Journal of Behavioral Health and Psychology. 2023; 12(4):(336-346)


Impact of Perinatal Depressive and Anxiety Symptoms and Infant Temperament on Exclusive Breastfeeding: A Cohort Study in Malaysia

Hashima E Nasreen, Jamalludin Ab Rahman, Hafizah Binti Pasi, Mohd Aznan Md Aris, Razman Mohd Rus, Maigun Edhborg.

Abstract
Purpose: The purpose of the study was to examine the impact of perinatal depressive and anxiety symptoms and infant temperament at 6 months postpartum on exclusive breastfeeding, and whether maternal depressive and anxiety symptoms at 6 months postpartum are moderators on the association between infant temperament and exclusive breastfeeding.

Methods: We used data from a perinatal mental health cohort study conducted in health clinics in two states of Malaysia. Edinburgh Postnatal Depression Scale (EPDS) and anxiety subscale of Depression, Anxiety and Stress Scale (DASS) were completed by 524 parents at late pregnancy and 6 months postpartum, while the Infant Characteristic Questionnaire and information on exclusive breastfeeding were completed by 524 mothers at 6 months postpartum. 

Results: Mothers’ postpartum depressive symptoms (PDS) at 6 months were associated with shorter duration of exclusive breastfeeding, but not the postpartum anxiety symptoms (PAS). Mothers with persistent depressive and anxiety symptoms ceased exclusive breastfeeding earliest. Mothers’ perceptions of infant temperament and its subscales were negatively associated with exclusive breastfeeding duration only in depressed mothers, but not in non-depressed, anxious, and non-anxious mothers. Therefore, mothers’ PDS, not PAS, moderated the association between mothers’ perceptions of infant temperament and the duration of exclusive breastfeeding. 

Conclusion: The results signify the need to address maternal mental health in early postpartum and healthcare professionals should consider the role of maternal depression when working with mothers who report their infants as temperamentally challenging.

Most Viewed Article
  • Maternal Object Loss and Feminine Identity: A Single Case Study of a Hysterectomized Nun
    Ndje Ndje Mireille, Dongmo Tetsopguim Chesly Nira, Tsala Tsala Jacques Philippe.
    » Abstract » doi: 10.33425/2832-4579/24070

  • Marital Status, Ethnicity, and Cardiovascular Health: A Systematic Literature Review
    Eric Houston, Omar Gonzalez-Valentino, Gaole Song, Justine LaRue Evans.
    » Abstract » doi: 10.33425/2832-4579/24069

  • Cognition in MS as a Marker of Disability Progression: Observations from Real Life
    Flavia Mattioli, Chiara Stampatori, Francesca Righetti, Nicola De Rossi, Luca Beretta, Elisabetta Perego, Tiziana Carandini, Teresa Di Fonzo, Laura Ferrè, Claudia Celico, Valentina Miramonti, Elena Verrengia.
    » Abstract » doi: 10.33425/2832-4579/24068

  • Unhappiness Is Not a Disease
    Loretta Graziano Breuning
    » Abstract » doi: 10.33425/2832-4579/24067

  • Help Seeking Among Male Farmers and their Female Partners: A Qualitative Exploration
    Emma Carswell, Marian McLaughlin, Tony Cassidy.
    » Abstract » doi: 10.33425/2832-4579/24066

Most Downloaded
  • Maternal Object Loss and Feminine Identity: A Single Case Study of a Hysterectomized Nun
    Ndje Ndje Mireille, Dongmo Tetsopguim Chesly Nira, Tsala Tsala Jacques Philippe.
    » Abstract » doi: 10.33425/2832-4579/24070

  • Marital Status, Ethnicity, and Cardiovascular Health: A Systematic Literature Review
    Eric Houston, Omar Gonzalez-Valentino, Gaole Song, Justine LaRue Evans.
    » Abstract » doi: 10.33425/2832-4579/24069

  • Cognition in MS as a Marker of Disability Progression: Observations from Real Life
    Flavia Mattioli, Chiara Stampatori, Francesca Righetti, Nicola De Rossi, Luca Beretta, Elisabetta Perego, Tiziana Carandini, Teresa Di Fonzo, Laura Ferrè, Claudia Celico, Valentina Miramonti, Elena Verrengia.
    » Abstract » doi: 10.33425/2832-4579/24068

  • Unhappiness Is Not a Disease
    Loretta Graziano Breuning
    » Abstract » doi: 10.33425/2832-4579/24067

  • Help Seeking Among Male Farmers and their Female Partners: A Qualitative Exploration
    Emma Carswell, Marian McLaughlin, Tony Cassidy.
    » Abstract » doi: 10.33425/2832-4579/24066