Evidence map›Paper›PMID 40232389›Full record

ArticleArchives of women's mental health2025

Postpartum maternal depression, mother-to-infant bonding, and their association with child difficulties in sixth grade.

Daimei Sasayama, Tomonori Owa, Tetsuya Kudo, Wakako Kaneko, Mizuho Makita, Rie Kuge, Ken Shiraishi, Tetsuo Nomiyama, Shinsuke Washizuka, Hideo Honda

Abstract read
In one paragraph

Article in Archives of women's mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
  4. Article
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  7. Article
  8. Maternal Stress and Child Development: The Moderating Role of Interactive Shared Reading.International journal of environmental research and public health · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Daimei SasayamaDepartment of Psychiatry, Shinshu University School of Medicine, 3 - 1- 1, Asahi, Matsumoto, Nagano, 390 - 8621, Japan. sasayama@shinshu-u.ac.jp.ORCID 0000-0003-3450-7283
Tomonori OwaShinano Medical Welfare Center, Shimo-Suwa, Nagano, 393 - 0093, Japan.
Tetsuya KudoShinano Medical Welfare Center, Shimo-Suwa, Nagano, 393 - 0093, Japan.
Wakako KanekoShinano Medical Welfare Center, Shimo-Suwa, Nagano, 393 - 0093, Japan.
Mizuho MakitaDepartment of Child and Adolescent Developmental Psychiatry, Shinshu University School of Medicine, Matsumoto, Nagano, 390 - 8621, Japan.
Rie KugeDepartment of Child and Adolescent Developmental Psychiatry, Shinshu University School of Medicine, Matsumoto, Nagano, 390 - 8621, Japan.
Ken ShiraishiDepartment of Psychiatry, Shinshu University School of Medicine, 3 - 1- 1, Asahi, Matsumoto, Nagano, 390 - 8621, Japan.
Tetsuo NomiyamaDepartment of Preventive Medicine and Public Health, Shinshu University School of Medicine, Matsumoto, Nagano, 390 - 8621, Japan.
Shinsuke WashizukaDepartment of Psychiatry, Shinshu University School of Medicine, 3 - 1- 1, Asahi, Matsumoto, Nagano, 390 - 8621, Japan.
Hideo HondaDepartment of Child and Adolescent Developmental Psychiatry, Shinshu University School of Medicine, Matsumoto, Nagano, 390 - 8621, Japan.

Funding

Japan Society for the Promotion of Science 21K07542
6 · The paper itself

Abstract

purposePostpartum maternal mental health plays a crucial role in the development of children's social and emotional competencies. This study aimed to investigate the influence of postpartum maternal depression and mother-to-infant bonding on children's emotional and behavioral difficulties in sixth grade.

methodsData from the maternal Edinburgh Postnatal Depression Scale (EPDS) and the Mother-to-Infant Bonding Scale-Japanese version (MIBS-J), administered to mothers approximately 2 weeks to 1 month postpartum during postnatal health checkups in Okaya, Japan, were analyzed alongside Strengths and Difficulties Questionnaire (SDQ) data collected from their sixth-grade children and their caregivers. The study included 245 mother-child pairs of children born between April 2, 2009, and April 1, 2012.

resultsPostpartum maternal depressive symptoms, as assessed by the EPDS, were significantly associated with mother-to-infant bonding difficulties, as assessed by the MIBS-J. Structural equation modeling revealed that EPDS, MIBS-J, and sex significantly predicted psychosocial difficulties of children. Bonding difficulties mediated 34.6% of the total effect of EPDS on child difficulties. The models explained 26.1% of the variance in psychosocial difficulties, with 43.0% of the variance explained for parent-rated SDQ scores and 36.4% for self-rated SDQ scores.

conclusionsThe negative impact of maternal depressive symptoms on mother-to-infant bonding may have contributed to increased difficulties for the child, highlighting the critical role of bonding in moderating the effects of maternal mental health on child development. These findings underscore the importance of early postpartum interventions targeting both maternal depression and bonding difficulties to mitigate long-term effects on child development.

Indexed as

Depression, PostpartumMother-Child RelationsMothersObject AttachmentAdultChildFemaleHumansInfantJapanMalePostpartum PeriodPsychiatric Status Rating ScalesSurveys and QuestionnairesChild BehaviorLongitudinal StudyMother–Child InteractionsPostpartum Depression

Identifiers

PMID40232389
PMCPMC12436542

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.