Exclusive Breastfeeding Duration and Perceptions of Infant Sleep: The Mediating Role of Postpartum Anxiety
(1) Background: Existing literature has identified associations between exclusive breastfeeding, maternal mental health, and infant sleep. This study aims to examine these relationships simultaneously and consider the mediating role of postpartum anxiety. (2) Methods: Participants completed validate...
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| Veröffentlicht in: | International journal of environmental research and public health 2022-04, Vol.19 (8), p.4494 |
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| creator | Davies, Siân M Todd-Leonida, Bethany F Fallon, Victoria M Silverio, Sergio A |
| description | (1) Background: Existing literature has identified associations between exclusive breastfeeding, maternal mental health, and infant sleep. This study aims to examine these relationships simultaneously and consider the mediating role of postpartum anxiety. (2) Methods: Participants completed validated measures of postpartum anxiety, infant sleep, and reported exclusive breastfeeding duration. Postpartum mothers with infants between six and twelve months (n = 470) were recruited to a cross-sectional online survey containing a battery of psychological measures. (3) Results: Correlation analyses examined the relationships between the predictor (exclusive breastfeeding duration), outcome (perceptions of infant sleep), and mediator (postpartum anxiety). Exclusive breastfeeding duration was significantly associated with postpartum anxiety (p < 0.05), postpartum anxiety was significantly associated with perceptions of infant sleep (p < 0.001), and exclusive breastfeeding duration was significantly associated with perceptions of infant sleep (p < 0.001). A simple mediation model was conducted, showing a significant total (B = −0.029 (0.010), p < 0.05), direct (B = −0.035 (0.009), p < 0.001), and indirect effect (B = 0.007, SE = 0.003, 95% CI = 0.000 to 0.014) of exclusive breastfeeding duration on perceptions of infant sleep via postpartum anxiety. (4) Conclusions: Associations were identified between exclusive breastfeeding duration, postpartum anxiety, and perceptions of infant sleep. The mediation model suggests postpartum anxiety may be an underlying mechanism which reduces exclusive breastfeeding duration and negatively affects maternal perceptions of infant sleep quality. |
| doi_str_mv | 10.3390/ijerph19084494 |
| format | Article |
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This study aims to examine these relationships simultaneously and consider the mediating role of postpartum anxiety. (2) Methods: Participants completed validated measures of postpartum anxiety, infant sleep, and reported exclusive breastfeeding duration. Postpartum mothers with infants between six and twelve months (n = 470) were recruited to a cross-sectional online survey containing a battery of psychological measures. (3) Results: Correlation analyses examined the relationships between the predictor (exclusive breastfeeding duration), outcome (perceptions of infant sleep), and mediator (postpartum anxiety). Exclusive breastfeeding duration was significantly associated with postpartum anxiety (p < 0.05), postpartum anxiety was significantly associated with perceptions of infant sleep (p < 0.001), and exclusive breastfeeding duration was significantly associated with perceptions of infant sleep (p < 0.001). A simple mediation model was conducted, showing a significant total (B = −0.029 (0.010), p < 0.05), direct (B = −0.035 (0.009), p < 0.001), and indirect effect (B = 0.007, SE = 0.003, 95% CI = 0.000 to 0.014) of exclusive breastfeeding duration on perceptions of infant sleep via postpartum anxiety. (4) Conclusions: Associations were identified between exclusive breastfeeding duration, postpartum anxiety, and perceptions of infant sleep. The mediation model suggests postpartum anxiety may be an underlying mechanism which reduces exclusive breastfeeding duration and negatively affects maternal perceptions of infant sleep quality.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph19084494</identifier><identifier>PMID: 35457362</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Anxiety ; Anxiety - epidemiology ; Babies ; Behavior ; Breast Feeding ; Breastfeeding & lactation ; Cross-Sectional Studies ; Demographics ; Female ; Humans ; Infant ; Infants ; Mental depression ; Mental disorders ; Mental health ; Mothers ; Mothers - psychology ; Multiple births ; Perceptions ; Postpartum ; Postpartum period ; Postpartum Period - psychology ; Questionnaires ; Sleep ; Social networks ; Womens health</subject><ispartof>International journal of environmental research and public health, 2022-04, Vol.19 (8), p.4494</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3334-638692bafc84f1a772a68d7ffa97351b82fd7de84df1ca2d5940c369ec70a23f3</citedby><cites>FETCH-LOGICAL-c3334-638692bafc84f1a772a68d7ffa97351b82fd7de84df1ca2d5940c369ec70a23f3</cites><orcidid>0000-0001-7177-3471</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9029530/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9029530/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35457362$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Davies, Siân M</creatorcontrib><creatorcontrib>Todd-Leonida, Bethany F</creatorcontrib><creatorcontrib>Fallon, Victoria M</creatorcontrib><creatorcontrib>Silverio, Sergio A</creatorcontrib><title>Exclusive Breastfeeding Duration and Perceptions of Infant Sleep: The Mediating Role of Postpartum Anxiety</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>(1) Background: Existing literature has identified associations between exclusive breastfeeding, maternal mental health, and infant sleep. This study aims to examine these relationships simultaneously and consider the mediating role of postpartum anxiety. (2) Methods: Participants completed validated measures of postpartum anxiety, infant sleep, and reported exclusive breastfeeding duration. Postpartum mothers with infants between six and twelve months (n = 470) were recruited to a cross-sectional online survey containing a battery of psychological measures. (3) Results: Correlation analyses examined the relationships between the predictor (exclusive breastfeeding duration), outcome (perceptions of infant sleep), and mediator (postpartum anxiety). Exclusive breastfeeding duration was significantly associated with postpartum anxiety (p < 0.05), postpartum anxiety was significantly associated with perceptions of infant sleep (p < 0.001), and exclusive breastfeeding duration was significantly associated with perceptions of infant sleep (p < 0.001). A simple mediation model was conducted, showing a significant total (B = −0.029 (0.010), p < 0.05), direct (B = −0.035 (0.009), p < 0.001), and indirect effect (B = 0.007, SE = 0.003, 95% CI = 0.000 to 0.014) of exclusive breastfeeding duration on perceptions of infant sleep via postpartum anxiety. (4) Conclusions: Associations were identified between exclusive breastfeeding duration, postpartum anxiety, and perceptions of infant sleep. The mediation model suggests postpartum anxiety may be an underlying mechanism which reduces exclusive breastfeeding duration and negatively affects maternal perceptions of infant sleep quality.</description><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Babies</subject><subject>Behavior</subject><subject>Breast Feeding</subject><subject>Breastfeeding & lactation</subject><subject>Cross-Sectional Studies</subject><subject>Demographics</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Infants</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mothers</subject><subject>Mothers - psychology</subject><subject>Multiple births</subject><subject>Perceptions</subject><subject>Postpartum</subject><subject>Postpartum period</subject><subject>Postpartum Period - psychology</subject><subject>Questionnaires</subject><subject>Sleep</subject><subject>Social networks</subject><subject>Womens health</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkc9LHTEQx4NUqtVePUqgl16eZpNsfngQrLWtoCitnkNeduLLY1-yTXZF__vmoRX1NDPM5_tlhi9Cew05YEyTw7CEPCwaTRTnmm-g7UYIMuOCNB9e9VvoUylLQpjiQn9EW6zlrWSCbqPl2YPrpxLuAX_LYMvoAboQ7_D3KdsxpIht7PA1ZAfDeiw4eXwevY0j_tMDDEf4ZgH4sooqXnW_Uw9r5jqVcbB5nFb4JD4EGB930aa3fYHPz3UH3f44uzn9Nbu4-nl-enIxc4wxPhNMCU3n1jvFfWOlpFaoTnpvtWRtM1fUd7IDxTvfOEu7VnPimNDgJLGUebaDjp98h2m-gs5BHLPtzZDDyuZHk2wwbzcxLMxdujeaUN0yUg2-Phvk9HeCMppVKA763kZIUzFUtJwq1ipd0S_v0GWacqzvrSmq6_VSVurgiXI5lZLBvxzTELOO0byNsQr2X7_wgv_Pjf0Dm06bYg</recordid><startdate>20220408</startdate><enddate>20220408</enddate><creator>Davies, Siân M</creator><creator>Todd-Leonida, Bethany F</creator><creator>Fallon, Victoria M</creator><creator>Silverio, Sergio A</creator><general>MDPI AG</general><general>MDPI</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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7177-3471</orcidid></search><sort><creationdate>20220408</creationdate><title>Exclusive Breastfeeding Duration and Perceptions of Infant Sleep: The Mediating Role of Postpartum Anxiety</title><author>Davies, Siân M ; Todd-Leonida, Bethany F ; Fallon, Victoria M ; Silverio, Sergio A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3334-638692bafc84f1a772a68d7ffa97351b82fd7de84df1ca2d5940c369ec70a23f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Anxiety</topic><topic>Anxiety - epidemiology</topic><topic>Babies</topic><topic>Behavior</topic><topic>Breast Feeding</topic><topic>Breastfeeding & lactation</topic><topic>Cross-Sectional Studies</topic><topic>Demographics</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Infants</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mothers</topic><topic>Mothers - psychology</topic><topic>Multiple births</topic><topic>Perceptions</topic><topic>Postpartum</topic><topic>Postpartum period</topic><topic>Postpartum Period - psychology</topic><topic>Questionnaires</topic><topic>Sleep</topic><topic>Social networks</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Davies, Siân M</creatorcontrib><creatorcontrib>Todd-Leonida, Bethany F</creatorcontrib><creatorcontrib>Fallon, Victoria M</creatorcontrib><creatorcontrib>Silverio, Sergio A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Davies, Siân M</au><au>Todd-Leonida, Bethany F</au><au>Fallon, Victoria M</au><au>Silverio, Sergio A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exclusive Breastfeeding Duration and Perceptions of Infant Sleep: The Mediating Role of Postpartum Anxiety</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2022-04-08</date><risdate>2022</risdate><volume>19</volume><issue>8</issue><spage>4494</spage><pages>4494-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>(1) Background: Existing literature has identified associations between exclusive breastfeeding, maternal mental health, and infant sleep. This study aims to examine these relationships simultaneously and consider the mediating role of postpartum anxiety. (2) Methods: Participants completed validated measures of postpartum anxiety, infant sleep, and reported exclusive breastfeeding duration. Postpartum mothers with infants between six and twelve months (n = 470) were recruited to a cross-sectional online survey containing a battery of psychological measures. (3) Results: Correlation analyses examined the relationships between the predictor (exclusive breastfeeding duration), outcome (perceptions of infant sleep), and mediator (postpartum anxiety). Exclusive breastfeeding duration was significantly associated with postpartum anxiety (p < 0.05), postpartum anxiety was significantly associated with perceptions of infant sleep (p < 0.001), and exclusive breastfeeding duration was significantly associated with perceptions of infant sleep (p < 0.001). A simple mediation model was conducted, showing a significant total (B = −0.029 (0.010), p < 0.05), direct (B = −0.035 (0.009), p < 0.001), and indirect effect (B = 0.007, SE = 0.003, 95% CI = 0.000 to 0.014) of exclusive breastfeeding duration on perceptions of infant sleep via postpartum anxiety. (4) Conclusions: Associations were identified between exclusive breastfeeding duration, postpartum anxiety, and perceptions of infant sleep. The mediation model suggests postpartum anxiety may be an underlying mechanism which reduces exclusive breastfeeding duration and negatively affects maternal perceptions of infant sleep quality.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>35457362</pmid><doi>10.3390/ijerph19084494</doi><orcidid>https://orcid.org/0000-0001-7177-3471</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Anxiety Anxiety - epidemiology Babies Behavior Breast Feeding Breastfeeding & lactation Cross-Sectional Studies Demographics Female Humans Infant Infants Mental depression Mental disorders Mental health Mothers Mothers - psychology Multiple births Perceptions Postpartum Postpartum period Postpartum Period - psychology Questionnaires Sleep Social networks Womens health |
| title | Exclusive Breastfeeding Duration and Perceptions of Infant Sleep: The Mediating Role of Postpartum Anxiety |
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