harper S, Koski A, Strumpf EC, Heymann J (2016) Increased duration of paid maternity leave lowers infant mortality in low-and middle-income countries: a quasi-experimental study. PLoS Med 13(3):e1001985 PubMedPubMedCentralCrossRef Nandi A, Hajizadeh M, Harper S, Koski A, Strumpf EC, Heymann J (2016) Increased duration of paid maternity leave lowers infant mortality in low-and middle-income countries: a quasi-experimental study. PLoS Med 13(3):e1001985 PubMedPubMedCentralCrossRef
go back to reference Nandi A, Jahagirdar D, Dimitris MC, Labrecque JA, Strumpf EC, Kaufman JS, Vincent I, Atabay E, Harper S, Earle A, Heymann SJ (2018) The impact of parental and medical leave policies on socioeconomic and health outcomes in OECD countries: A systematic review of the empirical literature. Milbank Q 96(3):434–471 PubMedPubMedCentralCrossRef Nandi A, Jahagirdar D, Dimitris MC, Labrecque JA, Strumpf EC, Kaufman JS, Vincent I, Atabay E, Harper S, Earle A, Heymann SJ (2018) The impact of parental and medical leave policies on socioeconomic and health outcomes in OECD countries: A systematic review of the empirical literature. Milbank Q 96(3):434–471 PubMedPubMedCentralCrossRef
go back to reference Newkirk K, Perry-Jenkins M, Laws HB, Hien M (2020) Workplace policies and perinatal depressive symptoms among low-income single and partnered working mothers. Fam Relat 69(4):770–778 CrossRef Newkirk K, Perry-Jenkins M, Laws HB, Hien M (2020) Workplace policies and perinatal depressive symptoms among low-income single and partnered working mothers. Fam Relat 69(4):770–778 CrossRef
go back to reference Pao C, Guintivano J, Santos H, Meltzer-Brody S (2019) Postpartum depression and social support in a racially and ethnically diverse population of women. Arch Womens Ment Health 22(1):105–114 PubMedCrossRef Pao C, Guintivano J, Santos H, Meltzer-Brody S (2019) Postpartum depression and social support in a racially and ethnically diverse population of women. Arch Womens Ment Health 22(1):105–114 PubMedCrossRef
go back to reference Petts RJ, Knoester C, Waldfogel J (2020) Fathers’ paternity leave-taking and children’s perceptions of father-child relationships in the United States. Sex Roles 82:173–188 PubMedCrossRef Petts RJ, Knoester C, Waldfogel J (2020) Fathers’ paternity leave-taking and children’s perceptions of father-child relationships in the United States. Sex Roles 82:173–188 PubMedCrossRef
go back to reference Piteo AM, Yelland LN, Makrides M (2012) Does maternal depression predict developmental outcome in 18 month old infants? Early Human Dev 88(8):651–655 CrossRef Piteo AM, Yelland LN, Makrides M (2012) Does maternal depression predict developmental outcome in 18 month old infants? Early Human Dev 88(8):651–655 CrossRef
go back to reference Plotka R, Busch-Rossnagel NA (2018) The role of length of maternity leave in supporting mother–child interactions and attachment security among American mothers and their infants. Int J Child Care Educ Policy 12(1):1–18 CrossRef Plotka R, Busch-Rossnagel NA (2018) The role of length of maternity leave in supporting mother–child interactions and attachment security among American mothers and their infants. Int J Child Care Educ Policy 12(1):1–18 CrossRef
go back to reference Pope CJ, Xie B, Sharma V, Campbell MK (2013) A prospective study of thoughts of self-harm and suicidal ideation during the postpartum period in women with mood disorders. Arch Womens Ment Health 16(6):483–488 PubMedCrossRef Pope CJ, Xie B, Sharma V, Campbell MK (2013) A prospective study of thoughts of self-harm and suicidal ideation during the postpartum period in women with mood disorders. Arch Womens Ment Health 16(6):483–488 PubMedCrossRef
go back to reference Qi W, Liu Y, Lv H, Ge J, Meng Y, Zhao N, ... Hu J (2022) Effects of family relationship and social support on the mental health of Chinese postpartum women. BMC Pregnancy Childbirth 22(1): 1–10 Qi W, Liu Y, Lv H, Ge J, Meng Y, Zhao N, ... Hu J (2022) Effects of family relationship and social support on the mental health of Chinese postpartum women. BMC Pregnancy Childbirth 22(1): 1–10
go back to reference Reid HE, Pratt D, Edge D, Wittkowski A (2022) Maternal suicide ideation and behaviour during pregnancy and the first postpartum year: a systematic review of psychological and psychosocial risk factors. Front Psych 13:765118 CrossRef Reid HE, Pratt D, Edge D, Wittkowski A (2022) Maternal suicide ideation and behaviour during pregnancy and the first postpartum year: a systematic review of psychological and psychosocial risk factors. Front Psych 13:765118 CrossRef
go back to reference Rout UR, Cooper CL, Kerslake H (1997) Working and non‐working mothers: a comparative study. Women Manag Rev Rout UR, Cooper CL, Kerslake H (1997) Working and non‐working mothers: a comparative study. Women Manag Rev
go back to reference Segre LS, O’Hara MW, Arndt S, Stuart S (2007) The prevalence of postpartum depression: the relative significance of three social status indices. Soc Psychiatry Psychiatr Epidemiol 42(4):316–321 PubMedCrossRef Segre LS, O’Hara MW, Arndt S, Stuart S (2007) The prevalence of postpartum depression: the relative significance of three social status indices. Soc Psychiatry Psychiatr Epidemiol 42(4):316–321 PubMedCrossRef
go back to reference Waldfogel J (1999) The impact of the family and medical leave act. J Policy Anal Manage 18(2):281–303 CrossRef Waldfogel J (1999) The impact of the family and medical leave act. J Policy Anal Manage 18(2):281–303 CrossRef
go back to reference Watkins S, Meltzer-Brody S, Zolnoun D, Stuebe A (2011) Early breastfeeding experiences and postpartum depression. Obstet Gynecol 118(2):214–221 PubMedCrossRef Watkins S, Meltzer-Brody S, Zolnoun D, Stuebe A (2011) Early breastfeeding experiences and postpartum depression. Obstet Gynecol 118(2):214–221 PubMedCrossRef
go back to reference Whitehouse G, Hewitt B, Martin B, Baird M (2013) Employer-paid maternity leave in Australia: A comparison of uptake and duration in 2005 and 2010. Aust J Labour Econ 16(3):311–327 Whitehouse G, Hewitt B, Martin B, Baird M (2013) Employer-paid maternity leave in Australia: A comparison of uptake and duration in 2005 and 2010. Aust J Labour Econ 16(3):311–327
Metadata
Title
One size doesn’t fit all: Attitudes towards work modify the relation between parental leave length and postpartum depression
Authors
Christine Y. Chang
Sabrina R. Liu
Laura M. Glynn
Publication date
22-09-2023
Publisher
Springer Vienna
Published in
Archives of Women's Mental Health
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-023-01374-5