Depressive mood, bonding failure, and abusive parenting among mothers with three-month-old babies in a Japanese community

Abstract

Objective: To investigate the relationships between de-pressive mood, bonding failure, and abusive parent-ing. Method: We distributed questionnaires to 1198 mothers attending a three-month postnatal health checkup in rural areas in Japan. The questionnaires assessed these three variables along with demograph-ics. We evaluated the causal relationships by comparing different structural equation models to the data. Results: Although all the models fit the data well, the best Akaike Information Criterion was obtained from a model where both depressive mood and bonding failure predict abusive parenting, but de-pressive mood and bonding failure do not predict each other directly. The determinant coefficient of child abuse in the final model was 0.13. Discussion: We found depressive mood and bonding failure during postpartum period impacted negatively on mo-ther's parenting behaviour. Because only 13% of the variance of abusive parenting was explainable by this model, further study should be needed to identify other risk factors of child abuse. Similarly, midwives and public health nurse in community should pay attention to not only depression but also bonding failure to prevent child abuse.