- Title
- Major depression and generalised anxiety disorder: An analysis of the effects of remission status and comorbidity on mother‐infant emotional availability in the perinatal period
- Creator
- Aran, Pavitra; Lewis, Andrew; Watson, Stuart; Galbally, Megan
- Date
- 2022
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/191710
- Identifier
- vital:17856
- Identifier
-
https://doi.org/10.1002/jclp.23235
- Identifier
- ISSN:0021-9762
- Abstract
- Background The effects of maternal depression on mother‐infant relationship quality likely vary according to depression heterogeneity. We investigated the effects of different presentations of major depression on mother‐infant emotional availability (EA). Methods Data were obtained from 115 mother‐infant dyads from a longitudinal pregnancy cohort. Disorders, symptoms, and antidepressant use were assessed in pregnancy and postpartum, and EA was observed 6‐month postpartum. Major Depressive Disorder (MDD) and Generalized Anxiety Disorder (GAD) were assessed using the Structured Clinical Interview for the DSM‐5. A series of multivariate analyses of covariance analyses' examining the effects of disorder on EA were conducted. Results After controlling for maternal age, antidepressant use, and postpartum depressive symptoms, MDD accounted for 20% of the variance in EA. In the MDD/GAD group, 93% of interactions were rated as emotionally unavailable, nearly threefold the comparison group rate. Conclusions Findings demonstrate that different presentations of major depression are associated with observed differences in mother‐infant EA. HIGHLIGHTS Lifetime major depression predicted mother‐infant emotional availability, independent of antidepressant use or postpartum depressive symptoms The risk of emotional unavailability varied according to different presentations of major depression Comorbid generalized anxiety disorder was associated with the greatest risk of emotional unavailability
- Publisher
- Wiley Periodicals Inc
- Relation
- Journal of Clinical Psychology Vol. 78, no. 4 (2022), p. 570-589
- Rights
- All metadata describing materials held in, or linked to, the repository is freely available under a CC0 licence
- Rights
- Copyright Wiley
- Subject
- Anxiety disorders; Anxiety Disorders - epidemiology; Attachment; Comorbidity; Depression - psychology; Depression, Postpartum - psychology; Depressive Disorder, Major - psychology; Female; Generalized anxiety disorder; Humans; Infant; Major depressive disorder; Mental depression; Mothers - psychology; Postpartum depression; Pregnancy; 5201 Applied and developmental psychology; 5203 Clinical and health psychology; 5205 Social and personality psychology
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