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Pre-conception self-harm, maternal mental health and mother–infant bonding problems: a 20-year prospective cohort study

Published online by Cambridge University Press:  18 December 2018

Rohan Borschmann Open the ORCID record for Rohan Borschmann [Opens in a new window] ,
Emma Molyneaux ,
Elizabeth Spry ,
Paul Moran ,
Louise M. Howard ,
Jacqui A. Macdonald ,
Stephanie J. Brown ,
Margarita Moreno-Betancur ,
Craig A. Olsson  and
George C. Patton
Rohan Borschmann
Affiliation:
Centre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, Australia Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia Department of Psychiatry, The University of Melbourne, Melbourne, Australia Section for Women's Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK South London and Maudsley NHS Foundation Trust, London, UK
Emma Molyneaux*
Affiliation:
Section for Women's Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
Elizabeth Spry
Affiliation:
Centre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, Australia Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Deakin University, Geelong, Australia
Paul Moran
Affiliation:
Centre for Academic Mental Health, School of Social & Community Medicine, University of Bristol, Bristol, UK
Louise M. Howard
Affiliation:
Section for Women's Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK South London and Maudsley NHS Foundation Trust, London, UK
Jacqui A. Macdonald
Affiliation:
Centre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, Australia Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Deakin University, Geelong, Australia Clinical Epidemiology & Biostatistics Unit, Murdoch Children's Research Institute, Melbourne, Australia
Stephanie J. Brown
Affiliation:
Healthy Mothers Healthy Families, Murdoch Children's Research Institute, Melbourne, Australia Department of Paediatrics, The University of Melbourne, Melbourne, Australia
Margarita Moreno-Betancur
Affiliation:
Clinical Epidemiology & Biostatistics Unit, Murdoch Children's Research Institute, Melbourne, Australia Centre for Epidemiology and Biostatistics, Melbourne School of Population of Global Health, The University of Melbourne, Melbourne, Australia
Craig A. Olsson
Affiliation:
Centre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, Australia Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Deakin University, Geelong, Australia Department of Paediatrics, The University of Melbourne, Melbourne, Australia
George C. Patton
Affiliation:
Centre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, Australia Department of Paediatrics, The University of Melbourne, Melbourne, Australia
*
Author for correspondence: Dr Emma Molyneaux, E-mail: emma.molyneaux@kcl.ac.uk
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Abstract

Background

Self-harm in young people is associated with later problems in social and emotional development. However, it is unknown whether self-harm in young women continues to be a marker of vulnerability on becoming a parent. This study prospectively describes the associations between pre-conception self-harm, maternal depressive symptoms and mother–infant bonding problems.

Methods

The Victorian Intergenerational Health Cohort Study (VIHCS) is a follow-up to the Victorian Adolescent Health Cohort Study (VAHCS) in Australia. Socio-demographic and health variables were assessed at 10 time-points (waves) from ages 14 to 35, including self-reported self-harm at waves 3–9. VIHCS enrolment began in 2006 (when participants were aged 28–29 years), by contacting VAHCS women every 6 months to identify pregnancies over a 7-year period. Perinatal depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale during the third trimester, and 2 and 12 months postpartum. Mother–infant bonding problems were assessed with the Postpartum Bonding Questionnaire at 2 and 12 months postpartum.

Results

Five hundred sixty-four pregnancies from 384 women were included. One in 10 women (9.7%) reported pre-conception self-harm. Women who reported self-harming in young adulthood (ages 20–29) reported higher levels of perinatal depressive symptoms and mother–infant bonding problems at all perinatal time points [perinatal depressive symptoms adjusted β = 5.40, 95% confidence interval (CI) 3.42–7.39; mother–infant bonding problems adjusted β = 7.51, 95% CI 3.09–11.92]. There was no evidence that self-harm in adolescence (ages 15–17) was associated with either perinatal outcome.

Conclusions

Self-harm during young adulthood may be an indicator of future vulnerability to perinatal mental health and mother–infant bonding problems.

Keywords

Cohort studyepidemiologymother–infant bondingperinatal mental healthself-mutilation.
Type
Original Articles
Information
Psychological Medicine , Volume 49 , Issue 16 , December 2019 , pp. 2727 - 2735
Copyright
Copyright © Cambridge University Press 2018 

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Footnotes

*

Joint first authors.

References

Borschmann, R, Becker, D, Coffey, C, Spry, E, Moreno-Betancur, M, Moran, P and Patton, G (2017) 20-year outcomes in adolescents who self-harm: a population-based cohort study. The Lancet Child & Adolescent Health 1, 195–202.Google Scholar
Brockington, I, Fraser, C and Wilson, D (2006) The postpartum bonding questionnaire: a validation. Archives of Women's Mental Health 9, 233–242.Google Scholar
Cox, JL, Holden, JM and Sagovsky, R (1987) Detection of postnatal depression. Development of the 10-item Edinburgh postnatal depression scale. The British Journal of Psychiatry 150, 782–786.Google Scholar
Crone, EA and Dahl, RE (2012) Understanding adolescence as a period of social-affective engagement and goal flexibility. Nature reviews. Neuroscience 13, 636.Google Scholar
Donath, S (2001) The validity of the 12-item general health questionnaire in Australia: a comparison between three scoring methods. Australian and New Zealand Journal of Psychiatry 35, 231–235.Google Scholar
Goldberg, DP, Gater, R, Sartorius, N, Ustun, TB, Piccinelli, M, Gureje, O and Rutter, C (1997) The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine 27, 191–197.Google Scholar
Herbert, A, Gilbert, R, Cottrell, D and Li, L (2017) Causes of death up to 10 years after admissions to hospitals for self-inflicted, drug-related or alcohol-related, or violent injury during adolescence: a retrospective, nationwide, cohort study. The Lancet 390, 577–587.Google Scholar
Howard, LM, Oram, S, Galley, H, Trevillion, K and Feder, G (2013) Domestic violence and perinatal mental disorders: a systematic review and meta-analysis. PLoS Medicine 10, e1001452.Google Scholar
Howard, LM, Molyneaux, E, Dennis, C-L, Rochat, T, Stein, A and Milgrom, J (2014) Non-psychotic mental disorders in the perinatal period. The Lancet 384, 1775–1788.Google Scholar
Kessler, RC, Andrews, G, Mroczek, D, Ustun, B and Wittchen, HU (1998) The World Health Organization composite international diagnostic interview short-form (cidi-sf). International Journal of Methods in Psychiatric Research 7, 171–185.Google Scholar
Kita, S, Haruna, M, Matsuzaki, M and Kamibeppu, K (2016) Associations between intimate partner violence (IPV) during pregnancy, mother-to-infant bonding failure, and postnatal depressive symptoms. Archives of Women's Mental Health 19, 623–634.Google Scholar
Klonsky, ED (2006) The functions of deliberate self-injury: a review of the evidence. Clinical Psychology Review 27, 226–239.Google Scholar
Lewis, G and Williams, P (1989) Clinical judgement and the standardized interview in psychiatry. Psychological Medicine 19, 971–979.Google Scholar
Lewis, G, Pelosi, AJ, Glover, E, Wilkinson, G, Stansfeld, SA, Williams, P and Shepherd, M (1988) The development of a computerized assessment for minor psychiatric disorder. Psychological Medicine 18, 737–745.Google Scholar
Mars, B, Heron, J, Crane, C, Hawton, K, Lewis, G, Macleod, J, Tilling, K and Gunnell, D (2014) Clinical and social outcomes of adolescent self harm: population based birth cohort study. BMJ 349, g5954.Google Scholar
Mcmanus, S, Meltzer, H, Brugha, T, Bebbington, P and Jenkins, R (2009) Adult psychiatric morbidity in England, 2007: results of a household survey. Available at http://content.digital.nhs.uk/catalogue/PUB02931/adul-psyc-morb-res-hou-sur-eng-2007-rep.pdf, The NHS Information Centre for health and social care.Google Scholar
Mcmanus, S, Hassiotis, A, Jenkins, R, Dennis, M, Aznar, C and Appleby, L (2014) Suicidal thoughts, suicide attempts, and self-harm. In McManus, S, Bebbington, P, Jenkins, R and Brugha, T (eds), Adult Psychiatric Morbidity Survey. NHS Digital, Chapter 12, pp. 1–29.Google Scholar
Mcmanus, S, Bebbington, P, Jenkins, R and Brugha, T (2016) Mental Health and Wellbeing in England: Adult Psychiatric Morbidity Survey 2014: a Survey Carried Out for NHS Digital by NatCen Social Research and the Department of Health Sciences, University of Leicester, NHS Digital.Google Scholar
Moran, P, Coffey, C, Romaniuk, H, Olsson, C, Borschmann, R, Carlin, JB and Patton, G (2012) The natural history of self-harm during adolescence and young adulthood: population-based cohort study. The Lancet 379, 236–243.Google Scholar
Moran, P, Coffey, C, Romaniuk, H, Degenhardt, L, Borschmann, R and Patton, G (2015) Substance use in adulthood following adolescent self-harm: a population-based cohort study. Acta Psychiatrica Scandinavica 131, 61–68.Google Scholar
Morgan, C, Webb, RT, Carr, MJ, Kontopantelis, E, Green, J, Chew-Graham, CA, Kapur, N and Ashcroft, DM (2017) Incidence, clinical management, and mortality risk following self harm among children and adolescents: cohort study in primary care. BMJ 359, j4351.Google Scholar
Murray, D and Cox, JL (1990) Screening for depression during pregnancy with the Edinburgh depression scale (EDDS). Journal of Reproductive and Infant Psychology 8, 99–107.Google Scholar
Oldershaw, A, Grima, E, Jollant, F, Richards, C, Simic, M, Taylor, L and Schmidt, U (2009) Decision making and problem solving in adolescents who deliberately self-harm. Psychological Medicine 39, 95–104.Google Scholar
Oram, S, Khalifeh, H and Howard, LM (2017) Violence against women and mental health. The Lancet Psychiatry 4, 159–170.Google Scholar
Patton, GC, Coffey, C, Lynskey, MT, Reid, S, Hemphill, S, Carlin, JB and Hall, W (2007) Trajectories of adolescent alcohol and cannabis use into young adulthood. Addiction 102, 607–615.Google Scholar
Patton, GC, Romaniuk, H, Spry, E, Coffey, C, Olsson, C, Doyle, LW, Oats, J, Hearps, S, Carlin, JB and Brown, S (2015) Prediction of perinatal depression from adolescence and before conception (VIHCS): 20-year prospective cohort study. The Lancet 386, 875–883.Google Scholar
Singleton, N, Bumpstead, R, O'BRIEN, M, Lee, A and Meltzer, H (2003) Psychiatric morbidity among adults living in private households, 2000. International Review of Psychiatry 15, 65–73.Google Scholar
Skegg, K (2005) Self-harm. The Lancet 366, 1471–1483.Google Scholar
STATA (2017) Stata Release 15.0. Stata Corporation. 15.0 ed. Texas, USA.Google Scholar
Van Buuren, S and Oudshoorn, K (1999) Flexible Multivariate Imputation by MICE. Leiden: Netherlands: Organization for Applied Scientific Research; (TNO).Google Scholar
Wasserstein, RL and Lazar, NA (2016) The ASA's statement on p values: context, process, and purpose. The American Statistician 70, 129–133.Google Scholar
WHO (1997) Composite International Diagnostic Interview, CIDI-Auto 2.1: Administrator's Guide and Reference. Geneva: World Health Organization.Google Scholar
WHO (2004) International Statistical Classification of Diseases and Related Health Problems. World Health Organization, Geneva: World Health Organization.Google Scholar
Woolhouse, H, Gartland, D, Hegarty, K, Donath, S and Brown, S (2012) Depressive symptoms and intimate partner violence in the 12 months after childbirth: a prospective pregnancy cohort study. BJOG: An International Journal of Obstetrics & Gynaecology 119, 315–323.Google Scholar
Zubrick, SR, Hafekost, J, Johnson, SE, Lawrence, D, Saw, S, Sawyer, M, Ainley, J and Buckingham, WJ (2016) Self-harm: prevalence estimates from the second Australian child and adolescent survey of mental health and wellbeing. Australian and New Zealand Journal of Psychiatry 50, 911–921.Google Scholar
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