THE ROLE OF POSTPARTUM DEPRESSION IN MATERNAL-INFANT BONDING: CLINICAL EVALUATION AND SUPPORT STRATEGIES

Abstract

Postpartum depression (PPD) is a prevalent mental health condition that significantly affects maternal well-being and maternal-infant bonding, with potential long-term consequences for infant development. This study investigates the relationship between PPD severity and maternal-infant bonding, as well as the effectiveness of support strategies in improving bonding outcomes. A mixed-methods approach was employed, incorporating both quantitative clinical assessments, including the Edinburgh Postnatal Depression Scale (EPDS) and the Mother-Infant Bonding Scale (MIBS), and qualitative semi-structured interviews. The results revealed a strong inverse relationship between the severity of postpartum depression and the quality of maternal-infant bonding, with higher depression severity correlating with poorer bonding scores. The study found that mothers with severe depression exhibited significantly lower bonding scores compared to those with mild or moderate depression. In terms of support strategies, cognitive behavioral therapy (CBT) was the most effective intervention, leading to the most significant improvement in maternal-infant bonding. Peer support groups and family therapy also contributed positively to bonding, though to a lesser extent. Additionally, the study highlighted the impact of PPD on infant developmental outcomes, with infants of mothers with severe depression showing delays in emotional regulation and cognitive development. The findings emphasize the need for early detection and intervention for postpartum depression, particularly through integrated mental health screenings in postpartum care. Overall, this study underscores the importance of comprehensive support strategies in mitigating the adverse effects of PPD and fostering healthier maternal-infant relationships. Future research should further explore the long-term effects of these interventions across diverse populations.