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Public health nurse-delivered cognitive behavioral therapy for postpartum depression: Assessing the effects of maternal treatment on infant emotion regulation

Published online by Cambridge University Press:  26 January 2024

Bahar Amani Open the ORCID record for Bahar Amani [Opens in a new window] ,
John E. Krzeczkowski ,
Louis A. Schmidt  and
Ryan J. Van Lieshout
Bahar Amani*
Affiliation:
Neuroscience Graduate Program, McMaster University, Hamilton, ON, Canada
John E. Krzeczkowski
Affiliation:
Department of Psychology, York University, Toronto, ON, Canada
Louis A. Schmidt
Affiliation:
Department of Psychology, Neuroscience and Behaviour, McMaster University, Hamilton, ON, Canada
Ryan J. Van Lieshout
Affiliation:
Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada
*
Corresponding author: B. Amani; Email: amanib@mcmaster.ca
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Abstract

The effects of maternal postpartum depression (PPD) on offspring emotion regulation (ER) are particularly deleterious as difficulties with ER predict an increased risk of psychopathology. This study examined the impact of maternal participation in a public health nurse (PHN)-delivered group cognitive behavioral therapy (CBT) intervention on infant ER. Mothers/birthing parents were ≥ 18 years old with an Edinburgh Postnatal Depression Scale (EPDS) score ≥ 10, and infants were < 12 months. Between 2017 and 2020, 141 mother–infant dyads were randomized to experimental or control groups. Infant ER was measured at baseline (T1) and nine weeks later (T2) using two neurophysiological measures (frontal alpha asymmetry (FAA) and high-frequency heart rate variability (HF-HRV)), and informant-report of infant temperament. Mothers were a mean of 30.8 years old (SD = 4.7), 92.3% were married/ common-law, and infants were a mean of 5.4 months old (SD = 2.9) and 52.1% were male. A statistically significant group-by-time interaction was found to predict change in HF-HRV between T1 and T2 (F(1,68.3) = 4.04, p = .04), but no significant interaction predicted change in FAA or temperament. Results suggest that PHN-delivered group CBT for PPD may lead to adaptive changes in a neurophysiological marker of infant ER, highlighting the importance of early maternal intervention.

Keywords

Postpartum depressionemotion regulationneurophysiologypsychotherapymotherinfant
Type
Regular Article
Information
Development and Psychopathology , Volume 37 , Issue 1 , February 2025 , pp. 259 - 267
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Copyright
© The Author(s), 2024. Published by Cambridge University Press

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