Predictors of postnatal mother-infant bonding: the role of antenatal bonding, maternal substance use and mental health
Predictors of postnatal mother-infant bonding: the role of antenatal bonding, maternal substance use and mental health
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DOI：
10.1007/s00737-016-0602-z
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发表时间：
2016-08-01
影响因子：
4.5
通讯作者：
Mattick, Richard P.
中科院分区：
文献类型：
--
作者：
Rossen, Larissa;Hutchinson, Delyse;Mattick, Richard P.
母亲对婴儿的情感纽带对于社交、情感和认知发展至关重要。孕期和产前的孕产妇健康和福祉在决定产后关系方面也发挥着关键作用，但这些关系在多大程度上可能因心理健康状况不佳或药物滥用而受到破坏尚不清楚。本研究旨在探讨孕期母婴关系、物质使用和心理健康在多大程度上预测产后 8 周时的母婴关系。参与者是从澳大利亚三所大都市医院招募的 372 名女性。使用母亲产前依恋量表 (MAAS)、母亲产后依恋量表 (MPAS)、爱丁堡产前和产后抑郁量表 (EPDS)、抑郁和焦虑量表 (DASS-21)、物质使用频率和数量（咖啡因、酒精和烟草）以及一系列人口统计数据，在妊娠第一、第二和第三个月以及产后 8 周收集数据。 和产后信息。在完全调整的回归模型中，较高的产前亲密关系预示着在所有怀孕时间点较高的产后亲密关系。孕期第二和第三个月的母亲抑郁症状以及孕期第二个月的压力与产后 8 周母婴关系较差呈负相关。这项研究扩展了之前关于母亲与发育中的孩子的情感联系的研究，通过抽取大量妇女样本并记录这种联系在怀孕期间的三个时间点和产后 8 周的模式。利用多次产前波可以精确地隔离怀孕期间和关键干预点的关系。需要研究增强联系和干预怀孕的方法。评估孕期母亲的心理健康状况也很重要。
The emotional bond that a mother feels towards her baby is critical to social, emotional and cognitive development. Maternal health and wellbeing through pregnancy and antenatal bonding also play a key role in determining bonding postnatally, but the extent to which these relationships may be disrupted by poor mental health or substance use is unclear. This study aimed to examine the extent to which mother-fetal bonding, substance use and mental health through pregnancy predicted postnatal mother-infant bonding at 8 weeks. Participants were 372 women recruited from three metropolitan hospitals in Australia. Data was collected during trimesters one, two and three of pregnancy and 8 weeks postnatal using the Maternal Antenatal Attachment Scale (MAAS), Maternal Postnatal Attachment Scale (MPAS), the Edinburgh Antenatal and Postnatal Depression Scale (EPDS), the Depression and Anxiety Scales (DASS-21), frequency and quantity of substance use (caffeine, alcohol and tobacco) as well as a range of demographic and postnatal information. Higher antenatal bonding predicted higher postnatal bonding at all pregnancy time-points in a fully adjusted regression model. Maternal depressive symptoms in trimesters two and three and stress in trimester two were inversely related to poorer mother-infant bonding 8 weeks postnatally. This study extends previous work on the mother's felt bond to her developing child by drawing on a large sample of women and documenting the pattern of this bond at three time points in pregnancy and at 8 weeks postnatally. Utilising multiple antenatal waves allowed precision in isolating the relationships in pregnancy and at key intervention points. Investigating methods to enhance bonding and intervene in pregnancy is needed. It is also important to assess maternal mental health through pregnancy.