Objective: The aim of this paper is to obtain an understanding of the links between maternal postpartum depression, poor parenting and childhood abuse, and the subsequent development of adult psychopathology in children from these families. Method: A literature review was undertaken of studies on postpartum depression looking at parental childhood abuse, parenting and child outcomes, as well as childhood abuse and its association with adult depression and parenting difficulties. Results: Considerable overlap is noted in predisposing factors for major depression, postpartum depression, inadequate parenting and childhood abuse. Links appear to begin in early infancy, suggesting postpartum depression as a possible mechanism for intergenerational transmission of psychopathology.
Conclusions: Further research is required to look at the outcome of children of women who are at high risk of chronic or recurrent depression and of difficulties parenting; the postpartum period is the optimum time for identification and intervention.
Department of Human Services.Understanding and responding to child abuse and neglect. Melbourne: Protective Care/Prevention and Education Unit, 1996.
2.
SiegelJMSorensonSBGoldingJMBurnhamMASteinJAThe prevalence of childhood sexual assault: the Los Angeles epidemiological catchment area project. American Journal of Psychiatry1987; 126:1141–1153.
3.
AndersonJMartinJMullenPRomansSHerbisonP.Prevalence of childhood sexual abuse experiences in a community sample of women. Journal of the American Academy of Child and Adolescent Psychiatry1993; 32:911–919.
4.
ThompsonAEKaplanCAChildhood emotional abuse. British Journal of Psychiatry1996; 168:143–148.
5.
KempeRKempeC.Child abuse. London: Fontana, 1978.
6.
LarranceDTTwentymanCTMaternal attributions and child abuse. Journal of Abnormal Child Psychology1983; 92:449–457.
7.
SurreyJSwettCMichaelsALevinS.Reported history of physical and sexual abuse and severity of symptoms in women psychiatric outpatients. American Journal of Orthopsychiatry1990; 60:412–417.
8.
MullenPMartinJAndersonJRomansSHerbisonG.Childhood sexual abuse and mental health in adult life. British Journal of Psychiatry1993; 63:721–732.
9.
WindTWSilvernL.Parenting and family stress as mediators of the long-term effects of child abuse. Child Abuse and Neglect1994; 18:439–453.
10.
BifulcoABrownGAdlerZ.Early sexual abuse and clinical depression in adult life. British Medical Journal of Psychiatry1991; 159:115–122.
BelskyJ.The determinants of parenting: a process model. Child Development1984; 55:83–96.
13.
YellowleesPMKaushnikAVA case-control study of the sequelae of childhood sexual assault in adult psychiatric patients. Medical Journal of Australia1994; 160:408–411.
14.
GoodwinJMcCarthyTDivastoP.Physical and sexual abuse of the children of adult incest victims. In: GoodwinJ, ed. Sexual abuse: incest victims and their families. 1982:139–154.
15.
MainMGoldwynR.Predicting rejection of her own infant from mother's representation of her own experience: implication for the abused–abusing intergenerational cycle. Child Abuse and Neglect1984; 8:203–217.
16.
FromuthMEThe relationship of CSA with later psychological and sexual adjustment in a sample of college women. Child Abuse and Neglect1986; 10:5–15.
17.
MullenPRomans-ClarksonSWalterVHerbisonG.Impact of sexual and physical abuse on women's mental health. Lancet1988; 16 April:841–845.
18.
MullenPEMartinJLAndersonJCRomansSEHerbisonGPThe effect of CSA on social, interpersonal and sexual function in adult life. British Journal of Psychiatry1994; 165:35–47.
19.
WaldbyC.Breaking the silence — A report based on findings of Women Against Incest phone-in survey. Haberfield, NSW: Dymphna House, 1985.
20.
WarnerRApplebyLWhittonAFaragherB.Demographic and obstetric risk factors for postnatal psychiatric morbidity. British Journal of Psychiatry1996; 168:607–611.
KumarRRobsonK.A prospective study of emotional disorder in childbearing women. British Journal of Psychiatry1984; 144:35–47.
23.
BuistABarnettB.Childhood sexual abuse: a risk factor for postpartum depression?Australian and New Zealand Journal of Psychiatry1995; 29:604–608.
24.
DennersteinLLehertPRiphagenF.Postpartum depression–risk factors. Journal of Psychosomatic Obstetric and Gynaecology Supplement1989; 10:53–65.
25.
CooperPJCampbellEDayAKennereleyHBondA.Nonpsychotic psychiatric disorder after childbirth. British Journal of Psychiatry1988; 152:799–806.
26.
WieckAKumarRHirstADMarksMNCampbellCCheaskeySAIncreased sensitivity to dopaminergic stimulation precedes recurrence of affective psychosis after childbirth. British Medical Journal1991; 303:613–616.
27.
McIvorRJDaviesRAWieckAThe growth hormone response to apomorphine at 4 days postpartum in women with a history of major depression. Journal of Affective Disorders1996; 40:131–136.
28.
MeakinCJBrockingtonIFLynchSEJonesSRDopamine supersensitivity and hormonal status in puerperal psychosis. British Journal of Psychiatry1995; 166:73–79.
29.
BurnhamMSteinJGoldingJSiegelJSorensonSForsytheATellesC.Sexual assault and mental disorders in a community population. Journal of Consulting Clinical Psychology1988; 56, 6, 843–850.
30.
O'HaraMWSocial support, life events and depression during pregnancy and the postpartum. Archives of General Psychiatry1986; 43:569–573.
31.
BoycePParkerGBarnettBCooneyMSmithF.Personality as a vulnerability factor to depression. British Journal of Psychiatry1991; 159:106–114.
32.
LovestoneSKumarR.Postnatal psychiatric illness: the impact on partners. British Medical Journal1993; 163:210–216.
33.
WyattGEGuthrieDNotgrassCMDifferential effects of women's child sexual abuse and subsequent sexual revictimization. Journal of Consulting and Clinical Psychology1992; 60; 2:167–173.
34.
JohnsonSLobitzGKThe personal and marital adjustment of parenting behaviours. Journal of Abnormal Child Psychology1974; 2:193–207.
35.
OlweusD.Familial and temperamental determinants of aggressive behaviours in adolescent boys. A causal analysis. Development Psychopathology1980; 16:644–660.
36.
CooheyC.Neglectful mothers, their mothers and partners: the significance of mutual aid. Child Abuse and Neglect1995; 19:885–895.
37.
WadsbyMSydsjoGGoranC.Children of psychosocial risk mothers: life events, social interaction and behaviour problems at the age of 8 years. Scandinavian Journal of Social Medicine1996; 24:227–236.
38.
RutterMQuintonD.Psychiatric disorder–ecological factors and concepts of causation. In: McGurkM, ed. Ecological factors in human development. Amsterdam: New Holland Publishers, 1977.
39.
CrnicKAGreenbergMRagozinARobinsonNBashamR.Effects of stress and social support on mothers and full-term infants. Child Development1983; 54:209–217.
40.
SimonsRLLorenzFOCongerRWuCISupport from spouse as mediator and moderator of the disruptive influence of economic strain on parenting. Childhood Development1992; 1282–1301.
41.
PowellDRPersonal social networks as a focus for primary prevention of child maltreatment. Infant Mental Health Journal1980; 1:232–239.
42.
BowlbyJ.Attachment and loss. Vol. 1. Attachment. New York: Basic Books, 1969.
43.
RutterM.Clinical implications of attachment concepts. Retrospective and prospective. Journal of Child Psychology and Psychiatry1995; 36:549–571.
44.
MainMHesseE.Parents’ unresolved traumatic experiences related to infants’ disorganised attachment status: frightened and/or frightening parental behaviour the linking mechanism. In: GreenbergMTCichettiDCummingEM, eds. Attatchment across the life cycle. London: Tavistock, Routledge Press, 1991.
45.
HermanJHirschmanL.Father–daughter incest. Cambridge, MA: Harvard University Press, 1981.
46.
ButlerS.Conspiracy of silence: the trauma of incest. San Francisco: WH Freeman, 1978.
47.
SteeleBFAlexanderH.Longterm effects of sexual abuse in childhood. In: MrazikPBKempE, eds. Sexually abused children and their families. New York: Pergamon, 1981.
48.
GelinasD.The persisting negative effects of incest. Psychiatry1983; 46:312–332.
49.
ColePWoolgerC.Incest survivors: the relation of their perception of their parents and their own parenting behaviour. Child Abuse and Neglect1989; 13:409–416.
50.
BurkettL.Parenting behaviours of women who were sexually abused as children in their families of origin. Family Process1991; 30:421–434.
51.
ColePWoolgerCPowerTSmithK.Parenting difficulties among adult survivors of father–daughter incest. Child Abuse and Neglect1992; 16:239–249.
52.
FeminaDYeagerCALewisD.Child abuse: adolescent records versus adult recall. Child Abuse and Neglect1990; 14:227–231.
53.
BrownGWHarrisTCopelandJRDepression and loss. British Journal of Psychiatry1977; 130:1–18.
54.
TennantCBeddingtonPHurryJ.Parental death in childhood and risk of adult depressive disorders: a review. Psychological Medicine1980; 10:289–299.
55.
FieldTSandbergDGarciaRLahrVaga NGoldsteinSGuyL.Prenatal problems, postpartum depression and early mother infant interactions. Development Psychopathology1985; 12:1152–1156.
56.
FieldTHealyBGoldsteinSPerrySBendellD.Infants of depressed mothers show ‘depressed’ behaviour even with nondepressed adults. Child Development1988; 59:1569–1579.
57.
FieldTMWidmayerSMStringerSIgnatoffE.Teenage, lower class black mothers and their preterm infants: an intervention and developmental follow up. Child Development1980; 51:426–436.
58.
FieldT.Infants of depressed mothers. Development Psychopathology1992; 4:49–66.
59.
CohnJFMatiasRTronickEZConnellDLyons-RuthK.Face to face interactions of depressed mothers and their infants. In: TronickEZFieldT, eds. Maternal depression and infant disturbance. San Francisco: Jossey-Bass, 1986:31–45.
60.
CampbellSBCohnJFDepression in first time mothers: mother–infant interaction and depression chronicity. Developmental Psychology1995; 31; 349–357.
61.
MurrayLFiori-CowleyAHooperRCooperPJThe impact of postnatal depression and associated adversity on early mother infant interactions and later infant outcome. Child Development1996; 67:2512–2516.
62.
CutronaCETroutmanBRSocial support, infant temperament, and parenting self-efficacy: a mediation model of postpartum depression. Child Development1986; 57:1507–1518.
63.
WhiffenVEGotlibIHInfants of postpartum depressed mothers: temperament and cognitive status. Journal of Abnormal Psychology1989; 146:274–279.
64.
WilliamsHCarmichaelA.Depression in mothers in a multicentre urban municipality in Melbourne. Journal of Child Psychology and Psychiatry1985; 26:277–288.
65.
MilgromJWestleyDTMcCloudPIDo infants of depressed mothers cry more than other infants?Journal of Paediatric Child Health1995; 31:218–221.
66.
Lyons-RuthKZollDConnellDGrunebaumHUThe depressed mother and her one-year-old infant: environment, interaction, attachment and infant development. In: TronickEZFieldT, eds. Maternal depression and infant disturbance. New directions for child development. San Francisco: Jossey-Bass, 1986:61–82.
67.
MurrayL.The impact of postnatal depression on infant development. Journal of Child Psychology and Psychiatry1992; 33:543–561.
68.
CoxAPuckeringD CPoundAMillsM.The impact of maternal depression in young children. Journal of Child Psychology and Psychiatry1987; 6:917–928.
69.
SteinAGathDHBucherJBondADayACooperPJThe relationship between postnatal depression and mother–child interaction. British Journal of Psychiatry1991; 158:46–52.
70.
TetiDMGelfandDMNessingerDSIsabellaR.Maternal depression and the quality of early attachment: an examination of infants, preschoolers, and their mothers. Developmental Psychology1995; 31:364–376.
71.
CoghillSRCaplanHLAlexanderHRobsonKKumarR.Impact of maternal depression in cognitive development of young children. British Medical Journal1986; 292:1165–1167.
72.
HayDFKumarR.Interpreting the effects of mother's postnatal depression on children's intelligence: a critique and reanalysis. Child Psychiatry and Human Development1995; 25:165–181.
73.
SharpDHayDPawlbySScmucherGAllenHKumarR.The impact of postnatal depression on boys’ development. Journal of Child Psychology and Psychiatry1995; 36:1315–1337.
74.
MurrayLHipwellAHooperRSteinACooperPJThe cognitive developmeny of five-year-old children of postnatally depressed mothers. Journal of Child Psychology and Psychiatry1996; 37:927–936.
75.
GhodsianMLajicellEWolkendS.A longitudinal study of maternal depression and childhood behavioural problems. Journal of Child Psychology1984; 25:91–109.
76.
WrateRMRoonyACThomasPFPostnatal depression and child development. British Journal of Psychiatry1985; 146:622–627.
77.
CaplanHLCoghillSRAlexandraHRobsonKKatzRKumarR.Maternal depression and the emotional development of the child. British Journal of Psychiatry1989; 154:818–822.
78.
MurrayLCooperP.Postpartum depression and child development. Psychological Medicine1997; 27:253–260.
79.
BrodyGForehandR.Maternal perceptions of child maladjustment as a function of the combined influence of child behaviour and maternal depression. Journal of Consulting Clinical Psychology1986; 54:237–240.
80.
LeeCMGotlibIHMaternal depression and child adjustment: a longitudinal study. Journal of Abnormal Psychology1989; 98:78–85.
81.
PhilipsLO'HaraM.Prospective study of postpartum depression: 4 1/2 year follow up of women and children. Journal of Abnormal Psychology1991; 100:151–155.
82.
QuintonDRutterM.Parental psychiatric disorder–effects on children. Psychological Medicine1984; 14:853–880.
83.
UddenbergNEnglessonI.Reproduction adaption in mother and daughter. A study of personality development and adaption to motherhood. Acta Psychiatrica Scandinavia Supplement1978; 254.
84.
SchetkyDHAngelRMorrisonC.Parents who fail: a study of 51 cases of termination of parental rights. Journal of the American Academy of Child and Adolescent Psychiatry1979; 18:366–383.
85.
HunterRSKilstromN.Breaking the cycle in abusive families. American Journal of Psychiatry1979; 136:1320–1322.
86.
RogoschFMowbrayCBogatA.Determinants of parenting attitudes in mothers with severe psychopathology. Developmental Psychopathology1992; 4:469–487.
87.
ZeanahCHZeanahPDIntergenerational transmission of maltreatment: insights from attachment theory and research. Psychiatry1989; 52:177–195.
88.
KaufmanJZiglerE.Do abused children become abusive parents?American Journal of Orthopsychiatry1987; 57:186–192.
89.
SteeleBFPollockC.B.A psychiatric study of parents who abuse infants and small children In: MelferRGKempeCH, ed. The battered child. Chicago: University of Chicago Press, 1968.
90.
EgelandBJacobitzD.Intergenerational continuity of parental abuse: causes and consequences. Conference presentation on Biosocial Perspectives in Abuse and Neglect. Yory: Me, 1984.
91.
RoyMNealeMCKendlerKSThe genetic epidemiology of self esteem. British Journal of Psychiatry1995; 166:813–820.
92.
RomansSEMartinJLMullenPEWomen's self esteem: a community study of women who report and do not report childhood sexual abuse. British Journal of Psychiatry1996; 169, 696–704.
93.
FonagyPSteeleMSteeleHHiggitATargetM.The Emanuel Miller memorial lecture 1992: the theory and practice of resilience. Journal of Child Psychology and Psychiatry1994; 35, 2, 231–257.
94.
MartinJAndersonJRomanSMullenPO'SheaM.Asking about child sexual abuse: methodological implications of a two stage study. Child Abuse and Neglect1993; 17:383–392.
95.
WoolfS.The concept of resilience. Australian and New Zealand Journal of Psychiatry1995; 29:565–574.
