A longitudinal study of postpartum depressive symptoms: multilevel growth curve analyses of emotion regulation strategies, breastfeeding self-efficacy, and social support

Arch Womens Ment Health. 2012 Jun;15(3):175-84. doi: 10.1007/s00737-012-0274-2. Epub 2012 Mar 27.

Abstract

Postpartum depression is a serious health issue affecting as many as 10-15 % of postpartum women. This longitudinal study aimed to explore how psychological variables such as cognitive emotion regulation strategies, breastfeeding self-efficacy (BSE), and dimensions of social support predicted postpartum depressive symptoms (Edinburgh Postnatal Depression Scale). The data were collected with web-based survey questionnaires between May 2008 and December 2009, in a sample of 737 new mothers. The same questionnaire was surveyed at three points in time: 6 weeks, 3 months, and 6 months postpartum. Data were analyzed using multilevel modeling (level 1, time points; level 2, person). Results showed that BSE, certain cognitive emotion regulation strategies, perceived available support, and need for support predicted the rate of postpartum depressive symptoms. Only breastfeeding self-efficacy predicted change in postpartum depressive symptoms. This study illustrates the importance of psychological variables with regard to postpartum depressive symptoms. Implications for preventative efforts are discussed.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Attitude to Health
  • Breast Feeding / psychology*
  • Depression, Postpartum / prevention & control
  • Depression, Postpartum / psychology*
  • Female
  • Follow-Up Studies
  • Humans
  • Infant, Newborn
  • Longitudinal Studies
  • Maternal Behavior / psychology*
  • Mothers / psychology*
  • Risk Factors
  • Self Efficacy*
  • Social Support*
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Young Adult