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Exclusive Breastfeeding Duration and Perceptions of Infant Sleep: The Mediating Role of Postpartum Anxiety

Davies, SM, Todd-Leonida, BF, Fallon, VM and Silverio, SA (2022) Exclusive Breastfeeding Duration and Perceptions of Infant Sleep: The Mediating Role of Postpartum Anxiety. International Journal of Environmental Research and Public Health, 19 (8). ISSN 1661-7827

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Open Access URL: https://doi.org/10.3390/ijerph19084494 (Published version)

Abstract

(1) Background: Existing literature has identified associations between exclusive breast-feeding, maternal mental health, and infant sleep. This study aims to examine these relationships simultaneously and consider the mediating role of postpartum anxiety. (2) Methods: Participants completed validated measures of postpartum anxiety, infant sleep, and reported exclusive breast-feeding duration. Postpartum mothers with infants between six and twelve months (n = 470) were recruited to a cross-sectional online survey containing a battery of psychological measures. (3) Re-sults: Correlation analyses examined the relationships between the predictor (exclusive breastfeeding duration), outcome (perceptions of infant sleep), and mediator (postpartum anxiety). Exclusive breastfeeding duration was significantly associated with postpartum anxiety (p < 0.05), postpartum anxiety was significantly associated with perceptions of infant sleep (p < 0.001), and exclusive breastfeeding duration was significantly associated with perceptions of infant sleep (p < 0.001). A simple mediation model was conducted, showing a significant total (B = −0.029 (0.010), p < 0.05), direct (B = −0.035 (0.009), p < 0.001), and indirect effect (B = 0.007, SE = 0.003, 95% CI = 0.000 to 0.014) of exclusive breastfeeding duration on perceptions of infant sleep via postpartum anxiety. (4) Conclusions: Associations were identified between exclusive breastfeeding duration, postpartum anxiety, and perceptions of infant sleep. The mediation model suggests postpartum anxiety may be an underlying mechanism which reduces exclusive breastfeeding duration and negatively affects maternal perceptions of infant sleep quality.

Item Type: Article
Uncontrolled Keywords: Humans; Cross-Sectional Studies; Anxiety; Mothers; Sleep; Breast Feeding; Postpartum Period; Infant; Female; exclusive breastfeeding; mediation analysis; perceptions of infant sleep; postpartum anxiety; Anxiety; Breast Feeding; Cross-Sectional Studies; Female; Humans; Infant; Mothers; Postpartum Period; Sleep; Toxicology
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RG Gynecology and obstetrics
R Medicine > RJ Pediatrics
Divisions: Psychology (from Sep 2019)
Publisher: MDPI AG
SWORD Depositor: A Symplectic
Date Deposited: 05 Dec 2022 12:25
Last Modified: 05 Dec 2022 12:25
DOI or ID number: 10.3390/ijerph19084494
URI: https://researchonline.ljmu.ac.uk/id/eprint/18262
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