Postpartum bonding: the role of perinatal depression, anxiety and maternal-fetal bonding during pregnancy
Postpartum bonding: the role of perinatal depression, anxiety and maternal-fetal bonding during pregnancy
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DOI：
10.1007/s00737-014-0445-4
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发表时间：
2015-04-01
影响因子：
4.5
通讯作者：
Gawlik, S.
中科院分区：
文献类型：
--
作者：
Dubber, S.;Reck, C.;Gawlik, S.
围产期抑郁症对母子互动的不利影响已有充分记录。然而，怀孕期间母婴关系对产后关系的影响尚未明确。本研究的目的是前瞻性地调查母婴关系以及围产期焦虑和抑郁症状对产后母婴关系的影响。使用爱丁堡产后抑郁量表 (EPDS)、状态特质焦虑量表 (STAI)、妊娠相关焦虑问卷 (PRAQ-R)、母婴依恋量表 (MFAS) 和产后联结问卷，分析了 80 名女性的抑郁和焦虑症状以及孕期母性联结与产后母性联结之间的关联。 （PBQ-16）。母亲受教育程度、MFAS、PRAQ-R、EPDS 和 STAI-T 与 PBQ-16 显着相关。在最终的回归模型中，产后 MFAS 和 EPDS 仍然是产后关系的重要预测因素，并解释了 20.8% 的方差。结果支持了母胎联结与产后母体联结损伤之间的负相关假设以及产后抑郁症状的作用。早期识别母亲怀孕期间的亲密关系障碍和产后抑郁症对于预防产后早期潜在的亲密关系障碍具有重要作用。
Adverse effects of perinatal depression on the mother-child interaction are well documented; however, the influence of maternal-fetal bonding during pregnancy on postpartum bonding has not been clearly identified. The subject of this study was to investigate prospectively the influence of maternal-fetal bonding and perinatal symptoms of anxiety and depression on postpartum mother-infant bonding. Data from 80 women were analyzed for associations of symptoms of depression and anxiety as well as maternal bonding during pregnancy to maternal bonding in the postpartum period using the Edinburgh Postnatal Depression Scale (EPDS), the State-Trait Anxiety Inventory (STAI), the Pregnancy Related Anxiety Questionnaire (PRAQ-R), the Maternal-Fetal Attachment Scale (MFAS) and the Postpartum Bonding Questionnaire (PBQ-16). Maternal education, MFAS, PRAQ-R, EPDS and STAI-T significantly correlated with the PBQ-16. In the final regression model, MFAS and EPDS postpartum remained significant predictors of postpartum bonding and explained 20.8 % of the variance. The results support the hypothesized negative relationship between maternal-fetal bonding and postpartum maternal bonding impairment as well as the role of postpartum depressive symptoms. Early identification of bonding impairment during pregnancy and postpartum depression in mothers plays an important role for the prevention of potential bonding impairment in the early postpartum period.