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Maternal depression and infant attachment security: A meta‐analysis
Author(s) -
Barnes Jennifer,
Theule Jennifer
Publication year - 2019
Publication title -
infant mental health journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.693
H-Index - 75
eISSN - 1097-0355
pISSN - 0163-9641
DOI - 10.1002/imhj.21812
Subject(s) - depression (economics) , meta analysis , psychological intervention , odds ratio , mental health , maternal sensitivity , psychology , population , association (psychology) , clinical psychology , medicine , developmental psychology , psychiatry , environmental health , economics , macroeconomics , pathology , psychotherapist
The purpose of this study is to clarify the magnitude of the association between maternal depression and infant attachment nonsecurity, and to identify possible moderators of this relationship. An extensive literature search was conducted using multiple databases of both published and unpublished studies. A meta‐analysis was conducted to determine the relationship between maternal depression and infant attachment security and to establish the effect size. The main findings from this meta‐analysis, which included 42 studies, indicate that there is a small, yet significant, relationship between maternal depression and infant attachment nonsecurity. The rate of nonsecurity in infants of mothers with depression was approximately 20% higher than expected rates in a nonclinical population, and the association between depressive symptoms and nonsecurity was small, but significant. Infants of mothers with depression were nearly twice as likely to have a nonsecure attachment than were infants of healthy mothers. Depression measure and maternal sample source were identified as significant moderators of the odds ratio effect size. Results of this study demonstrate that there is a significant relationship between maternal depression and infant attachment nonsecurity, and suggest that interventions that focus on both maternal mental health and the attachment relationship are warranted.