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The relationship between maternal attachment style and postpartum depression symptoms with the moderating role of spousal support
Niloofar Dinmohammadi , Samaneh Behzadpoor *
Department of Psychology, Faculty of Humanities, University of Science and Culture, Tehran, Iran , samaneh_behzadpoor@yahoo.com
Abstract:   (440 Views)
Background and Objective: Given the importance of maternal mood in the postpartum period, which can have profound effects on maternal health, and to identify factors that can affect postpartum depression symptoms, the present study aimed to investigate the relationship between postpartum depression and maternal attachment style, considering the moderating role of spousal support.
Materials and Methods: The research design was a descriptive correlational and fundamental study. The sample size consisted of 237 mothers residing in Tehran, with a maximum of 24 months passed since their childbirth. Sampling was done using the convenience method. Data were collected using the Edinburgh Postnatal Depression Scale, the Experiences in Close Relationships-Revised questionnaire, and the Reflective Functioning Questionnaire. Finally, the data were analyzed using Pearson correlation and path analysis.
Results: The results showed that maternal anxious and avoidant attachment styles had a direct, positive, and significant effect on postpartum depression (P<0.01, r=0.96 and r=0.34, respectively). Additionally, spousal support had a negative and significant relationship with postpartum depression symptoms (P<0.01, r=-0.41). The coefficient obtained for the indirect effect of maternal anxious and avoidant attachment styles on postpartum depression symptoms, with the moderating role of spousal support, indicated that this effect was not significant.
Conclusion: The results of this study indicate that the quality of maternal attachment is a strong predictor of postpartum depression, and spousal support cannot moderate the effects of insecure maternal attachment.
 
Keywords: Postpartum Depression, Maternal Attachment, Spousal Suppor 
     
Type of Study: Research | Subject: General
Received: 2025/11/15 | Revised: 2026/06/16 | Accepted: 2026/03/16
References
1. Alba BM. CE: Postpartum Depression: A Nurse's Guide. Am J Nurs. 2021; 121(7): 32-43. doi.10.1097/01.NAJ.0000756516.95992.8e PMid:34117132
2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. text revision. Washington, DC: American Psychiatric Association Publishing; 2022.
3. Jalal K, Zohra IL, Abdul K, Aziz UR, Khubaib K, Ihsun U, et al. prevalence and risk factors of postpartum depression: a systematic review. Kashf J Multidiscip Res. 2025; 2(01): 36-41. doi.10.71146/kjmr196
4. Mahdavy M, Kheirabadi G. The prevalence of Postpartum Depression and its related factors among women in Natanz City in 2018 (Iran). Qom Univ Med Sci J. 2020; 14(2): 78-85. doi.10.29252/qums.14.2.78
5. Yu Y, Liang HF, Chen J, Li ZB, Han YS, Chen JX, et al. Postpartum depression: Current status and possible identification using biomarkers. Front Psychiatry. 2021; 12:620371. doi.10.3389/fpsyt.2021.620371 PMid:34211407 PMCid:PMC8240635
6. Zdolska-Wawrzkiewicz A, Bidzan M, Chrzan-Dętkoś M, Pizuńska D. The dynamics of becoming a mother during pregnancy and after childbirth. IJERPH. 2020; 17(1): 57-69. doi.10.3390/ijerph17010057 PMid:31861696 PMCid:PMC6982180
7. Robakis TK, Zhang S, Rasgon NL, Li T, Wang T, Roth MC, et al. Epigenetic signatures of attachment insecurity and childhood adversity provide evidence for role transition in the pathogenesis of perinatal depression. Transl Psychiatry. 2020; 10(1):48-60. doi.10.1038/s41398-020-0703-3 PMid:32066670 PMCid:PMC7026105
8. Bowlby J. Attachment and loss: Volume II: Separation, anxiety and anger. New York, NY: Basic Books, 1973.
9. Sagone E, Commodari E, Indiana ML, La Rosa VL. Exploring the association between attachment style, psychological well-being, and relationship status in young adults and adults-A cross-sectional study. Eur J Investig Health Psychol Educ. 2023; 13(3): 525-39. doi.10.3390/ejihpe13030040 PMid:36975392 PMCid:PMC10047625
10. Shaver PR, Mikulincer M. Adult attachment strategies and the regulation of emotion. In: Gross JJ, editor. Handbook of emotion regulation. New York: Guilford Press; 2007. p. 446-465.
11. Karantzas GC, Younan R, Pilkington PD. The associations between early maladaptive schemas and adult attachment styles: A meta-analysis. Clin Psychol Sci Pract. 2023; 30(1):1-21.doi.10.1037/cps0000108
12. Johansson M, Nordström T, Svensson I. Depressive symptoms, parental stress, and attachment style in mothers and fathers two and a half years after childbirth: Are fathers as affected as mothers? J Child Health Care. 2021; 25(3):368-78. doi.10.1177/1367493520942050 PMid:32668953 PMCid:PMC8422774
13. Gao L, Qu J, Wang AY. Anxiety, depression and social support in pregnant women with a history of recurrent miscarriage: a cross-sectional study. J Reprod Infant Psychol. 2020; 38(5):497-508. doi.10.1080/02646838.2019.1652730 PMid:31411054
14. Liu R, Wu Y, Li H, Chen Z. Attachment Style Modifies the Effect of Spousal Support on Postpartum Depression in Women. Alpha Psychiatry. 2024; 25(3):388. doi.10.5152/alphapsychiatry.2024.231495 PMid:39148601 PMCid:PMC11322732
15. Peduzzi P, Concato J, Kemper E, Holford TR, Feinstein AR. A simulation study of the number of events per variable in logistic regression analysis. J Clin Epidemiol. 1996; 49(12):1373-9. doi.10.1016/S0895-4356(96)00236-3 PMid:8970487 PMCid:PMC8670711
16. Putnick DL, Sundaram R, Bell EM, Ghassabian A, Goldstein RB, Robinson SL, et al. Trajectories of maternal postpartum depressive symptoms. Pediatrics. 2020; 146(5): e20200857. doi.10.1542/peds.2020-0857 PMid:33109744
17. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987; 150(6):782-6. doi.10.1192/bjp.150.6.782 PMid:3651732 PMCid:PMC11713845
18. Montazeri A, Torkan B, Omidvari S. The Edinburgh Postnatal Depression Scale (EPDS): translation and validation study of the Iranian version. BMC Psychiatry. 2007; 7(1):11-21. doi.10.1186/1471-244X-7-11 PMid:17408479 PMCid:PMC1854900
19. Brennan KA, Clark CL, Shaver PR. Self-report measurement of adult attachment: An integrative overview. In: Simpson JA, Rholes WS, editors. Attachment theory and close relationships. New York: Guilford Press; 1998. p. 46-76.
20. Poravari M, Ghanbari S, Zadeh Mohammadi A, Panaghi L. Validity, reliability and factor structure of the experiences of close relationships questionnaire-the relationship structure (ECR-RS). Thoughts Behav Clin Psychol. 2014; 9(31): 47-56.
21. Godbout N, Sabourin S, Lussier Y. Child sexual abuse and adult romantic adjustment: Comparison of single-and multiple-indicator measures. J Interpers Violence 2009; 24(4): 693-705. doi.10.1177/0886260508317179 PMid:18448862
22. Yıldırım H. Developing the spouse support scale. Turk Psychol Couns Guid J. 2004; 22(3): 1-19.
23. Barati H, Jannesari R. Investigating the moderating role of perceived job flexibility and spouse support in the relationship between shift work and marital satisfaction. IJFP. 2023; 9(2):40-53.
24. Liu R, Wu Y, Li H, Chen Z. Attachment Style Modifies the Effect of Spousal Support on Postpartum Depression in Women. Alpha Psychiatry. 2024; 25(3): 388-399. doi.10.5152/alphapsychiatry.2024.231495 PMid:39148601 PMCid:PMC11322732
25. Bianciardi E, Vito C, Betrò S, De Stefano A, Siracusano A, Niolu C. The anxious aspects of insecure attachment styles are associated with depression either in pregnancy or in the postpartum period. Ann Gen Psychiatry. 2020; 19(1): 51-67. doi.10.1186/s12991-020-00301-7 PMid:32944057 PMCid:PMC7488240
26. Kızılırmak A, Calpbinici P, Tabakan G, Kartal B. Correlation between postpartum depression and spousal support and factors affecting postpartum depression. Health Care Women Int. 2021; 42(12): 1325-39. doi.10.1080/07399332.2020.1764562 PMid:32407210
27. Devandra M, Nandita ID. Spousal Support and Postpartum Depression: Impact of Partner Involvement on Maternal Mental Health. Acta Psychologia. 2023; 2(2):58-65.
28. McKee C, Stapleton P, Pidgeon A. Support during Pregnancy as an Influencing Factor on the Transition to Parenthood. J Prenat Perinat Psychol Health. 2017; 32(2): 99-127.
29. Goyal D, Gay C, Lee KA. How much does low socioeconomic status increase the risk of prenatal and postpartum depressive symptoms in first-time mothers? Womens Health Issues. 2010; 20(2):96-104. doi.10.1016/j.whi.2009.11.003 PMid:20133153 PMCid:PMC2835803
30. Khazaeian S, Kariman N, Ebadi A, Nasiri M. The impact of social capital and social support on the health of female-headed households: a systematic review. Electron Physician. 2017; 9(12):6027. doi.10.19082/6027 PMid:29560156 PMCid:PMC5843430
31. Uğurlu M, Karahan N, Arslan G, Karaşahin KE. Evaluation of the correlation between spousal support, postpartum depression, and breastfeeding self-efficacy in the postpartum period. J Contemp Med. 2023; 13(1):153-159. doi.10.16899/jcm.1206828
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