ORIGINAL ARTICLES

Cumulative Ecological Risk and Postpartum Depression: The Mediating Role of Internal Working Model of Insecurity Attachment

  • MA Fuyun ,
  • ZHANG Yuhang ,
  • KAN Jiaqi ,
  • HAN Hong ,
  • Raymond C. K. CHAN ,
  • WANG Zhengyan ,
  • CHENG Nanhua
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  • 1Beijing Key Laboratory of Learning and Cognition and Department of Psychology, Capital Normal University, Beijing 100048, China;
    2Neuropsychology and Applied Cognitive Neuroscience Laboratory, CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, 100101
#Equal Contribute.
*CHENG Nanhua, 6777@cnu.edu.cn

Online published: 2024-10-16

Abstract

Objective: To investigate the effect of cumulative ecological risk on postpartum depression and the mediating role of insecure attachment.
Methods: From March 2017 to June 2017, 754 postpartum women (age: 32.0±3.4 years) in 3 Beijing maternal and child health hospitals were recruited to complete a set of questionnaires including the basic information questionnaire, the Edinburgh Postpartum Depression Scale, the Childhood Trauma Questionnaire, and the Adult Attachment Experience Questionnaire. Structural equation modeling was used to test the direct effect of cumulative ecological risk on postpartum depression and the mediating effect of insecure attachment.
Results: There were 66.4% of the postpartum women that gave birth for the first time; and the average score of the Edinburgh Postpartum Depression Scale was 7.3 (4.4) and the score of insecure attachment in the childhood of postpartum women was 2.2 (0.8). Maternal age, housing status, subjective and objective economic status, and childhood traumatic experience were associated significantly with postpartum depression. Postpartum women’s average depression level had not met the clinical criteria, and the cumulative ecological risk and insecure attachment both had a significant positive predictive effect on postpartum depression. Cumulative ecological risk could partly predict postpartum depression through postpartum women’s insecure attachment.
Conclusions: Cumulative ecological risk has an important effect on postpartum depression, and this effect may be achieved through the postpartum women’s internal attachment work pattern. Therefore, this study reminds us that from the perspective of intervention, when reducing the ecological risk of maternal postpartum depression, we should consider the cumulative risks and risks in different fields such as family and individual psychology.

Cite this article

MA Fuyun , ZHANG Yuhang , KAN Jiaqi , HAN Hong , Raymond C. K. CHAN , WANG Zhengyan , CHENG Nanhua . Cumulative Ecological Risk and Postpartum Depression: The Mediating Role of Internal Working Model of Insecurity Attachment[J]. Psychological Communications, 2021 , 4(2) : 87 -95 . DOI: 10.12100/j.issn.2096-5494.220088

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