Maternal anxiety versus depressive disorders: specific relations to infants' crying, feeding and sleeping problems
Background Maternal depression has been associated with excessive infant crying, feeding and sleeping problems, but the specificity of maternal depression, as compared with maternal anxiety remains unclear and manifest disorders prior to pregnancy have been widely neglected. In this prospective long...
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| Veröffentlicht in: | Child : care, health & development health & development, 2016-03, Vol.42 (2), p.231-245 |
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| creator | Petzoldt, J. Wittchen, H.-U. Einsle, F. Martini, J. |
| description | Background
Maternal depression has been associated with excessive infant crying, feeding and sleeping problems, but the specificity of maternal depression, as compared with maternal anxiety remains unclear and manifest disorders prior to pregnancy have been widely neglected. In this prospective longitudinal study, the specific associations of maternal anxiety and depressive disorders prior to, during and after pregnancy and infants' crying, feeding and sleeping problems were investigated in the context of maternal parity.
Methods
In the Maternal Anxiety in Relation to Infant Development (MARI) Study, n = 306 primiparous and multiparous women were repeatedly interviewed from early pregnancy until 16 months post partum with the Composite International Diagnostic Interview for Women (CIDI‐V) to assess DSM‐IV anxiety and depressive disorders. Information on excessive infant crying, feeding and sleeping problems was obtained from n = 286 mothers during postpartum period via questionnaire and interview (Baby‐DIPS).
Results
Findings from this study revealed syndrome‐specific risk constellations for maternal anxiety and depressive disorders as early as prior to pregnancy: Excessive infant crying (10.1%) was specifically associated with maternal anxiety disorders, especially in infants of younger and lower educated first‐time mothers. Feeding problems (36.4%) were predicted by maternal anxiety (and comorbid depressive) disorders in primiparous mothers and infants with lower birth weight. Infant sleeping problems (12.2%) were related to maternal depressive (and comorbid anxiety) disorders irrespective of maternal parity.
Conclusions
Primiparous mothers with anxiety disorders may be more prone to anxious misinterpretations of crying and feeding situations leading to an escalation of mother–infant interactions. The relation between maternal depressive and infant sleeping problems may be better explained by a transmission of unsettled maternal sleep to the fetus during pregnancy or a lack of daily structure and bedtime routine with the infant. Maternal disorders prior to pregnancy require more attention in research and clinical practice. |
| doi_str_mv | 10.1111/cch.12292 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1760908475</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3932511711</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3912-b5af7ea1c599e164b33ef31aae1ee5e8161ad302846207062f34bb7e24425c783</originalsourceid><addsrcrecordid>eNp1kUFv1DAQhS0EotvCgT-ALHGgSKT12I6TcKtW0KKWcimUm-U4E3DJJqknKd1_j5dte6jEXGZsffNGeo-xVyAOINWh978OQMpKPmELUCbPpAT9lC2EEnkGpZE7bJfoSqQyWjxnO9LoSpTKLFj84iaMveu4628DTmt-g5Fm4g2OEYnCDfIm0BCb9P2B04g-tMHziJ2bwtATnwYe-tb1E73lPq5D__M9bxGbNCTNhlOHOG4eYxzqDlf0gj1rXUf48q7vsW-fPl4sT7Kzr8efl0dnmVcVyKzOXVugA59XFYLRtVLYKnAOATHHEgy4RglZaiNFIYxsla7rAqXWMvdFqfbY_lY3Hb6ekSa7CuSx61yPw0wWCiOSC7rIE_rmEXo1zBtXNlS6DyK5mKh3W8rHgShia8cYVi6uLQi7CcKmIOy_IBL7-k5xrlfYPJD3zifgcAv8CR2u_69kl8uTe8lsuxFowtuHDRd_W1OoIreX58f2x_mF-X55Claqvyw-oZ0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1759910186</pqid></control><display><type>article</type><title>Maternal anxiety versus depressive disorders: specific relations to infants' crying, feeding and sleeping problems</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>Education Source</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Petzoldt, J. ; Wittchen, H.-U. ; Einsle, F. ; Martini, J.</creator><creatorcontrib>Petzoldt, J. ; Wittchen, H.-U. ; Einsle, F. ; Martini, J.</creatorcontrib><description>Background
Maternal depression has been associated with excessive infant crying, feeding and sleeping problems, but the specificity of maternal depression, as compared with maternal anxiety remains unclear and manifest disorders prior to pregnancy have been widely neglected. In this prospective longitudinal study, the specific associations of maternal anxiety and depressive disorders prior to, during and after pregnancy and infants' crying, feeding and sleeping problems were investigated in the context of maternal parity.
Methods
In the Maternal Anxiety in Relation to Infant Development (MARI) Study, n = 306 primiparous and multiparous women were repeatedly interviewed from early pregnancy until 16 months post partum with the Composite International Diagnostic Interview for Women (CIDI‐V) to assess DSM‐IV anxiety and depressive disorders. Information on excessive infant crying, feeding and sleeping problems was obtained from n = 286 mothers during postpartum period via questionnaire and interview (Baby‐DIPS).
Results
Findings from this study revealed syndrome‐specific risk constellations for maternal anxiety and depressive disorders as early as prior to pregnancy: Excessive infant crying (10.1%) was specifically associated with maternal anxiety disorders, especially in infants of younger and lower educated first‐time mothers. Feeding problems (36.4%) were predicted by maternal anxiety (and comorbid depressive) disorders in primiparous mothers and infants with lower birth weight. Infant sleeping problems (12.2%) were related to maternal depressive (and comorbid anxiety) disorders irrespective of maternal parity.
Conclusions
Primiparous mothers with anxiety disorders may be more prone to anxious misinterpretations of crying and feeding situations leading to an escalation of mother–infant interactions. The relation between maternal depressive and infant sleeping problems may be better explained by a transmission of unsettled maternal sleep to the fetus during pregnancy or a lack of daily structure and bedtime routine with the infant. Maternal disorders prior to pregnancy require more attention in research and clinical practice.</description><identifier>ISSN: 0305-1862</identifier><identifier>EISSN: 1365-2214</identifier><identifier>DOI: 10.1111/cch.12292</identifier><identifier>PMID: 26490836</identifier><identifier>CODEN: CCHDDH</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Anxiety ; Anxiety Disorders - diagnosis ; Anxiety Disorders - etiology ; Anxiety Disorders - psychology ; Anxiety-Depression ; Babies ; Birth weight ; Child Development ; Childbirth & labor ; Clinical research ; Comorbidity ; Crying ; Crying - psychology ; Depressive Disorder - diagnosis ; Depressive Disorder - etiology ; Depressive Disorder - psychology ; excessive infant crying ; Feeding ; Female ; Germany - epidemiology ; Humans ; Infant ; infant feeding problem ; infant sleeping problem ; Infant, Newborn ; Infants ; Longitudinal Studies ; Male ; maternal anxiety ; Maternal depression ; Mental depression ; Mother-Child Relations - psychology ; Mother-infant relations ; Mothers ; Mothers - psychology ; Parity ; Postpartum depression ; Postpartum period ; Postpartum Period - psychology ; Postpartum women ; Pregnancy ; Prone ; Prospective Studies ; Psychiatry ; Sleep ; Stress, Psychological - diagnosis ; Stress, Psychological - etiology ; Surveys and Questionnaires ; Young Children</subject><ispartof>Child : care, health & development, 2016-03, Vol.42 (2), p.231-245</ispartof><rights>2015 John Wiley & Sons Ltd</rights><rights>2015 John Wiley & Sons Ltd.</rights><rights>2016 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3912-b5af7ea1c599e164b33ef31aae1ee5e8161ad302846207062f34bb7e24425c783</citedby><cites>FETCH-LOGICAL-c3912-b5af7ea1c599e164b33ef31aae1ee5e8161ad302846207062f34bb7e24425c783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcch.12292$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcch.12292$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26490836$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Petzoldt, J.</creatorcontrib><creatorcontrib>Wittchen, H.-U.</creatorcontrib><creatorcontrib>Einsle, F.</creatorcontrib><creatorcontrib>Martini, J.</creatorcontrib><title>Maternal anxiety versus depressive disorders: specific relations to infants' crying, feeding and sleeping problems</title><title>Child : care, health & development</title><addtitle>Child: Care, Health and Development</addtitle><description>Background
Maternal depression has been associated with excessive infant crying, feeding and sleeping problems, but the specificity of maternal depression, as compared with maternal anxiety remains unclear and manifest disorders prior to pregnancy have been widely neglected. In this prospective longitudinal study, the specific associations of maternal anxiety and depressive disorders prior to, during and after pregnancy and infants' crying, feeding and sleeping problems were investigated in the context of maternal parity.
Methods
In the Maternal Anxiety in Relation to Infant Development (MARI) Study, n = 306 primiparous and multiparous women were repeatedly interviewed from early pregnancy until 16 months post partum with the Composite International Diagnostic Interview for Women (CIDI‐V) to assess DSM‐IV anxiety and depressive disorders. Information on excessive infant crying, feeding and sleeping problems was obtained from n = 286 mothers during postpartum period via questionnaire and interview (Baby‐DIPS).
Results
Findings from this study revealed syndrome‐specific risk constellations for maternal anxiety and depressive disorders as early as prior to pregnancy: Excessive infant crying (10.1%) was specifically associated with maternal anxiety disorders, especially in infants of younger and lower educated first‐time mothers. Feeding problems (36.4%) were predicted by maternal anxiety (and comorbid depressive) disorders in primiparous mothers and infants with lower birth weight. Infant sleeping problems (12.2%) were related to maternal depressive (and comorbid anxiety) disorders irrespective of maternal parity.
Conclusions
Primiparous mothers with anxiety disorders may be more prone to anxious misinterpretations of crying and feeding situations leading to an escalation of mother–infant interactions. The relation between maternal depressive and infant sleeping problems may be better explained by a transmission of unsettled maternal sleep to the fetus during pregnancy or a lack of daily structure and bedtime routine with the infant. Maternal disorders prior to pregnancy require more attention in research and clinical practice.</description><subject>Adult</subject><subject>Anxiety</subject><subject>Anxiety Disorders - diagnosis</subject><subject>Anxiety Disorders - etiology</subject><subject>Anxiety Disorders - psychology</subject><subject>Anxiety-Depression</subject><subject>Babies</subject><subject>Birth weight</subject><subject>Child Development</subject><subject>Childbirth & labor</subject><subject>Clinical research</subject><subject>Comorbidity</subject><subject>Crying</subject><subject>Crying - psychology</subject><subject>Depressive Disorder - diagnosis</subject><subject>Depressive Disorder - etiology</subject><subject>Depressive Disorder - psychology</subject><subject>excessive infant crying</subject><subject>Feeding</subject><subject>Female</subject><subject>Germany - epidemiology</subject><subject>Humans</subject><subject>Infant</subject><subject>infant feeding problem</subject><subject>infant sleeping problem</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>maternal anxiety</subject><subject>Maternal depression</subject><subject>Mental depression</subject><subject>Mother-Child Relations - psychology</subject><subject>Mother-infant relations</subject><subject>Mothers</subject><subject>Mothers - psychology</subject><subject>Parity</subject><subject>Postpartum depression</subject><subject>Postpartum period</subject><subject>Postpartum Period - psychology</subject><subject>Postpartum women</subject><subject>Pregnancy</subject><subject>Prone</subject><subject>Prospective Studies</subject><subject>Psychiatry</subject><subject>Sleep</subject><subject>Stress, Psychological - diagnosis</subject><subject>Stress, Psychological - etiology</subject><subject>Surveys and Questionnaires</subject><subject>Young Children</subject><issn>0305-1862</issn><issn>1365-2214</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kUFv1DAQhS0EotvCgT-ALHGgSKT12I6TcKtW0KKWcimUm-U4E3DJJqknKd1_j5dte6jEXGZsffNGeo-xVyAOINWh978OQMpKPmELUCbPpAT9lC2EEnkGpZE7bJfoSqQyWjxnO9LoSpTKLFj84iaMveu4628DTmt-g5Fm4g2OEYnCDfIm0BCb9P2B04g-tMHziJ2bwtATnwYe-tb1E73lPq5D__M9bxGbNCTNhlOHOG4eYxzqDlf0gj1rXUf48q7vsW-fPl4sT7Kzr8efl0dnmVcVyKzOXVugA59XFYLRtVLYKnAOATHHEgy4RglZaiNFIYxsla7rAqXWMvdFqfbY_lY3Hb6ekSa7CuSx61yPw0wWCiOSC7rIE_rmEXo1zBtXNlS6DyK5mKh3W8rHgShia8cYVi6uLQi7CcKmIOy_IBL7-k5xrlfYPJD3zifgcAv8CR2u_69kl8uTe8lsuxFowtuHDRd_W1OoIreX58f2x_mF-X55Claqvyw-oZ0</recordid><startdate>201603</startdate><enddate>201603</enddate><creator>Petzoldt, J.</creator><creator>Wittchen, H.-U.</creator><creator>Einsle, F.</creator><creator>Martini, J.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>201603</creationdate><title>Maternal anxiety versus depressive disorders: specific relations to infants' crying, feeding and sleeping problems</title><author>Petzoldt, J. ; Wittchen, H.-U. ; Einsle, F. ; Martini, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3912-b5af7ea1c599e164b33ef31aae1ee5e8161ad302846207062f34bb7e24425c783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Anxiety</topic><topic>Anxiety Disorders - diagnosis</topic><topic>Anxiety Disorders - etiology</topic><topic>Anxiety Disorders - psychology</topic><topic>Anxiety-Depression</topic><topic>Babies</topic><topic>Birth weight</topic><topic>Child Development</topic><topic>Childbirth & labor</topic><topic>Clinical research</topic><topic>Comorbidity</topic><topic>Crying</topic><topic>Crying - psychology</topic><topic>Depressive Disorder - diagnosis</topic><topic>Depressive Disorder - etiology</topic><topic>Depressive Disorder - psychology</topic><topic>excessive infant crying</topic><topic>Feeding</topic><topic>Female</topic><topic>Germany - epidemiology</topic><topic>Humans</topic><topic>Infant</topic><topic>infant feeding problem</topic><topic>infant sleeping problem</topic><topic>Infant, Newborn</topic><topic>Infants</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>maternal anxiety</topic><topic>Maternal depression</topic><topic>Mental depression</topic><topic>Mother-Child Relations - psychology</topic><topic>Mother-infant relations</topic><topic>Mothers</topic><topic>Mothers - psychology</topic><topic>Parity</topic><topic>Postpartum depression</topic><topic>Postpartum period</topic><topic>Postpartum Period - psychology</topic><topic>Postpartum women</topic><topic>Pregnancy</topic><topic>Prone</topic><topic>Prospective Studies</topic><topic>Psychiatry</topic><topic>Sleep</topic><topic>Stress, Psychological - diagnosis</topic><topic>Stress, Psychological - etiology</topic><topic>Surveys and Questionnaires</topic><topic>Young Children</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Petzoldt, J.</creatorcontrib><creatorcontrib>Wittchen, H.-U.</creatorcontrib><creatorcontrib>Einsle, F.</creatorcontrib><creatorcontrib>Martini, J.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Child : care, health & development</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Petzoldt, J.</au><au>Wittchen, H.-U.</au><au>Einsle, F.</au><au>Martini, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maternal anxiety versus depressive disorders: specific relations to infants' crying, feeding and sleeping problems</atitle><jtitle>Child : care, health & development</jtitle><addtitle>Child: Care, Health and Development</addtitle><date>2016-03</date><risdate>2016</risdate><volume>42</volume><issue>2</issue><spage>231</spage><epage>245</epage><pages>231-245</pages><issn>0305-1862</issn><eissn>1365-2214</eissn><coden>CCHDDH</coden><abstract>Background
Maternal depression has been associated with excessive infant crying, feeding and sleeping problems, but the specificity of maternal depression, as compared with maternal anxiety remains unclear and manifest disorders prior to pregnancy have been widely neglected. In this prospective longitudinal study, the specific associations of maternal anxiety and depressive disorders prior to, during and after pregnancy and infants' crying, feeding and sleeping problems were investigated in the context of maternal parity.
Methods
In the Maternal Anxiety in Relation to Infant Development (MARI) Study, n = 306 primiparous and multiparous women were repeatedly interviewed from early pregnancy until 16 months post partum with the Composite International Diagnostic Interview for Women (CIDI‐V) to assess DSM‐IV anxiety and depressive disorders. Information on excessive infant crying, feeding and sleeping problems was obtained from n = 286 mothers during postpartum period via questionnaire and interview (Baby‐DIPS).
Results
Findings from this study revealed syndrome‐specific risk constellations for maternal anxiety and depressive disorders as early as prior to pregnancy: Excessive infant crying (10.1%) was specifically associated with maternal anxiety disorders, especially in infants of younger and lower educated first‐time mothers. Feeding problems (36.4%) were predicted by maternal anxiety (and comorbid depressive) disorders in primiparous mothers and infants with lower birth weight. Infant sleeping problems (12.2%) were related to maternal depressive (and comorbid anxiety) disorders irrespective of maternal parity.
Conclusions
Primiparous mothers with anxiety disorders may be more prone to anxious misinterpretations of crying and feeding situations leading to an escalation of mother–infant interactions. The relation between maternal depressive and infant sleeping problems may be better explained by a transmission of unsettled maternal sleep to the fetus during pregnancy or a lack of daily structure and bedtime routine with the infant. Maternal disorders prior to pregnancy require more attention in research and clinical practice.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>26490836</pmid><doi>10.1111/cch.12292</doi><tpages>15</tpages></addata></record> |
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| subjects | Adult Anxiety Anxiety Disorders - diagnosis Anxiety Disorders - etiology Anxiety Disorders - psychology Anxiety-Depression Babies Birth weight Child Development Childbirth & labor Clinical research Comorbidity Crying Crying - psychology Depressive Disorder - diagnosis Depressive Disorder - etiology Depressive Disorder - psychology excessive infant crying Feeding Female Germany - epidemiology Humans Infant infant feeding problem infant sleeping problem Infant, Newborn Infants Longitudinal Studies Male maternal anxiety Maternal depression Mental depression Mother-Child Relations - psychology Mother-infant relations Mothers Mothers - psychology Parity Postpartum depression Postpartum period Postpartum Period - psychology Postpartum women Pregnancy Prone Prospective Studies Psychiatry Sleep Stress, Psychological - diagnosis Stress, Psychological - etiology Surveys and Questionnaires Young Children |
| title | Maternal anxiety versus depressive disorders: specific relations to infants' crying, feeding and sleeping problems |
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