Pertinence of the self-report mother-to-infant bonding scale in the neonatal unit of a maternity ward
Pertinence of the self-report mother-to-infant bonding scale in the neonatal unit of a maternity ward
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DOI：
10.1016/j.earlhumdev.2011.01.031
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发表时间：
2011-04-01
影响因子：
2.5
通讯作者：
Cambonie, Gilles
中科院分区：
文献类型：
--
作者：
Bienfait, Marjorie;Maury, Michele;Cambonie, Gilles
目的：评估自述母婴联结量表（MIBS）在产科病房新生儿病房评估母婴联结的相关性。材料和方法：分娩后 48 小时，78 名母亲对 MIBS、爱丁堡产后抑郁量表（EPDS）、成人依恋问卷（AAQ）以及母亲对婴儿行为的评估做出回应（MABI）调查问卷。 24小时后，儿科精神科医生对他们进行了采访，评估了母婴关系。新生儿科护士还填写了 MIBS，想象母亲的反应，并匿名回答有关在日常实践中使用 MIBS 的调查问卷。结果：MIBS 令人满意地检测到母子关系中的困难：ROC 曲线下面积为 0.93，阈值分数 >= 2 的灵敏度为 0.9，特异性为 0.8。MIBS 独立于 EPDS（r = 0.11，p = 0.29）和 AAQ（r = 0.05，p = 0.63）。然而，它受到婴儿行为特征的影响（r = 0.3，p = 0.01）。母亲和护士的 MIBS 评分 cif 显示出较低的相关性（r = 0.31，p = 0.004），并且逐项反应很少一致。 100%的护士表示MIBS有助于评估母婴关系，85%的母亲认为它有益。结论：新妈妈需要表达自己对婴儿的感受，因为医院工作人员对母婴互动的观察对于评估依恋过程来说不够可靠。自我报告 MIBS 是检测早期母婴关系困难的有用工具。 (C) 2011 Elsevier Ireland Ltd. 保留所有权利。
Objective: To assess the relevance of the self-report Mother-to-Infant Bonding Scale (MIBS) to evaluate mother-infant bonding in the neonatal unit of a maternity ward.Material and methods: Forty-eight hours after delivery, 78 mothers responded to the MIBS, the Edinburgh Postnatal Depression Scale (EPDS), the Adult Attachment Questionnaire (AAQ), and the Mother's Assessment of the Behavior of her Infant (MABI) questionnaire. They were then interviewed 24 h later by a pediatric psychiatrist, who assessed the mother-infant relationship. The neonatology nurses also filled out the MIBS, imagining the mothers' responses, and responded anonymously to questionnaires on the use of the MIBS in their daily practice.Results: MIBS satisfactorily detected difficulties in mother-child bonding: the area under the ROC curve was 0.93, with a sensitivity of 0.9 and a specificity of 0.8 for a threshold score >= 2. MIBS was independent of EPDS (r = 0.11, p = 0.29) and AAQ (r = 0.05, p = 0.63). However, it was influenced by the infant's behavioral characteristics (r = 0.3, p = 0.01). MIBS scores cif the mothers and nurses showed low correlation (r = 0.31, p = 0.004) and the item-by-item responses were rarely concordant. Fully 100% of the nurses stated that the MIBS was helpful in evaluating mother-child bonding and 85% of the mothers found it beneficial.Conclusion: New mothers need to express their feelings about their babies, as hospital staff observation of mother-infant interactions is not sufficiently reliable for assessing the attachment process. The self-report MIBS is a useful tool for detecting difficulties in early mother-infant bonding. (C) 2011 Elsevier Ireland Ltd. All rights reserved.