Murdoch University Research Repository

Welcome to the Murdoch University Research Repository

The Murdoch University Research Repository is an open access digital collection of research
created by Murdoch University staff, researchers and postgraduate students.

Learn more

Emotional availability in women with bipolar disorder and major depression: A longitudinal pregnancy cohort study

Aran, P., Lewis, A.J.ORCID: 0000-0002-2519-7976, Watson, S.J.ORCID: 0000-0001-7228-3490, Nguyen, T. and Galbally, M.ORCID: 0000-0003-3909-1918 (2021) Emotional availability in women with bipolar disorder and major depression: A longitudinal pregnancy cohort study. Australian & New Zealand Journal of Psychiatry . OnlineFirst.

Link to Published Version: https://doi.org/10.1177/0004867421998796
*Subscription may be required

Abstract

Objective:

Poorer mother–infant interaction quality has been identified among women with major depression; however, there is a dearth of research examining the impact of bipolar disorder. This study sought to compare mother–infant emotional availability at 6 months postpartum among women with perinatal major depressive disorder, bipolar disorder and no disorder (control).

Methods:

Data were obtained for 127 mother–infant dyads from an Australian pregnancy cohort. The Structured Clinical Interview for the DSM-5 was used to diagnose major depressive disorder (n = 60) and bipolar disorder (n = 12) in early pregnancy (less than 20 weeks) and review diagnosis at 6 months postpartum. Prenatal and postnatal depressive symptoms were measured using the Edinburgh Postnatal Depression Scale, along with self-report psychotropic medication use. Mother and infant’s interaction quality was measured using the Emotional Availability Scales when infants reached 6 months of age. Multivariate analyses of covariance examining the effects of major depressive disorder and bipolar disorder on maternal emotional availability (sensitivity, structuring, non-intrusiveness, non-hostility) and child emotional availability (responsiveness, involvement) were conducted.

Results:

After controlling for maternal age and postpartum depressive symptoms, perinatal disorder (major depressive disorder, bipolar disorder) accounted for 17% of the variance in maternal and child emotional availability combined. Compared to women with major depressive disorder and their infants, women with bipolar disorder and their infants displayed lower ratings across all maternal and child emotional availability qualities, with the greatest mean difference seen in non-intrusiveness scores.

Conclusions:

Findings suggest that perinatal bipolar disorder may be associated with additional risk, beyond major depressive disorder alone, to a mother and her offspring’s emotional availability at 6 months postpartum, particularly in maternal intrusiveness.

Item Type: Journal Article
Murdoch Affiliation(s): Psychology, Counselling, Exercise Science and Chiropractic
Publisher: SAGE Publications
Copyright: © 2021 by The Royal Australian and New Zealand College of Psychiatrists
URI: http://researchrepository.murdoch.edu.au/id/eprint/60254
Item Control Page Item Control Page