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Faculty of Medical Sciences

The effect of postpartum depression and postpartum psychosis on perceived mother-infant bonding

Smit, A. (Anouk) (2018) The effect of postpartum depression and postpartum psychosis on perceived mother-infant bonding. thesis, Medicine.

Full text available on request.

Abstract

Introduction: Postpartum depression and postpartum psychosis are serious clinical disorders which do not only affect the mother but also the new-born infant. It has been shown that these disorders affect the quality of perceived bonding between mother and child. A secure mother-infant bond is important to ensure a healthy development of the child. Women suffering from postpartum psychosis tend to report a better bond in the short term compared to women suffering from postpartum depression. In this study we will look at the effects of these postpartum mood disorders on the mother-infant bonding. Also, we will study which symptoms contribute to the variance in mother-infant bonding between these two groups. Methods: 155 women admitted to the psychiatric unit of the Erasmus Medical Center in Rotterdam were included in this study. The perceived mother-infant bond was measured with the "Postpartum Bonding Questionnaire". Results: In the acute phase, women who suffered from postpartum depression had significantly more bonding problems compared to the mothers who suffered from postpartum psychosis. This difference did not exist at time of discharge and at 6 and 14 months after discharge. In time, a clear downward trend in the amount of bonding problems was seen in women with postpartum depression. Depressive symptoms were shown to be a major predictor of bonding problems in both groups. The presence of prominent manic symptoms, in the postpartum psychosis group, resulted in worse mother-infant bonding. Conclusion: The absence of depressive symptoms, rather than the presence of manic or psychotic symptoms, explains the lower amount of bonding problems in women with postpartum psychosis compared to women with postpartum depression. Therefore, treatment of the depressive symptoms in these women is very important to ensure better mother-infant bonding and a better development of the child.

Item Type: Thesis (Thesis)
Supervisor name: Faculty supervisor: and Verheul W. (Medisch Spectrum Twente)
Supervisor name: First supervisor: and Gilden J. (Erasmus MC) and Second supervisor: and Kamperman, A.M. (Erasmus MC)
Faculty: Medical Sciences
Date Deposited: 25 Jun 2020 10:50
Last Modified: 25 Jun 2020 10:50
URI: https://umcg.studenttheses.ub.rug.nl/id/eprint/1090

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