Annotation
Effects of postnatal depression on infant development
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Introduction |
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There is good evidence that parental psychiatric disorder has a
deleterious effect on child development. Rutter has outlined a number
of possible reasons for this.1 First, there may be a
direct pernicious impact on the child of exposure to the parental disorder. Second, there may be an indirect impact via the effect of the
parental disorder on interpersonal behaviour in general and parenting
in particular. Finally, the impact may be via third factor variables,
such as the social adversity commonly associated with psychiatric
disorder, or genetic or constitutional factors. Depression arising in
the postnatal period could have an impact on infant development via
each of these causal pathways. The infant's extreme dependency on
their caretaker, their sensitivity to interpersonal contacts,2 and the fact that, in the great majority of
cases, the mother constitutes the infant's primary environment in the first postnatal months, make the question of the impact of depression
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