Associations Between Postpartum Depression and Child Overweight and Obesity: Mediating Effect of Maternal Feeding Behaviors and Beliefs

Purpose. Postpartum depression (PPD) is a mental condition that significantly affects 10% to 25% of women within the first year after the birth of their child. The mother-infant relationship is key to child growth. Previous studies have shown that PPD has a detrimental effect on children’s physical and psychological well-being as it affects the child through the mother’s parenting behavior. Depressed mothers show a lack of engagement with their children, which could extend to feeding practices influencing weight gain. The prevalence and severity of childhood overweight and obesity is a global public health problem. An increase in weight gain in infancy can be the initiation of childhood and adult overweight and obesity. We investigated the association between postpartum depression and child overweight and obesity, evaluating maternal feeding practices and beliefs as mediating factors in this relationship. Methods. We performed a secondary analysis on data from 1,425 mother/child dyads from the Conditions Affecting Neurocognitive Development and Learning in Early Childhood (CANDLE) study that enrolled healthy pregnant women in Shelby County, Tennessee, from 2006 through 2011. We performed logistic regression analysis to investigate the relationship between PPD and child BMI trajectories from birth to 4-6 years, and child overweight and obesity at years 1, 2, 3, 4 – 6; multiple linear regression to investigate the relationship between PPD measured at 4 weeks and maternal feeding behaviors and beliefs as measured by the Infant Feeding Questionnaire (IFQ); and causal mediation analysis to investigate the association between PPD, maternal feeding behaviors and beliefs, and child overweight and obesity.

Name thesis:degree_name

Doctor of Philosophy (PhD)

Level thesis:degree_level

Dissertation

Discipline thesis:degree_discipline

Nursing Science

Year dc:date.available

2022

Author dc:creator

• Harrison, Michelle

Contributors dc:contributor

• Joyce Carolyn Graff, PhD

• Childhood Obesity; Childhood Overweight; Maternal feeding behaviors
• Maternal feeding beliefs
• Mediation
• Postpartum Depression
• Endocrinology, Diabetes, and Metabolism
• Family Practice Nursing
• Investigative Techniques
• Maternal, Child Health and Neonatal Nursing
• Medicine and Health Sciences
• Mental and Social Health
• Nursing
• Obstetrics and Gynecology
• Pediatric Nursing
• Pediatrics
• Psychiatric and Mental Health

Repository record dc:identifier

https://dc.uthsc.edu/dissertations/617

OAI identifier oai:identifier

oai:dc.uthsc.edu:dissertations-1617