Analyzing the relationship between feelings about pregnancy and mother-infant bonding with the onset of maternal psychological distress after childbirth: The Japan Environment and Children's Study
Analyzing the relationship between feelings about pregnancy and mother-infant bonding with the onset of maternal psychological distress after childbirth: The Japan Environment and Children's Study
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分析怀孕感受和母婴关系与产后母亲心理困扰的关系：日本环境与儿童研究
DOI：
10.1016/j.jad.2023.02.130
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发表时间：
2023
影响因子：
6.6
通讯作者：
Shima Masayuki
中科院分区：
文献类型：
--
作者：
Tokuda Narumi;Tanaka Hiroyuki;Sawai Hideaki;Shibahara Hiroaki;Takeshima Yasuhiro;Shima Masayuki
研究背景从孕早期开始加强孕产妇心理健康至关重要。本研究探讨了产妇心理困扰的发病影响因素，在分娩后12个月的妇女谁没有经历过它在pregnancy.MethodsFeelings怀孕前三个月使用问卷进行了评估，产妇的心理健康状况进行了评估，使用6项凯斯勒心理困扰量表（K6）在第一和第二/第三孕期和分娩后12个月。在分娩后的第一个月、第六个月和第十二个月，使用日本版的母婴亲密量表（MIBS-J）评估母婴亲密度。这项研究包括46,053名母亲没有心理困扰（K6 ≤ 4）在怀孕期间从97,415名母亲参加了日本环境和儿童的Study.ResultsThe在分娩后12个月的心理困扰的发病与消极的母亲对怀孕的感觉，不孕症治疗的历史，目前怀孕前，和分娩后的母婴关系差。流产史与心理困扰无关。影响心理困扰发生的最强因素是母婴亲密关系（β = 0.28），同时也观察到怀孕感受的间接影响（β = 0.10）。局限性我们使用了完整版的MIBS-J，包括10个项目，在分娩后12个月，但只有5个项目，在第一和第六个月。婴儿依恋与分娩后母亲心理困扰的发生有关。考虑到母亲对怀孕的感受，在整个围产期支持母婴联系至关重要。
BackgroundStrengthening maternal mental health from early pregnancy is essential. This study investigated the factors affecting the onset of maternal psychological distress at 12 months after childbirth in women who had not experienced it during pregnancy.MethodsFeelings about pregnancy were assessed using a questionnaire in the first trimester, and maternal mental health was assessed using the 6-Item Kessler Psychological Distress Scale (K6) in the first and second/third trimesters and at 12 months after childbirth. Mother-infant bonding was assessed using the Japanese version of Mother-to-Infant Bonding Scale (MIBS-J) in the first, sixth, and twelfth months after childbirth. This study comprised 46,053 mothers without psychological distress (K6 ≤ 4) during pregnancy from the 97,415 mothers enrolled in the Japan Environment and Children's Study.ResultsThe onset of psychological distress at 12 months after childbirth was associated with negative maternal feelings about pregnancy, a history of infertility treatment before the current pregnancy, and poor mother-infant bonding after childbirth. Abortion history was not associated with psychological distress. The strongest factor affecting the onset of psychological distress was mother-infant bonding (β = 0.28), and the indirect effect of feelings about pregnancy was also observed (β = 0.10).LimitationsWe used the full version of MIBS-J consisting of 10 items at 12 months after childbirth but included only five items in the first and sixth months.ConclusionsInadequate mother-infant bonding was associated with the onset of maternal psychological distress after childbirth. Supporting mother-infant bonding is critical throughout the perinatal period, considering maternal feelings about pregnancy.