Bio-Psycho-Social Approach to Reproductive Mental Health and Reproductive Decisions.

The reproductive period in the human life cycle covers a great part of a person's existence and is associated with many significant life changes [...].

Reproductive Intentions Affected by Perceptions of Climate Change and Attitudes toward Death.

Adverse climate change poses a threat to the health of pregnant women and unborn children and has a negative impact on the quality of life. Additionally, individuals with a high awareness of the consequences of climate change may be accompanied by a fear of the inevitable end, such as a fear of death. This, in turn, may discourage planning for offspring. Thus, both the perception of climate change and fear of death can have implications for reproductive intentions. Only a few studies to date indicate that concerns about climate change, especially when combined with attitudes towards death, may influence the formation of attitudes and reproductive plans. Thus, current research is aimed at looking at reproductive intentions from the perspective of both climate change concerns and the fear of death. This study was conducted from December 2020 to February 2021. A total of 177 childless males and females (58.8%) took part in the study. The Death Anxiety and Fascination Scale (DAFS) and Climate Change Perception Questionnaire (CCPQ) were completed online. Overall, 63.8% of respondents displayed a positive reproductive intention. Multivariable logistic regression analysis found that, in addition to the young age of respondents, the likelihood of positive reproductive intentions increases with death anxiety and decreases with death fascination and with climate health concerns. The results indicate that both climate change concerns and the fear of death are relevant to reproductive plans-positive reproductive intentions increase with death anxiety and decrease with death fascination and with climate health concerns. The results fill the gap in the existing research on predictors of reproductive intentions and can be used for further scientific exploration and practical activities addressing the issues of the determinants of decisions about having children. The individual consequences of climate change are clearly taken into account in the context of offspring planning and, therefore, should be considered in the design of social and environmental actions.

Postpartum Depressive Symptoms and Their Selected Psychological Predictors in Breast-, Mixed and Formula-Feeding Mothers.

BACKGROUND: Although breastfeeding is recommended by WHO and professionals as the most beneficial for newborn babies, many women find it challenging. Previous research yielded ambiguous results concerning the role of breastfeeding in the development of postpartum depression. The study aimed to identify the best predictors of depressive symptoms for each of these feeding method. METHODS: The participants were 151 women (mean age 29.4 yrs; SD = 4.5) who gave birth within the last 6 months and included 82 women classified as breastfeeding, 38 classified as mixed-feeding (breast and bottle), and 31 as formula-feeding. The study had a cross-sectional design using a web-based survey for data collection. The following measures were administered: The Edinburgh Postnatal Depression Scale; Sense of Stress Questionnaire; The Postpartum Bonding Questionnaire; Parenting Sense of Competence Scale; Infant Feeding Questionnaire. RESULTS: Women in study groups differed in stress, bonding difficulties, and beliefs related to feeding practices and infancy. There were no significant differences in the severity of depressive symptoms, but all mean EPDS scores were above 12. Maternal satisfaction, intrapsychic stress, and concerns about feeding on a schedule were the best predictors of EPDS scores for breastfeeding women. For mixed-feeding - emotional tension, concern about infant's hunger, overeating, and awareness of infant's hunger and satiety cues; while for the formula-feeding group, predictors included emotional tension, bonding difficulties, and such maternal feeding practices and beliefs as concern about undereating, awareness of infant's hunger and satiety cues, concerns about feeding on a schedule and social interaction with the infant during feeding. CONCLUSION: Differences in predictors of postpartum depression for study groups suggest that breastfeeding itself may not be a risk for postpartum depression. However, the specificity of maternal experiences with the various types of feeding is related to difficulties promoting postpartum depression. Providing emotional and educational support appropriate for different types of feeding may be an essential protective factor for postnatal depression.

Psychometric Properties of the Polish Version of the Parental Feelings Inventory.

Previous reports from international literature have emphasized the specific nature of the feelings experienced by parents related to their role, differentiating them from other emotional states. Researchers highlighted the role of parental emotions in parent-child interaction and child development. The aim of the present study was to create the Polish version of the Parental Feelings Inventory (PFI), which is a rating scale designed to determine parental emotions within the parenting role, and to assess its psychometric properties. The participants included 191 parents (102 mothers and 89 fathers) aged 22 to 55 years (M = 37.18, SD = 6.85), both parents of healthy children and those of children with chronic diseases or disabilities. All participants completed the translated PFI questionnaire, Parental Attitude Scale (SPR), SUPIN S20 and SUPIN C20. The results support a three-factor solution (Angry, Happy, and Anxious/Sad) and a structure of 22 items for the PFI. The internal consistency for the complete scale was α = 0.78 for mothers and α = 0.76 for fathers. Cronbach's α coefficients for individual factors for the Polish version were good: all above 0.80. The Polish PFI correlated with measures of parental attitudes and positive/negative affect; in addition, the Polish version confirms the basic psychometric criteria of the original and yields the same results. Therefore, the Polish version of the PFI is a valid and reliable tool for measuring parental feelings and can be successfully used as a measure of emotional experiences in the parenting role.

The Effect of Maternal Depression on Infant Attachment: A Systematic Review.

Aims and objectives: The aim of this systematic review was to summarize the key findings of empirical studies assessing the influence of maternal depression on child attachment security measured before 24 months after birth. Method: The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement guidelines. A literature search was conducted on the EBSCO (Academic Search Complete; Health Source: Nursing/Academic Edition; MEDLINE; PsycARTICLES) and PubMed databases, with infant attachment AND depression as search terms with Boolean operators. Study design or sample size did not affect inclusion. After screening, 29 of the 1510 unique publications originally identified were included in the review. Results: The studies reveal an equivocal association between maternal depression and child attachment security. Our findings indicate that depression had a significant influence on the attachment style almost only when diagnosed by structured interview: Depression measured by self-descriptive questionnaires was unrelated to attachment style. Furthermore, postpartum depression was found to be significant only when measured up to six months after childbirth. Conclusion: The relationship between maternal depression and infant attachment is both complex and dynamic, and the possible negative effects of depression might be compensated by maternal involvement in childcare. Therefore, further studies in this area should employ a reliable methodology for diagnosing depression and a suitable time point for measuring it; they should also adopt a multifactorial and prospective approach. It is important to note that breastfeeding/formula feeding was omitted as a factor in the majority of studies.

A longitudinal study of parental attachment: pre- and postnatal study with couples.

Objective: To identify factors associated with parental pre- and postnatal attachment to a child. Background: Establishing a relationship with a child is one of the most important parental tasks during pregnancy. Studies examining the determinants of parental attachment have focused mostly on mothers and prenatal period. Methods: Couples awaiting their first child were recruited for a prospective study, with the first stage (3rd trimester of pregnancy) and the second (after delivery). Mothers and fathers completed questionnaires: MAAS/PAAS, MPAS/PPAS by Condon; KPR-Roc M/O by Plopa; EPDS by Cox et al. and the PRAM by Vreeswijk et al. Results: The most important factors for prenatal maternal attachment included depressiveness, an accepting mother's attitude and the partner's relationship; whereas postpartum depressiveness and prenatal maternal attachment were important for postnatal maternal attachment. For men, partner's depressiveness, an inconsistent and over-protecting mother's attitude and a declaration of attendance at birth predicted their relationship with the child during pregnancy, and prenatal paternal attachment for the period after childbirth. Conclusions: The determinants of parental attachment to a child differ for men and women. The most important prenatally are depressiveness, attitudes of their own parents recorded from childhood, while prenatal attachment to a child is most significant postnatally.

Negative cognitive styles as risk factors for the occurrence of PMS and PMDD.

Background: The purpose of our study is to verify whether elements of cognitive vulnerability to affective disorders may enhance the occurrence of PMS/PMDD. Methods: In total, 293 women with regular cycles took part in the study. The subjects were exposed to failure during the follicular phase or luteal phase, as appropriate, and the attributional style of failure, cognitive triad inventory (CTI) and presence of biased information processing were determined. The mood of the subjects before and after failure was measured, and the depressive mood was screened by CES-D. The occurrence of PMS/PMDD was assessed on the basis of PSST. Results: The women suffering from PMS/PMDD differed from those without PMS in terms of the cognitive triad, the use of positive and negative adjectives when describing themselves and biased information processing. In the luteal cycle phase, considerably greater sadness and irritation were observed in women with PMS/PMDD after experiencing failure, but only in those from the group not taking oral contraceptives. Conclusions: Negative cognitive styles are an important factor in the development of PMS/PMDD. PMDD is similar to major depression regarding cognitive vulnerability. Only in the case of PMDD was biased information processing in the luteal cycle phase recorded.