The Role of Antenatal and Postnatal Maternal Bonding in Infant Development

The Role of Antenatal and Postnatal Maternal Bonding in Infant Development
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DOI:
10.1016/j.jaac.2021.08.024
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发表时间:
2022-05-25
影响因子:
13.3
通讯作者:
Hutchinson, Delyse
Hutchinson, Delyse
中科院分区:
医学1区
文献类型:
--
作者:
Le Bas, Genevieve;Youssef, George;Hutchinson, Delyse

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目的:母亲对其发育中的胎儿/婴儿所经历的情感纽带在理论上被认为是决定婴儿发育结果的关键因素;然而,这方面的研究仍然缺乏,并且缺乏高质量的纵向研究。本研究的目的是在多波纵向妊娠队列研究(N = 1,347)中检查母婴依恋在多大程度上预测婴儿发育。方法:在每个妊娠期使用母亲孕期依恋量表和产后8周和12个月的母亲产后依恋量表评估自我报告的依恋。婴儿发展进行了评估,使用贝利婴幼儿发展量表,第三版(Bayley-III)在12 months.Results:债券预测指标的婴儿社会情感发展,包括社会情感,行为和气质的结果。影响大小从小到中等不等,在围产期增加(β = 0.11-0.27)。非常小的影响也被确定在绑定和认知,语言和运动发育之间的关系(β = 0.06-0.08)。结论:研究结果表明,母亲的感知情感与她的孩子在预测社会情感的结果中发挥了作用,预测可能不会扩展到其他领域的婴儿发展。因此,母亲的结合可能是一个潜在的可修改的婴儿社会情感的结果预测,提供了重要的考虑因素,为预防性干预。
Objective: The affectional bond experienced by a mother toward her developing fetus/infant has been theorized to be a critical factor in determining infant developmental outcomes; yet there remains a paucity of research in this area, and a lack of high-quality longitudinal studies. This study aimed to examine the extent to which mother-to-infant bonding predicted infant development in a multi-wave longitudinal pregnancy cohort study (N = 1,347).Method: Self-reported bonding was assessed using the Maternal Antenatal Attachment Scale at each trimester, and the Maternal Postnatal Attachment Scale at 8 weeks and 12 months postpartum. Infant development was assessed using the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III) at 12 months.Results: Bonding predicted indicators of infant social-affective development, including social-emotional, behavioral, and temperamental outcomes. Effect sizes ranged from small to moderate, increasing over the perinatal period (beta= 0.11-0.27). Very small effects were also identified in the relationship between bonding and cognitive, language, and motor development (beta = 0.06-0.08).Conclusion: Findings suggest that a mother's perceived emotional connection with her child plays a role in predicting social-affective outcomes; prediction may not extend to other domains of infant development. Maternal bonding may therefore be a potentially modifiable predictor of infant social-affective outcomes, offering important considerations for preventive intervention.