Zohreh Mahmoodi - Assistant Professor of Non-Communicable Diseases Research Center , Alborz University of Medical Sciences, Karaj, Iran
Mahrokh Dolatian - Assistant Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mitra Jalal - MSc in Midwifery, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, International Branch of Shahid Beheshti University of Medical Sciences, Tehran, Iran
Arash Mirabzadeh - Full Professor, Department of Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.| Full Professor, Department of Psychiatry, University of Social Welfare and Rehabilitation Sciences,

Background: Despite the large number of studies conducted on breastfeeding, no studies have yet examined the direct and indirect effects of socio-personal factors and mental health on breastfeeding. Aim: This study aimed to analyze of the effects of mental health and socio-personal factors on breastfeeding in infants aged less than six months. Method: This analytical cross-sectional study was conducted on 465 eligible mothers visiting general health centers in a northern city of Iran, in 2015. Data were collected using the researcher-made scale of socio-personal factors of breastfeeding, Spielberger’s State-Trait Anxiety Inventory, Beck’s Depression Inventory, Cohen’s Perceived Stress Scale, the Breastfeeding Difficulties Questionnaire, the Access to Healthcare Questionnaire, and the Poor Health Behaviors Questionnaire. Results: The path analysis of the mental health variables showed that breastfeeding problems are associated through a direct path with depression, through an indirect path with stress, and through both paths with anxiety; a positive correlation was thus observed between these variables and breastfeeding problems. Poor health behaviors also contributed to mothers’ breastfeeding problems through a direct path and indirectly by affecting their level of depression. Income had the highest positive effect (B=0.66), while the number of children had the highest negative effect (B=-3.16) on breastfeeding problems through a direct path. Poor health behaviors had the highest positive effect (B=0.75) and family support had the highest negative effect (B=-0.11) on breastfeeding. Implications for Practice: The early diagnosis of poor postpartum mental health in mothers can help reduce breastfeeding problems.

Breastfeeding difficulties, Mental health, mothers, Path analysis, Socio-personal factors