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February 28, 2026ChildrenOpen Access

Attachment Style and Perinatal Depressive Symptoms Across the Perinatal Period in Japan

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Authors

MOMichiko OyamadaJuntendo University Shizuoka HospitalMSMitsue SatoKanagawa Dental UniversityTNTatsuma Nakao

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Implication

This repeated cross-sectional study examines the relationship between attachment style and depressive symptoms in perinatal individuals, indicating cultural implications for care.

Key Points

  • The aim is to explore how adult attachment style and psychological factors influence depressive symptoms during the perinatal period.
  • Used a repeated cross-sectional design with 417 independent assessment datasets.
  • Assessed depressive symptoms using the Edinburgh Postnatal Depression Scale (EPDS).
  • Measured attachment styles with the Relationship Questionnaire.
  • Evaluated psychological stress responses using the Stress Response Scale-18 (SRS-18).
  • Analyzed salivary cortisol in a subset of participants.
  • Approximately 10–15% of participants showed elevated depressive symptoms across perinatal stages.
  • Insecure attachment significantly increased the odds of depressive symptoms at one month postpartum.
  • Higher SRS-18 scores were consistently linked with increased likelihood of depressive symptoms at various stages.
  • Lower satisfaction with the childcare environment was linked to elevated depressive symptoms during pregnancy.
  • No consistent link between salivary cortisol levels and depressive symptoms was found.

Cite This Study

Oyamada et al. (2026) studied this question.

synapsesocial.com/papers/69a286240a974eb0d3c00f51https://doi.org/10.3390/children13030332
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Maternal attachment state of mind moderates the impact of postnatal depression on infant attachment2005 · 196 citations
  2. 2Resilience and mental health among perinatal women: a systematic review2024 · 51 citations