Attachment and Postpartum Mental Health
* You will be redirected to the BCM DCPD credit management site when claiming credit and may be asked to register or log in.
In this presentation, Dr. Rose Yang and Dr. Taylor Neff conceptualize attachment styles and the implications these have in adult and child development, the linkage between attachment and maternal mental health postpartum. They discuss how these issues present in a clinical setting in affected mothers, children, and adults, and highlight the need for support.
This Menninger Department of Psychiatry and Behavioral Sciences Grand Rounds session took place on October 23, 2024 at 12:00 p.m. and has been approved for CME and Social Work credit.
Activity Information
How to Claim Credit
You may claim credit after watching this activity.
You will be redirected to the BCM DCPD credit management site when claiming credit and may be asked to register or log in.
Needs Statement
Psychiatrists, psychologists, psychiatric nurses, social workers, and healthcare professionals in related disciplines need to receive regular updates on advances in neuroscience, psychiatric research, psychotherapy, and the evolving best practices for evaluating, diagnosing, and treating psychiatric disorders. The series aims to improve clinical practice through critical appraisal of psychiatric research, the use of evidence-based treatment approaches, and the integration of multiple treatment modalities to enhance the quality of psychiatric care and improve patient outcomes.
Educational Objectives
At the conclusion of the activity, the participants should be able to:
- Review significance and process of attachment and highlight implications for child and adult development.
- Provide education on postpartum mental health for women in the United States.
- Identify the link between attachment and the postpartum experience, directing attention to needs for support during (and beyond) the postpartum period.
- Direct attention to how these issues emerge in clinical settings both with mothers as well as children and adults who present to treatment for attachment relevant problems.
Target Audience
Professional Categories
- Physicians
- Medical Students
- Fellows
- Nurses
- Other Health Professionals
Specialties
- Obstetrics and Gynecology
- Psychiatry
Interest Groups
Activity Evaluation
Evaluation by questionnaire will address program content, presentation, and possible bias.
Educational Methods
- Lectures
- Case Presentations
- Literature Review
- Panel Discussion
Accreditation/Credit Designation
Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Baylor College of Medicine designates this enduring material activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Social Work: The Baylor College of Medicine Division of Continuing Professional Development (License Number 7270) is an approved continuing education provider for Social Workers through the Texas State Board of Social Worker Examiners. This activity has been approved for 1.00 continuing education unit.
Activity Director
-
Kim-Lan Tran Czelusta, M.D.
Vice Chair for Education, Brown Foundation Chair in Psychiatric Education in the Department of Psychiatry and Behavioral Sciences
Baylor College of Medicine
Term of Approval
October 1, 2024 through October 31, 2026. Original release date: October 1, 2024.
Disclosure Policy
Baylor College of Medicine (BCM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians. BCM is committed to sponsoring CE activities that are scientifically based, accurate, current, and objectively presented.
In accordance with the ACCME Standards for Commercial Support, BCM has implemented a mechanism requiring everyone in a position to control the content of an educational activity (i.e., directors, planning committee members, faculty) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity. Individuals must disclose to participants the existence or non-existence of financial relationships at the time of the activity or within 24 months prior.
In addition, BCM has requested activity faculty/presenters to disclose to participants any unlabeled use or investigational use of pharmaceutical/device products; to use scientific or generic names (not trade names) in referring to products; and, if necessary to use a trade name, to use the names of similar products or those within a class. Faculty/presenters have also been requested to adhere to the ACCME's validation of clinical content statements.
BCM does not view the existence of financial relationships with commercial interests as implying bias or decreasing the value of a presentation. It is up to participants to determine whether the relationships influence the activity faculty with regard to exposition or conclusions. If at any time during this activity you feel that there has been commercial/promotional bias, notify the Activity Director or Activity Coordinator. Please answer the questions about balance and objectivity in the activity evaluation candidly.
All of the relevant financial relationships listed for these individuals have been mitigated.
Siegel DJ. The Developing Mind: How Relationships and the Brain Interact to Shape Who We Are. The Guilford Press; 1999.
Bateman A, Fonagy P. Mentalization-based treatment for borderline and antisocial personality disorder. Contemporary Psychodynamic Psychotherapy. June 21, 2019. Accessed December 24, 2024.
Sroufe LA, Waters E. Attachment as an organizational construct. Child Development. 1977;48(4):1184. doi:10.2307/1128475.
Allen JG. Trusting in Psychotherapy. Published online June 22, 2021. doi:10.1176/appi.books.9781615379798.
Allen JG. Chapter 2. developing trust and trustworthiness. Trusting in Psychotherapy. Published online June 22, 2021:89. doi:10.1176/appi.books.9781615379798.lg02.
Field T. Postpartum depression effects on early interactions, parenting, and Safety Practices: A Review. Infant Behavior and Development. 2010;33(1):1-6. doi:10.1016/j.infbeh.2009.10.005.
Ierardi E, Dascalu A, Shai D, Spencer R, Riva Crugnola C. Parental embodied mentalizing: Associations with maternal depression, anxiety, verbal mentalizing, and maternal styles of interaction. J Affect Disord. 2022;311:472-478. doi:10.1016/j.jad.2022.05.105.
Murray L, Fiori-Cowley A, Hooper R, Cooper P. The impact of postnatal depression and associated adversity on early mother-infant interactions and later infant outcome. Child Dev. 1996;67(5):2512-2526.
Righetti-Veltema M, Bousquet A, Manzano J. Impact of postpartum depressive symptoms on mother and her 18-month-old infant. European Child & Adolescent Psychiatry. 2003;12(2):75-83. doi:10.1007/s00787-003-0311-9.
Toth SL, Rogosch FA, Sturge-Apple M, Cicchetti D. Maternal depression, children's attachment security, and representational development: an organizational perspective. Child Dev. 2009;80(1):192-208. doi:10.1111/j.1467-8624.2008.01254.x.
Barnes J, Theule J. Maternal depression and infant attachment security: A meta-analysis. Infant Ment Health J. 2019;40(6):817-834. doi:10.1002/imhj.21812.
Śliwerski A, Kossakowska K, Jarecka K, Świtalska J, Bielawska-Batorowicz E. The Effect of Maternal Depression on Infant Attachment: A Systematic Review. Int J Environ Res Public Health. 2020;17(8):2675. Published 2020 Apr 14. doi:10.3390/ijerph17082675.
Mason ZS, Briggs RD, Silver EJ. Maternal attachment feelings mediate between maternal reports of depression, infant social–emotional development, and parenting stress. Journal of Reproductive and Infant Psychology. 2011;29(4):382-394. doi:10.1080/02646838.2011.629994.
Denizli M, Capitano ML, Kua KL. Maternal obesity and the impact of associated early-life inflammation on long-term health of offspring. Front Cell Infect Microbiol. 2022;12:940937. Published 2022 Sep 16. doi:10.3389/fcimb.2022.940937.
Bowlby J. Attachment and Loss. Vol. 2: Separation: Anxiety and Anger. Basic Books; 1973.
McMahon C, Camberis A, Berry S, Gibson F. Maternal mind‐mindedness: Relations with maternal–fetal attachment and stability in the first two years of life: Findings from an australian prospective study. Infant Mental Health Journal. 2015;37(1):17-28. doi:10.1002/imhj.21548.
Stansfeld S, Head J, Bartley M, Fonagy P. Social position, early deprivation and the development of attachment. Social Psychiatry and Psychiatric Epidemiology. 2008;43(7):516-526. doi:10.1007/s00127-008-0330-4.
Santona A, Tagini A, Sarracino D, et al. Maternal depression and attachment: the evaluation of mother-child interactions during feeding practice. Front Psychol. 2015;6:1235. Published 2015 Aug 24. doi:10.3389/fpsyg.2015.01235.
Sechi C, Prino LE, Rollé L, Lucarelli L, Vismara L. Maternal Attachment Representations during Pregnancy, Perinatal Maternal Depression, and Parenting Stress: Relations to Child's Attachment. Int J Environ Res Public Health. 2021;19(1):69. Published 2021 Dec 22. doi:10.3390/ijerph19010069.
Fonagy P, Steele M, Steele H, Moran GS, Higgitt AC. The capacity for understanding mental states: The reflective self in parent and child and its significance for security of Attachment. Infant Mental Health Journal. 1991;12(3):201-218. doi:10.1002/1097-0355(199123)12:3<201::aid-imhj2280120307>3.0.co;2-7.
Georg AK, Meyerhöfer S, Taubner S, Volkert J. Is parental depression related to parental mentalizing? A systematic review and three-level meta-analysis. Clin Psychol Rev. 2023;104:102322. doi:10.1016/j.cpr.2023.102322.
Disclosures
The following individual(s) has/have reported financial or other relationship(s) with commercial entities whose products/services may relate to the educational content of this activity:
Presenters
-
Taylor Neff, Ph.D.
Assistant Professor of Psychiatry and Behavioral Sciences, Staff Psychologist
Baylor College of Medicine, Menninger Clinic
Disclosure:
Nothing to disclose.
-
Rose Yang, Psy.D.
Assistant Professor
Baylor College of Medicine and the Menninger Clinic
Disclosure:
Nothing to disclose.
Activity Director
-
Kim-Lan Tran Czelusta, M.D.
Vice Chair for Education, Brown Foundation Chair in Psychiatric Education in the Department of Psychiatry and Behavioral Sciences
Baylor College of Medicine
Disclosure:
Nothing to disclose.
Planning Committee Members
-
Ahmed Ahmed, M.D., M.Sc.
Psychiatry and Behavioral Sciences Resident
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Kim-Lan Tran Czelusta, M.D.
Vice Chair for Education, Brown Foundation Chair in Psychiatric Education in the Department of Psychiatry and Behavioral Sciences
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Mauro A. Garcia-Altieri, M.D.
Assistant Professor
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Jennifer R. Gatchel, M.D., Ph.D.
Associate Professor
Baylor College of Medicine, Michael E. DeBakey VA Medical Center
Disclosure:
Nothing to disclose.
-
Ashley W. LeMaire, Ph.D.
Assistant Professor
Baylor College of Medicine, Menninger Clinic
Disclosure:
Nothing to disclose.
-
Nidal Moukaddam, M.D., Ph.D.
Assistant Professor
Baylor College of Medicine
Disclosure:
- Research Support: Relmada (principal investigator); Tonix (principal invetigator)
-
Patrick O'Malley, M.D.
Assistant Professor
Baylor College of Medicine, Texas Children's Hospital
Disclosure:
Nothing to disclose.
-
Lindsey S. Pershern, M.D.
Associate Professor of Psychiatry and Behavioral Sciences
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Shelley Rote, M.D.
Psychiatry and Behavioral Sciences Resident
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
John Saunders, M.D., M.S.
Associate Professor
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Daryl Shorter, M.D.
Associate Professor, Medical Director of Addiction Services
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Grace Vallejo, M.D.
Psychiatry and Behavioral Sciences Fellow
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Vivian Wang, M.D.
Psychiatry and Behavioral Sciences Resident
Baylor College of Medicine
Disclosure:
Nothing to disclose.