Associations of postpartum mother-infant bonding with maternal childhood maltreatment and postpartum mental health: a cross-sectional study
Associations of postpartum mother-infant bonding with maternal childhood maltreatment and postpartum mental health: a cross-sectional study
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DOI：
10.1186/s12884-019-2426-0
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发表时间：
2019-08-05
影响因子：
3.1
通讯作者：
Kersting, Anette
中科院分区：
文献类型：
--
作者：
Lehnig, Franziska;Nagl, Michaela;Kersting, Anette
背景分娩后，一些妇女的母婴联系（MIB）受损，这可能导致母婴关系和儿童的社会情感发展的长期障碍。关于早期的母亲关系问题和母亲自己的不良童年经历之间的联系，人们知之甚少，尽管关于父母关系代际传递的假设表明了父母关系质量在代际之间的连续性。因此，本研究旨在探讨母亲童年期虐待与产后MIB之间的关系，控制产后心理健康的作用。方法2014年2月至2015年3月，对725例产后2个月的产妇进行自我报告。母亲的童年虐待进行了评估与童年创伤问卷，产后抑郁症的修订贝克抑郁量表，产后焦虑症状自评量表-90-修订版，和产后MIB的简化版本的产后债券问卷。使用分层回归分析对数据进行分析。结果近46%的被调查妇女报告至少有一种类型的儿童虐待，情感忽视是最普遍的。13%的人表现出至少轻度的产后抑郁症，20%的人产后焦虑评分高于第75百分位数。在最后的回归模型，解释了29%的方差，母亲的情绪忽视的严重程度较高的儿童，产后抑郁症和高等教育水平显着相关的产后MIB损伤。相比之下，母亲身体忽视的严重程度较高，产后MIB损伤较少。结论本研究首次探讨了不同类型的母亲儿童期虐待与产后MIB的关系，并对产后心理健康进行了调整。母亲的情感忽视和产后抑郁症状的经验可以作为指标，以确定和支持母亲的风险增加的债券问题，但结果需要验证纵向研究。
Background After delivery, some women experience impairment of their mother-infant bonding (MIB), which can lead to long-term disturbances of the mother-child relationship and the child's social-emotional development. Little is known about the association between early maternal bonding problems and mothers' own adverse childhood experiences, even though the hypothesis of the intergenerational transmission of caregiving indicates continuity in parenting quality across generations. Therefore, the current study aimed at examining the relationship between maternal childhood maltreatment and postpartum MIB, controlling for the role of postpartum mental health. Methods From February 2014 to March 2015, 725 women completed self-report measures 2 months postpartum. Maternal childhood maltreatment was assessed with the Childhood Trauma Questionnaire, postpartum depression with the Revised Beck Depression Inventory, postpartum anxiety with the Symptom Checklist-90-Revised, and postpartum MIB with the abridged version of the Postpartum Bonding Questionnaire. Data were analysed using a hierarchical regression analysis. Results Almost 46% of the included women reported at least one type of childhood maltreatment with emotional neglect being most prevalent. 13% displayed at least mild postpartum depressive symptomatology and 20% scored above the 75(th) percentile for postpartum anxiety. In the final regression model, which explained 29% of variance, higher severity of maternal emotional neglect in childhood, higher levels of postpartum depression and higher education were significantly related to more postpartum MIB impairment. In contrast, higher severity of maternal physical neglect was significantly associated with less postpartum MIB impairment. Conclusions This study is the first to explore the relationship between diverse types of maternal childhood maltreatment and postpartum MIB, adjusting for postpartum mental health. Maternal experiences of emotional neglect and postpartum depressive symptoms could serve as indicators to identify and support mothers with heightened risk for bonding problems, but results need to be validated in longitudinal studies.