Maternal Obsessive-Compulsive Symptoms and Infant Feeding Practices
The purpose of this study was to examine associations between postpartum obsessive-compulsive (OC) symptoms, infant care and feeding worries, and breastfeeding experiences in a sample of postpartum women. Women were recruited via an online U.S. research volunteer database and were eligible if they w...
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Veröffentlicht in: | Breastfeeding medicine 2022-03, Vol.17 (3), p.259-268 |
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description | The purpose of this study was to examine associations between postpartum obsessive-compulsive (OC) symptoms, infant care and feeding worries, and breastfeeding experiences in a sample of postpartum women.
Women were recruited via an online U.S. research volunteer database and were eligible if they were aged 18-47 years, their primary language was English, they had an infant 2-6 months old, and tried breastfeeding the infant at least once. Participants completed a survey to assess breastfeeding experiences and practices, OC symptoms and other mental health conditions, and demographics. Modified Poisson regression and linear regression were used to estimate associations between clinically elevated OC symptoms, reported thoughts or worries about infant feeding and care, and breastfeeding experiences, problems, and duration.
Of 232 participants, 32 (14%) had clinically elevated OC symptoms. These women had more perinatal OC symptoms (scoring 3.6 points higher on perinatal OC symptoms score [95% confidence interval {CI}: 0.4 to 6.9]), including symptoms specific to infant care and feeding [e.g., adjusted relative risk
= 2.37, 95% CI:1.55 to 3.64], and more breastfeeding problems (adjusted β = 0.3, 95% CI: 0.0 to 0.2) than women with fewer OC symptoms. However, they did not report an overall worse breastfeeding experience (adjusted β = 0.4, 95% CI: -9.3 to 10.1). Adjusted models controlled for depressive symptoms.
Obsessive thoughts and compulsions were common in this sample and extended to infant feeding activities. These symptoms were associated with more breastfeeding problems. Interactions in mother-infant dyads are critical because of lasting impacts on parent-child relationships and child development. Treating OC symptoms may foster healthier mother-infant relationships. |
doi_str_mv | 10.1089/bfm.2021.0062 |
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Women were recruited via an online U.S. research volunteer database and were eligible if they were aged 18-47 years, their primary language was English, they had an infant 2-6 months old, and tried breastfeeding the infant at least once. Participants completed a survey to assess breastfeeding experiences and practices, OC symptoms and other mental health conditions, and demographics. Modified Poisson regression and linear regression were used to estimate associations between clinically elevated OC symptoms, reported thoughts or worries about infant feeding and care, and breastfeeding experiences, problems, and duration.
Of 232 participants, 32 (14%) had clinically elevated OC symptoms. These women had more perinatal OC symptoms (scoring 3.6 points higher on perinatal OC symptoms score [95% confidence interval {CI}: 0.4 to 6.9]), including symptoms specific to infant care and feeding [e.g., adjusted relative risk
= 2.37, 95% CI:1.55 to 3.64], and more breastfeeding problems (adjusted β = 0.3, 95% CI: 0.0 to 0.2) than women with fewer OC symptoms. However, they did not report an overall worse breastfeeding experience (adjusted β = 0.4, 95% CI: -9.3 to 10.1). Adjusted models controlled for depressive symptoms.
Obsessive thoughts and compulsions were common in this sample and extended to infant feeding activities. These symptoms were associated with more breastfeeding problems. Interactions in mother-infant dyads are critical because of lasting impacts on parent-child relationships and child development. Treating OC symptoms may foster healthier mother-infant relationships.</description><identifier>ISSN: 1556-8253</identifier><identifier>EISSN: 1556-8342</identifier><identifier>DOI: 10.1089/bfm.2021.0062</identifier><identifier>PMID: 34870468</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Adolescent ; Adult ; Anxiety ; Babies ; Breast Feeding ; Breastfeeding & lactation ; Child care ; Clinical Research ; Female ; Humans ; Infant ; Maternal & child health ; Middle Aged ; Mothers - psychology ; Obsessive compulsive disorder ; Obsessive-Compulsive Disorder - diagnosis ; Obsessive-Compulsive Disorder - epidemiology ; Obsessive-Compulsive Disorder - psychology ; Postpartum Period - psychology ; Pregnancy ; Young Adult</subject><ispartof>Breastfeeding medicine, 2022-03, Vol.17 (3), p.259-268</ispartof><rights>Copyright Mary Ann Liebert, Inc. Mar 2022</rights><rights>Copyright 2022, Mary Ann Liebert, Inc., publishers 2022 Mary Ann Liebert, Inc., publishers</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-3c36638cf31e83a1619e77be2e773eaa0839c6f19796d7dd32caf5cb0975f3e33</citedby><cites>FETCH-LOGICAL-c415t-3c36638cf31e83a1619e77be2e773eaa0839c6f19796d7dd32caf5cb0975f3e33</cites><orcidid>0000-0002-1752-1377 ; 0000-0003-0040-6396 ; 0000-0003-3490-3649</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34870468$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Phillips, Whitney L</creatorcontrib><creatorcontrib>Keim, Sarah A</creatorcontrib><creatorcontrib>Crerand, Canice E</creatorcontrib><creatorcontrib>Jackson, Jamie L</creatorcontrib><title>Maternal Obsessive-Compulsive Symptoms and Infant Feeding Practices</title><title>Breastfeeding medicine</title><addtitle>Breastfeed Med</addtitle><description>The purpose of this study was to examine associations between postpartum obsessive-compulsive (OC) symptoms, infant care and feeding worries, and breastfeeding experiences in a sample of postpartum women.
Women were recruited via an online U.S. research volunteer database and were eligible if they were aged 18-47 years, their primary language was English, they had an infant 2-6 months old, and tried breastfeeding the infant at least once. Participants completed a survey to assess breastfeeding experiences and practices, OC symptoms and other mental health conditions, and demographics. Modified Poisson regression and linear regression were used to estimate associations between clinically elevated OC symptoms, reported thoughts or worries about infant feeding and care, and breastfeeding experiences, problems, and duration.
Of 232 participants, 32 (14%) had clinically elevated OC symptoms. These women had more perinatal OC symptoms (scoring 3.6 points higher on perinatal OC symptoms score [95% confidence interval {CI}: 0.4 to 6.9]), including symptoms specific to infant care and feeding [e.g., adjusted relative risk
= 2.37, 95% CI:1.55 to 3.64], and more breastfeeding problems (adjusted β = 0.3, 95% CI: 0.0 to 0.2) than women with fewer OC symptoms. However, they did not report an overall worse breastfeeding experience (adjusted β = 0.4, 95% CI: -9.3 to 10.1). Adjusted models controlled for depressive symptoms.
Obsessive thoughts and compulsions were common in this sample and extended to infant feeding activities. These symptoms were associated with more breastfeeding problems. Interactions in mother-infant dyads are critical because of lasting impacts on parent-child relationships and child development. Treating OC symptoms may foster healthier mother-infant relationships.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anxiety</subject><subject>Babies</subject><subject>Breast Feeding</subject><subject>Breastfeeding & lactation</subject><subject>Child care</subject><subject>Clinical Research</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Maternal & child health</subject><subject>Middle Aged</subject><subject>Mothers - psychology</subject><subject>Obsessive compulsive disorder</subject><subject>Obsessive-Compulsive Disorder - diagnosis</subject><subject>Obsessive-Compulsive Disorder - epidemiology</subject><subject>Obsessive-Compulsive Disorder - psychology</subject><subject>Postpartum Period - psychology</subject><subject>Pregnancy</subject><subject>Young Adult</subject><issn>1556-8253</issn><issn>1556-8342</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkctLw0AQhxdRbK0evUrAi5fUfSSb3YsgwWqhUkE9L5vNbE3Jy2xS6H9vQh-ol5mB_fgxOx9C1wRPCRbyPrHFlGJKphhzeoLGJAy5L1hATw8zDdkIXTi3xjgICQ_O0YgFIsIBF2MUv-oWmlLn3jJx4Fy2AT-uirrLh9F73xZ1WxXO02XqzUury9abAaRZufLeGm3azIC7RGdW5w6u9n2CPmdPH_GLv1g-z-PHhW8CErY-M4xzJoxlBATThBMJUZQA7SsDrbFg0nBLZCR5GqUpo0bb0CRYRqFlwNgEPexy6y4pIDVQto3OVd1khW62qtKZ-vtSZl9qVW2UkBHFRPYBd_uApvruwLWqyJyBPNclVJ1TlOOI9UcVpEdv_6HrqhvuNFABDogU_b4T5O8o01TONWCPyxCsBj2q16MGPWrQ0_M3v39wpA8-2A_I4YuO</recordid><startdate>202203</startdate><enddate>202203</enddate><creator>Phillips, Whitney L</creator><creator>Keim, Sarah A</creator><creator>Crerand, Canice E</creator><creator>Jackson, Jamie L</creator><general>Mary Ann Liebert, Inc</general><general>Mary Ann Liebert, Inc., publishers</general><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>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1752-1377</orcidid><orcidid>https://orcid.org/0000-0003-0040-6396</orcidid><orcidid>https://orcid.org/0000-0003-3490-3649</orcidid></search><sort><creationdate>202203</creationdate><title>Maternal Obsessive-Compulsive Symptoms and Infant Feeding Practices</title><author>Phillips, Whitney L ; Keim, Sarah A ; Crerand, Canice E ; Jackson, Jamie L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-3c36638cf31e83a1619e77be2e773eaa0839c6f19796d7dd32caf5cb0975f3e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anxiety</topic><topic>Babies</topic><topic>Breast Feeding</topic><topic>Breastfeeding & lactation</topic><topic>Child care</topic><topic>Clinical Research</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Maternal & child health</topic><topic>Middle Aged</topic><topic>Mothers - psychology</topic><topic>Obsessive compulsive disorder</topic><topic>Obsessive-Compulsive Disorder - diagnosis</topic><topic>Obsessive-Compulsive Disorder - epidemiology</topic><topic>Obsessive-Compulsive Disorder - psychology</topic><topic>Postpartum Period - psychology</topic><topic>Pregnancy</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Phillips, Whitney L</creatorcontrib><creatorcontrib>Keim, Sarah A</creatorcontrib><creatorcontrib>Crerand, Canice E</creatorcontrib><creatorcontrib>Jackson, Jamie L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Breastfeeding medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Phillips, Whitney L</au><au>Keim, Sarah A</au><au>Crerand, Canice E</au><au>Jackson, Jamie L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maternal Obsessive-Compulsive Symptoms and Infant Feeding Practices</atitle><jtitle>Breastfeeding medicine</jtitle><addtitle>Breastfeed Med</addtitle><date>2022-03</date><risdate>2022</risdate><volume>17</volume><issue>3</issue><spage>259</spage><epage>268</epage><pages>259-268</pages><issn>1556-8253</issn><eissn>1556-8342</eissn><abstract>The purpose of this study was to examine associations between postpartum obsessive-compulsive (OC) symptoms, infant care and feeding worries, and breastfeeding experiences in a sample of postpartum women.
Women were recruited via an online U.S. research volunteer database and were eligible if they were aged 18-47 years, their primary language was English, they had an infant 2-6 months old, and tried breastfeeding the infant at least once. Participants completed a survey to assess breastfeeding experiences and practices, OC symptoms and other mental health conditions, and demographics. Modified Poisson regression and linear regression were used to estimate associations between clinically elevated OC symptoms, reported thoughts or worries about infant feeding and care, and breastfeeding experiences, problems, and duration.
Of 232 participants, 32 (14%) had clinically elevated OC symptoms. These women had more perinatal OC symptoms (scoring 3.6 points higher on perinatal OC symptoms score [95% confidence interval {CI}: 0.4 to 6.9]), including symptoms specific to infant care and feeding [e.g., adjusted relative risk
= 2.37, 95% CI:1.55 to 3.64], and more breastfeeding problems (adjusted β = 0.3, 95% CI: 0.0 to 0.2) than women with fewer OC symptoms. However, they did not report an overall worse breastfeeding experience (adjusted β = 0.4, 95% CI: -9.3 to 10.1). Adjusted models controlled for depressive symptoms.
Obsessive thoughts and compulsions were common in this sample and extended to infant feeding activities. These symptoms were associated with more breastfeeding problems. Interactions in mother-infant dyads are critical because of lasting impacts on parent-child relationships and child development. Treating OC symptoms may foster healthier mother-infant relationships.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>34870468</pmid><doi>10.1089/bfm.2021.0062</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-1752-1377</orcidid><orcidid>https://orcid.org/0000-0003-0040-6396</orcidid><orcidid>https://orcid.org/0000-0003-3490-3649</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Anxiety Babies Breast Feeding Breastfeeding & lactation Child care Clinical Research Female Humans Infant Maternal & child health Middle Aged Mothers - psychology Obsessive compulsive disorder Obsessive-Compulsive Disorder - diagnosis Obsessive-Compulsive Disorder - epidemiology Obsessive-Compulsive Disorder - psychology Postpartum Period - psychology Pregnancy Young Adult |
title | Maternal Obsessive-Compulsive Symptoms and Infant Feeding Practices |
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