TY - JOUR
KW - Adult
KW - African Americans/psychology/statistics & numerical data
KW - Breast Feeding/ethnology
KW - Community Health Centers/utilization
KW - Depression, Postpartum/ethnology
KW - Female
KW - Hispanic Americans/psychology/statistics & numerical data
KW - Humans
KW - Infant, Newborn
KW - Life Change Events
KW - Minority Groups/psychology/statistics & numerical data
KW - Mother-Child Relations/ethnology
KW - Pregnancy
KW - Pregnancy Complications/ethnology
KW - Prenatal Care
KW - Primary Health Care
KW - Questionnaires
KW - United States
KW - Urban Health
AU - R. C. Boyd
AU - L. H. Zayas
AU - M. D. McKee
A1 - 
AB - OBJECTIVES: Prenatal and postpartum depression are significant mental health problems that can have negative effects on mother-infant interactions. We examined the relationships among mother-infant interactions, depressive symptoms, life events, and breastfeeding of low-income urban African American and Hispanic women in primary care settings. METHODS: Participants were 89 African American and Hispanic women who were part of a larger mental health intervention study conducted in community health centers. Questionnaire data on depression, as well as negative and positive life events, were collected during pregnancy and at three-months postpartum, while mother-infant interaction observations and breastfeeding practice were only collected at three-months postpartum. RESULTS: The ratings of maternal behavior for 'depressed' mothers did not differ from 'nondepressed' mothers. Except for gaze aversion behavior, infants' behavior while interacting with their mothers did not differ by maternal depression level. Hierarchical regression analyses revealed that maternal positive life events positively predicted infant interactional summary ratings, while maternal negative life events were inversely associated with maternal interactional summary ratings. CONCLUSIONS: To improve services in primary care, perinatal screenings for depression can help identify those women most at risk. When follow-up use of structured diagnostic instruments is not possible or cost-effective, clinician assessment of severity of depression will determine women with clinical levels of depression. Reducing negative life events is beyond the control of women or clinicians but cognitive interventions to help women focus on positive life events can reduce the deleterious effects of depression on mothers and their infants.
BT - Maternal and child health journal
C5 - Healthcare Disparities
CP - 2
CY - United States
DO - 10.1007/s10995-005-0042-2
IS - 2
JF - Maternal and child health journal
N2 - OBJECTIVES: Prenatal and postpartum depression are significant mental health problems that can have negative effects on mother-infant interactions. We examined the relationships among mother-infant interactions, depressive symptoms, life events, and breastfeeding of low-income urban African American and Hispanic women in primary care settings. METHODS: Participants were 89 African American and Hispanic women who were part of a larger mental health intervention study conducted in community health centers. Questionnaire data on depression, as well as negative and positive life events, were collected during pregnancy and at three-months postpartum, while mother-infant interaction observations and breastfeeding practice were only collected at three-months postpartum. RESULTS: The ratings of maternal behavior for 'depressed' mothers did not differ from 'nondepressed' mothers. Except for gaze aversion behavior, infants' behavior while interacting with their mothers did not differ by maternal depression level. Hierarchical regression analyses revealed that maternal positive life events positively predicted infant interactional summary ratings, while maternal negative life events were inversely associated with maternal interactional summary ratings. CONCLUSIONS: To improve services in primary care, perinatal screenings for depression can help identify those women most at risk. When follow-up use of structured diagnostic instruments is not possible or cost-effective, clinician assessment of severity of depression will determine women with clinical levels of depression. Reducing negative life events is beyond the control of women or clinicians but cognitive interventions to help women focus on positive life events can reduce the deleterious effects of depression on mothers and their infants.
PP - United States
PY - 2006
SN - 1092-7875; 1092-7875
SP - 139
EP - 148
EP - 
T1 - Mother-infant interaction, life events and prenatal and postpartum depressive symptoms among urban minority women in primary care
T2 - Maternal and child health journal
TI - Mother-infant interaction, life events and prenatal and postpartum depressive symptoms among urban minority women in primary care
U1 - Healthcare Disparities
U2 - 16397831
U3 - 10.1007/s10995-005-0042-2
VL - 10
VO - 1092-7875; 1092-7875
Y1 - 2006
ER -