Evidence map›Paper›PMID 40426107›Full record

ArticleBMC pediatrics2025

The mediating role of parent-child bonding for the prospective association of prenatal depressive symptoms with child development at 14 months postpartum.

Ariane Göbel, Caroline Hilpert, Victoria Weise, Judith T Mack, Susan Garthus-Niegel

Abstract read
In one paragraph

Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ariane Göbel *Institute for Systems Medicine (ISM), Faculty of Medicine, Medical School Hamburg MSH, Hamburg, Germany. ariane.goebel@medicalschool-hamburg.de.
Caroline Hilpert *Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany.
Victoria WeiseInstitute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany.
Judith T MackInstitute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany.
Susan Garthus-NiegelInstitute for Systems Medicine (ISM), Faculty of Medicine, Medical School Hamburg MSH, Hamburg, Germany.

Funding

Deutsche Forschungsgemeinschaft GA 2287/4-1
6 · The paper itself

Abstract

backgroundDepressive symptoms in the perinatal period as well as difficulties developing an emotional bond towards the child have been described as potential risk factors for poor child development. Few studies have investigated the mediating role of parent-child bonding for the association between prenatal depressive symptoms and child outcomes. Research on this association is especially scarce regarding the paternal perspective. This study investigated the prospective association between both parents' prenatal depressive symptoms and child development, taking the mediating role of parent-child bonding into account.

methodsData of 1,178 mothers and 743 fathers were drawn from the prospective longitudinal cohort study "Dresden Study on Parenting, Work, and Mental Health" (DREAM). To investigate the prospective association between depressive symptoms during pregnancy and eight weeks postpartum (self-report, Edinburgh Postnatal Depression Scale), parent-child bonding at eight weeks postpartum (self-report, Postpartum Bonding Questionnaire), and child development at 14 months postpartum (parent-report, Ages and Stages Questionnaire-3), multiple regression and mediation analyses were conducted individually for both parents, including the confounders parental age, education, child's sex assigned at birth, prematurity, and perceived social support.

resultsIn both parents, a statistically significant small-sized mediating effect of parent-child bonding for the association between prenatal depressive symptoms and child development was found, with higher depressive symptoms being associated with more parent-child bonding impairment, which was associated with poorer child development. Paternal depressive symptoms were not directly associated with child development, whereas higher levels of maternal prenatal depressive symptoms were directly associated with better child development at 14 months postpartum. After additionally controlling for postpartum depressive symptoms, the association between prenatal depressive symptoms and parent-child bonding was no longer significant, and a positive association between paternal prenatal depressive symptoms and child development emerged.

conclusionsOur results underline the importance of addressing depressive symptoms in the context of perinatal care to support parents experiencing mental health problems or struggles with the adjustment to parenthood early on. Future research on the complex dynamics of mental health, parent-child bonding, and child development is needed to replicate our findings. Our study highlights the relevance of including the perspective of both parents into research and clinical practice.

Indexed as

Child DevelopmentDepressionObject AttachmentParent-Child RelationsPregnancy ComplicationsAdultDepression, PostpartumFathersFemaleHumansInfantLongitudinal StudiesMalePostpartum PeriodPregnancyProspective StudiesASQ-3Child developmentDREAM studyEPDSFather-child bondingMaternal mental healthMother-child bondingPaternal mental healthPBQPrenatal depression

Identifiers

PMID40426107
PMCPMC12107893

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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.