Is childbirth-induced PTSD associated with low maternal attachment?
Is childbirth-induced PTSD associated with low maternal attachment?
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DOI：
10.1007/s00737-018-0853-y
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发表时间：
2019-02-01
影响因子：
4.5
通讯作者：
Ashenfarb, Alyssa L.
中科院分区：
文献类型：
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作者：
Dekel, Sharon;Thiel, Freya;Ashenfarb, Alyssa L.
很少有研究探讨产妇依恋分娩相关的产后创伤后应激障碍（PP-PTSD）。我们研究了685名产后妇女，评估PP-PTSD，非分娩PTSD，母亲依恋，产前，分娩和产后因素。PP-PTSD组的依恋低于非分娩PTSD组和非PP-PTSD组。分层回归分析显示，PP-PTSD预测母亲依恋程度低于产前精神疾病、分娩时急性痛苦和缺乏母乳喂养。分娩引起的创伤后应激可能会干扰母亲依恋的形成，从而阻碍对高危妇女的筛查。
Few studies examined maternal attachment in childbirth-related postpartum posttraumatic stress disorder (PP-PTSD). We studied 685 postpartum women, assessing for PP-PTSD, non-childbirth PTSD, maternal attachment, pre-birth, birth, and post-birth factors. Attachment was lower in PP-PTSD than in non-childbirth PTSD and no PP-PTSD. Hierarchical regression showed that PP-PTSD predicted less maternal attachment above and beyond pre-birth psychiatric conditions, acute distress in birth, and lack of breastfeeding. Childbirth-induced posttraumatic stress may interfere with the formation of maternal attachment, warranting screening of at-risk women.