Stress, depressive symptoms, and maternal self-efficacy in first-time mothers: modelling and predicting change across the first six months of motherhood

Journal Publication ResearchOnline@JCU
Law, Kwok Hong;Dimmock, James;Guelfi, Kym J.;Jackson, Ben;Nguyen, Thinh;Gucciardi, Daniel
Abstract

Background: First-time mothers commonly experience stress and depressive symptoms in the postpartum period. Maternal self-efficacy has been shown to be an important protective factor against these experiences; however, research on the dynamic nature of stress, depressive symptoms, and maternal self-efficacy is limited. The aim of this study was to document changes in these psychological factors among first-time mothers, and determine how early maternal self-efficacy perceptions may predict change in stress and depressive symptoms over the first 6 months postpartum. Methods: Sixty first-time Australian mothers were recruited during their third trimester of pregnancy. Participants completed a baseline survey during the third trimester of pregnancy (M = 32.87 weeks, SD = 2.62 weeks), and subsequently reported stress, depressive symptoms, and maternal self-efficacy every 3 weeks postpartum for 6 months. Latent growth curve modelling was used to estimate participants’ change over time for stress and depressive symptoms. Results: First-time mothers’ stress and depressive symptoms peaked, and maternal self-efficacy was weakest, at 3 weeks postpartum. Maternal self-efficacy at 3 weeks postpartum was a significant (negative) predictor of 3-week levels of, and also (positively) predicted later reductions in, stress. Conclusion: Future interventions aimed at bolstering early maternal self-efficacy may protect against postpartum stress for first-time mothers.

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11

ISBN/ISSN

1758-0854

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1

Pages Count

22

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Publisher

Wiley

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DOI

10.1111/aphw.12147