Measuring bonding or attachment in the parent-infant-relationship: A systematic review of parent-report assessment measures, their psychometric properties and clinical utility.

Measuring bonding or attachment in the parent-infant-relationship: A systematic review of parent-report assessment measures, their psychometric properties and clinical utility.
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DOI:
10.1016/j.cpr.2020.101906
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发表时间:
2020-12
影响因子:
12.8
通讯作者:
Henderson M
Henderson M
中科院分区:
心理学1区
文献类型:
--
作者:
Wittkowski A;Vatter S;Muhinyi A;Garrett C;Henderson M

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有意义、有效和可靠的自我报告措施可以促进重要的亲子关系因素的识别、相关干预措施的制定以及社区和临床背景下的后续评估。我们的目的是确定所有可用的父母报告中父母与婴儿关系或纽带的衡量标准,并评估其心理测量和临床测量特性。使用 2018 年 COSMIN 标准进行了系统评价(PROSPERO:CRD42017078512)。检索了八个电子数据库。其中包括描述从怀孕到产后两年的亲子关系、依恋或关系的自我报告测量的发展或对其心理测量特性的评估的论文。确定并审查了评估 17 项原始措施和 13 项修改版本的 65 篇文章。研究的方法学质量(偏倚风险)根据评估的测量属性在“非常好”和“不足”之间变化;然而,规模开发研究大多质量“不足”。尽管大多数措施具有良好的临床效用,但对其特性的心理测量评估却很差。产后联系问卷的原始版本或修改版本共同获得了最强的心理测量评估评级和高质量的证据。这篇新颖的综述表明,只有少数产前和产后测量显示出足够的心理测量特性。需要进一步的研究来确定研究人员和临床医生最强有力的围产期措施。父母对亲子关系的看法对于识别任何困难和优势非常重要。这是首次对 14 项产前测量和 18 项产后测量的心理测量特性进行全面审查。与其他措施相比,产后联系问卷是研究最多的措施。大多数措施的行政属性都很好,表明它们的可行性、可接受性和可实现性。尽管一些研究报告了有效性和可靠性,但大多数措施缺乏足够的方法学质量。
Meaningful, valid and reliable self-report measures can facilitate the identification of important parent-infant-relationship factors, relevant intervention development and subsequent evaluation in community and clinical contexts. We aimed at identifying all available parent-report measures of the parent-infant-relationship or bond and to appraise their psychometric and clinimetric properties. A systematic review (PROSPERO: CRD42017078512) was conducted using the, 2018 COSMIN criteria. Eight electronic databases were searched. Papers describing the development of self-report measures of the parent-infant-bond, attachment or relationship from pregnancy until two years postpartum or the assessment of their psychometric properties were included. Sixty-five articles evaluating 17 original measures and 13 modified versions were identified and reviewed. The studies' methodological quality (risk of bias) varied between ‘very good’ and ‘inadequate’ depending on the measurement property assessed; however, scale development studies were mostly of ‘inadequate’ quality. Although most measures had good clinical utility, the psychometric evaluation of their properties was largely poor. The original or modified versions of the Postpartum Bonding Questionnaire collectively received the strongest psychometric evaluation ratings with high quality of evidence. This novel review revealed that only a few antenatal and postnatal measures demonstrated adequate psychometric properties. Further studies are needed to determine the most robust perinatal measures for researchers and clinicians. Parental perceptions of the parent-infant-bond are important in identifying any difficulties and strengths. This is the first comprehensive review to assess the psychometric properties of 14 antenatal and 18 postnatal measures. The Postpartum Bonding Questionnaire was the most researched measure compared to other measures. The administrative properties were good for most measures, suggesting their feasibility, acceptability and attainability. Although several studies reported on validity and reliability, most measures lacked adequate methodological quality.
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