Abstract: | The question addressed in this study was whether or not mothers who scored low on self-report depression scales—so-called “deniers”—were denying their symptoms and suffering from an illusion of mental health. The findings did not support the interpretation that low-scoring mothers were denying other symptoms. Rather, low-scoring mothers: 1) experienced a wide range of emotions and similar levels of positive emotions compared to mid-symptom mothers; 2) changed their reported levels of depressive symptoms over the course of the study; 3) reported a variety of symptoms at levels similar to those of mothers in the mid symptom range; and 4) were affected negatively by having a diagnosis of depression, in a manner similar to mothers in the mid and high symptom groups. Furthermore, low symptom mothers consistently reported the most positive profiles of maternal adaptation with higher levels of maternal self-esteem and a high ratio of self-reported positive to negative affect. Thus, they appeared to be experiencing a heretofore underdescribed highly positive normal postpartum state that we have labeled “postpartum exuberance.” Postpartum exuberance, as well as a compromise of affective functioning associated with any lifetime diagnosis of depression regardless of the mothers' current level of depressive symptoms, highlights the complexity of emotional reactivity during the postpartum period. © 1997 Michigan Association for Infant Mental Health |