The influence of psychological factors on breastfeeding duration

O'Brien, Maxine, Buikstra, Elizabeth and Hegney, Desley (2008) The influence of psychological factors on breastfeeding duration. Journal of Advanced Nursing, 63 4: 397-408.

Attached Files (Some files may be inaccessible until you login with your UQ eSpace credentials)
Name Description MIMEType Size Downloads
ee_breastfeeding_duration.pdf ee_breastfeeding duration.pdf application/pdf Bytes 828

Author O'Brien, Maxine
Buikstra, Elizabeth
Hegney, Desley
Title The influence of psychological factors on breastfeeding duration
Journal name Journal of Advanced Nursing   Check publisher's open access policy
ISSN 0309-2402
Publication date 2008-08
Year available 2008
Sub-type Article (original research)
DOI 10.1111/j.1365-2648.2008.04722.x
Volume 63
Issue 4
Start page 397
End page 408
Total pages 12
Editor Roger Watson
Place of publication United Kingdom
Publisher Blackwell Publishing Ltd
Collection year 2009
Language eng
Subject 111006 Midwifery
C1
920507 Women's Health
111714 Mental Health
Formatted abstract Aim. This paper reports on a study examining the relationship between women's psychological characteristics and breastfeeding duration, after controlling for socio-demographic factors.

Background. The literature suggests that psychological factors may influence breastfeeding behaviour, but studies are few. Existing evidence and the results of phase 1 of our study were used to construct a list of psychological factors, which were tested for their association with breastfeeding duration in the current design.

Method. Participants were postnatal inpatients in one of two regional hospitals between October and December 2005 and they completed the initial questionnaire within 14 days of giving birth (n = 375). Infant feeding method at 6 months and the timing of introduction of other food(s), where relevant, were ascertained by telephone interview.

Findings. Forty-four per cent of the sample showed signs of postnatal distress in the 14 days following the birth. Breastfeeding duration was statistically significantly associated with psychological factors including dispositional optimism, breastfeeding self-efficacy, faith in breastmilk, breastfeeding expectations, anxiety, planned duration of breastfeeding and the time of the infant feeding decision. As a set, these psychological factors were more predictive of breastfeeding duration than was the set of socio-demographic characteristics. The duration of any breastfeeding was uniquely predicted by faith in breastmilk, planned breastfeeding duration and breastfeeding self-efficacy.

Conclusion. This increased knowledge of the factors influencing breastfeeding will assist in identifying women at risk of early weaning and in constructing programmes capable of increasing the length of time for which women breastfeed.
Keyword breastfeeding duration
empirical research report
midwifery
psychological factors
questionnaire
breast milk
babies
feeding
infants
References 1. Arora S., McJunkin C., Wehrer J. & Kuhn P. (2005) Major factors influencing breastfeeding rates: mother’s perception of father’s attitude and milk supply. Pediatrics 106(5), 67–72. 2. Australian Bureau of Statistics (2003) 4810.0.55.001 Breastfeeding in Australia, Electronic Delivery. Australian Bureau of Statistics, Canberra. 3. Blyth R.J., Creedy D.K., Dennis C.L., Moyle C., Pratt J. & De Vries S.M. (2002) Effect of maternal confidence on breastfeeding duration: an application of breastfeeding self-efficacy theory. Birth: Issues in Perinatal Care 29(4), 278–284. 4. Blyth R.J., Creedy D.K., Dennis C.L., Moyle W., Pratt J., De Vries S.M. & Healy G.N. (2004) Breastfeeding duration in an Australian population: the influence of modifiable antenatal factors. Journal of Human Lactation 20(1), 30–38. 5. Bolling K., Grant C., Hamlyn B. & Thornton A. (2007) Infant Feeding Survey 2005. The Information Centre for Health and Social Care and the UK Health Department, London. 6. Bottorff J.L. (1990) Persistence in breastfeeding: a phenomonological investigation. Journal of Advanced Nursing 15(2), 201–209. 7. Boulton J. & Landers M. (1999) The Toowoomba Children’s Nutrition Study. Queensland Health, Toowoomba. 8. Bourgoin G.L., Lahaie N.R., Rheaume B.A., Berger M.G., Dovigi C.V., Picard L.M. & Sahai V.F. (1997) Factors influencing the duration of breastfeeding in the Sudbury region. Canadian Journal of Public Health 88(4), 238–241. 9. Briggs S.R. & Cheek J.M. (1986) The role of factor analysis in the development and evaluation of personality scales. Journal of Personality 54, 106–148. 10. Brouwers E.P.M., van Baarb A.L. & Pop V.J.M. (2001) Does the Edinburgh Postnatal Depression Scale measure anxiety? Journal of Psychosomatic Research 51(5), 659–663. 11. Bulk-Bunschoten A.M.W., van Bodegom S., Reerink J.D., Pasker-de Jong P.C.M. & De Groot C.J. (2001) Reluctance to continue breastfeeding in The Netherlands. Acta Paediatrica Scandinavica 90(9), 1047–1053. 12. Callen J. & Pinelli J. (2004) Incidence and duration of breastfeeding for term infants in Canada, Unites Stated, Europe and Australia: a literature review. Birth 32(4), 285–292. 13. Clifford T.J., Campbell M.K., Speechley K.N. & Gorodzinsky F. (2006) Factors influencing full breastfeeding in a southwestern Ontario community: assessments at 1 week and at 6 months postpartum. Journal of Human Lactation 23(3), 292–304. 14. Cooke M., Schmied V. & Sheehan A. (2007) An exploration of the relationship between postnatal distress and maternal role attainment, breast feeding problems and breast feeding cessation in Australia. Midwifery 23(1), 66–76. 15. Cox J.L. & Sagovsky R. (1987) Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry 150, 782–786. 16. Creedy D.K., Dennis C.L., Blyth R.J., Moyle R., Pratt J. & De Vries S.M. (2003) Psychometric characteristics of the Breastfeeding Self-Efficacy Scale: data from an Australian sample. Research in Nursing and Health 26(2), 143–152. 17. Damato E.G. (2005) Duration of breastfeeding for mothers of twins. Journal of Obstetric, Gynecologic, & Neonatal Nursing 34(2), 201–209. 18. De La Mora A., Russell D.W., Dungy C.I., Losch M. & Dusdieker L. (1999) The Iowa Infant Feeding Attitude Scale: analysis of reliability and validity. Journal of Applied Social Psychology 29(11), 2362–2380. 19. Dennis C.L. (2003) The Breastfeeding Self-Efficacy Scale: psychometric assessment of the short form. Journal of Obstetric, Gynecologic, & Neonatal Nursing 32(6), 734–744. 20. Dennis C.L. & Faux S. (1999) Development and psychometric testing of the Breastfeeding Self-Efficacy Scale. Research in Nursing & Health 22(5), 399–409. 21. Denzin N.K. & Lincoln Y.S. (2005) The Sage Handbook of Qualitative Research. Sage Publications, London. 22. Donath S.M., Amir L.H. & ALSPAC Study Team (2004) The relationship between maternal smoking and breastfeeding duration after adjustment for maternal infant feeding intention. Acta Paediatrica 93(11), 1514–1518. 23. Dunn S., Davies B., McCleary L., Edwards N. & Gaboury I. (2006) The relationship between vulnerability factors and breastfeeding outcome. Journal of Obstetric, Gynecologic, & Neonatal Nursing 35(1), 87–97. 24. Fitzpatrick C.C., Fitzpatrick P.E. & Darling M.R.N. (1994) Factors associated with the decision to breastfeed among Irish women. Irish Medical Journal 87(5), 145–146. 25. Forster D., McLachlan H. & Lumley J. (2006) Factors associated with breastfeeding at 6 months postpartum in a group of Australian women. International Breastfeeding Journal 1(18), doi: 10.1186/1746-4358-1-18. 26. Gibaud-Wallston J. (1977) Self-esteem and situational stress: factors related to sense of competence in parents. Unpublished PhD dissertation. George Peabody College for Teachers, Rhode Island. 27. Goldberg L.R. (1999) A broad-bandwidth, public-domain, personality inventory measuring the lower-level facets of several five-factor models. In Personality Psychology in Europe, Vol. 7 (Mervielde I., Deary I., De Fruyt F. & Ostendord F., eds), Tilburg University Press, Tilburg, The Netherlands, pp. 7–28. 28. Goldberg L.R., Johnson J.A., Eber H.W., Hogan R., Ashton M.C., Cloninger C.R. & Gough H.G. (2006) The International Personality Item Pool and the future of public-domain personality measures. Journal of Research in Personality 40, 84–96. 29. Hatton D.C., Harrison-Hohner J., Coste S., Dorato V., Curet L.B. & McCarron D.A. (2005) Symptoms of postpartum depression and breastfeeding. Journal of Human Lactation 21(4), 444–449. 30. Hegney D., Fallon T., O’Brien M.L., Laurent K., Baker S., Plank A. & Doolan J. (2003) The Toowoomba Infant Feeding Support Service Project: Report on Phase 1 – A Longitudinal Needs Analysis of Breastfeeding Behaviours and Supports in the Toowoomba Region. Centre for Rural and Remote Area Health, University of Southern Queensland, Toowoomba. 31. Hegney D., Fallon A.B. & O’Brien M.L. (2007) Against all odds: a retrospective case-controlled study of women who experienced extraordinary breastfeeding problems. Journal of Clinical Nursing 17, 1182–1192. 32. Henderson J.J., Evans S.F., Straton J.A.Y., Priest S.R. & Hagan R. (2003) Impact of postnatal depression on breastfeeding duration. Birth: Issues in Perinatal Care 30(3), 175–180. 33. Hewat R.J. & Ellis D.J. (1986) Similarities and differences between women who breastfeed for short and long durations. Midwifery 2(1), 37–43. 34. Hong S.-M. & Faedda S. (1996) Refinement of the Hong Psychological Reactance Scale. Educational and Psychological Measurement 56(1), 173–183. 35. Horta B.L., Bahl R., Martines J.C. & Victora C.G. (2007) Evidence on the Long-Term Effects of Breastfeeding: Systematic Reviews and Meta-Analyses. World Health Organisation, Geneva. 36. Ip S., Chung M., Raman G., Chew P., Magula N., DeVine D., Trikalinos T. & Lau J. (2007) Breastfeeding and Maternal and Infant Health Outcomes in Developed Countries. Evidence Report/Technology Assessment No. 153 (Prepared by Tufts-New England Medical Center Evidence-based Practice Center). AHRQ Publication No. 07-E007. Agency for Healthcare Research and Quality, Rockville, MD. 37. Kieffer E.C., Novotny R., Welch K.B., Mor J.M. & Thiele M. (1997) Health practitioners should consider parity when counselling mothers on decisions about feeding methods. Journal of the American Dietetic Association 97(11), 1313–1316. 38. Kirkland V.L. & Fein S.B. (2003) Characterising reasons for breastfeeding cessation throughout the first year postpartum using the construct of thriving. Journal of Human Lactation 19(3), 278–285. 39. Kronborg H. & Vaeth M. (2004) The influence of psychosocial factors on the duration of breastfeeding. Scandinavian Journal of Public Health 32(3), 210–217. 40. Lovibond S.H. & Lovibond P.F. (1995) Manual for the Depression Anxiety Stress Scales. Psychology Foundation Monograph, Sydney. 41. McLearn K.T. (2006) Maternal depressive symptoms at 2 to 4 months post partum and early parenting practices. Archives of Pediatrics & Adolescent Medicine 160(3), 279–284. 42. Mozingo J.N., Davis M.W., Droppleman P.G. & Merideth A. (2000) ‘It wasn’t working’: women’s experiences with short term breast-feeding. American Journal of Maternal Child Nursing 25(3), 120– 126. 43. Nagy E., Orvos H., Pa´l A., Kova´cs L. & Loveland K. (2001) Breastfeeding duration and previous breastfeeding experience. Acta Paediatrica 90(1), 51–56. 44. NHMRC (2007) Australian code for the responsible conduct of research. In Revision of the Joint NHMRC/AVCC Statement and Guidelines on Research Practice. National Health & Medical Research Council and the Australian Research Council, Canberra. 45. O’Brien M.L. & Fallon A.B. (2005) The effect of breastfeeding self-efficacy on breastfeeding duration. Birth Issues 14(4), 135–142. 46. Papinczak T.A. & Turner C.T. (2000) An analysis of personal and social factors influencing initiation and duration of breastfeeding in a large Queensland maternity hospital. Breastfeeding Review 8(1), 25–33. \ 47. Peduzzi P., Concato J., Feinstein A.R. & Holford T.R. (1995) Importance of events per independent variable in proportional hazards regression analysis II. Accuracy and precision of regression estimates. Journal of Clinical Epidemiology 48(12), 1503– 1510. 48. Rentschler D.D. (1991) Correlates of successful breastfeeding. Image - the Journal of Nursing Scholarship 23(3), 151–154. 49. Rosenberg M. (1989) Society and the Adolescent Self-Image. Wesleyan University Press, Middletown, CT. 50. Scheier M.F. & Carver C.S. (1992) Effects of optimism on psychological and physical well-being: theoretical overview and empirical update. Cognitive Therapy and Research 16(2), 201– 228. 51. Scheier M.F., Carver C.S. & Bridges M.W. (1994) Distinguishing optimism from neutocism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the Life Orientation Test. Journal of Personality and Social Psychology 67(6), 1063–1078. 52. Scott J.A. (2006) Predictors of breastfeeding duration: evidence from a cohort study. Pediatrics 117(4), e646–e655. 53. Scott J.A., Landers M.C.G., Hughes R.M. & Binns C.W. (2001a) Factors associated with breastfeeding at discharge and duration of breastfeeding amongst two populations of Australian women. Journal of Paediatrics & Child Health 37(3), 254–262. 54. Scott J.A., Landers M.C.G., Hughes R.M. & Binns C.W. (2001b) Psychosocial factors associated with the abandonment of breast-feeding prior to hospital discharge. Journal of Human Lactation 17(1), 24–30. 55. Shields P.M. & Tajalli H. (2006) Intermediate theory: the missing link in successful student scholarship. Journal of Public Affairs Education 12(3), 313–334. 56. Spence J.T., Helmreich R.L. & Pred R.S. (1987) Impatience versus achievement strivings in the type A pattern: differential effects on students’ health and academic achievement. Journal of Applied Psychology 72(4), 522–528. 57. SPSS (2005) Statistical Package for the Social Sciences (for Windows), Version 14. SPSS Inc., Chicago, IL. 58. Stamp G.E. & Casanova H.T. (2006) A breastfeeding study in a rural population in South Australia. Rural and Remote Health 6, 495. 59. Tabachnick B.G. & Fidell L.S. (2001) Using Multivariate Statistics. Allyn and Bacon, Sydney. 60. Tarkka M.T., Paunonen M. & Laippala P. (1999) Factors related to successful breast feeding by first-time mothers when the child is 3 months old. Journal of Advanced Nursing 29(1), 113– 118. 61. Ueda T., Yokoyama Y., Irahara M. & Aono T. (1994) Influence of psychological stress on suckling induced pulsatile oxytocin release. Obstetrics & Gynecology 84(2), 259–262. 62. Vandiver T.A. (1997) Relationship of mothers’ perceptions and behaviors to the duration of breastfeeding. Psychological Reports 80(3), Part–2. 63. Wagner C.L., Wagner M.T., Ebeling M., KatChatman K.G., Cohen M. & Hulsey T.C. (2006) The role of personality and other factors in a mother’s decision to initiate breastfeeding. Journal of Human Lactation, 22(1), 16–26. 64. Webb K., Marks G.C., Lund-Adams M., Rutishauser I.H. & Abraham B. (2001) Towards a National System for Monitoring Breastfeeding in Australia: Recommendations for Population Indicators, Definitions and Next Steps. Australian Food and Nutrition Monitoring Unit, Canberra. 65. Whaley S.E., Meehan K., Lange L., Slusser W. & Jenks E. (2002) Predictors of breastfeeding duration for employees of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Journal of the American Dietetic Association 102(9), 1290–1293. 66. Whelan A. & Lupton P. (1998) Promoting successful breast feeding among women with a low income. Midwifery 14(2), 94–104. 67. WHO (2000) Management of Mental Disorders. WHO, Burwood, Victoria. 68. WHO (2001) The Optimal Duration of Exclusive Breastfeeding. Note for the press No. 7, April 2. WHO, Geneva.
Q-Index Code C1
Q-Index Status Confirmed Code
Additional Notes This is an author version of an article originally published as Maxine O'Brien, Elizabeth Buikstra and Desley Hegney (2008) The influence of psychological factors on breastfeeding duration, Journal of Advanced Nursing, 63 (4) : 397 - 408. 10.1111/j.1365-2648.2008.04722.x Copyright 2008 Blackwell Publishing Ltd. All rights reserved.

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2009 Higher Education Research Data Collection
School of Nursing and Midwifery Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 17 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 21 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Access Statistics: 456 Abstract Views, 828 File Downloads  -  Detailed Statistics
Created: Tue, 29 Jul 2008, 13:21:51 EST by Vicki Percival on behalf of School of Nursing and Midwifery