Maternal Prenatal Distress, Maternal Pre- and Postnatal Bonding and Behavioral and Emotional Problems in Toddlers. A Secondary Analysis of the IRIS Study

被引：6

作者：

Henrichs, Jens ^{[1
,2
,3
,4
]}

de Kroon, Marlou ^{[5
,6
]}

Walker, Annika ^{[1
,2
,3
,4
,7
]}

Witteveen, Anke ^{[8
,9
]}

Westerneng, Myrte ^{[1
,2
,3
,4
]}

van Baar, Anneloes ^{[10
]}

de Jonge, Ank ^{[1
,2
,3
,4
]}

机构：

[1] Vrije Univ Amsterdam, Amsterdam UMC, Midwifery Sci, Amsterdam, Netherlands

[2] Midwifery Acad Amsterdam Groningen, InHolland, Amsterdam, Netherlands

[3] Amsterdam Publ Hlth, Mental Hlth, Amsterdam, Netherlands

[4] Univ Groningen, Univ Med Ctr Groningen, Dept Gen Practice & Elderly Care Med, Groningen, Netherlands

[5] Univ Groningen, Univ Med Ctr Groningen, Dept Hlth Sci, Groningen, Netherlands

[6] Univ Leuven, Environm & Hlth, Youth Heath Care, KU Leuven, Leuven, Belgium

[7] Niederrhein Univ Appl Sci, Fac Hlth Care, Krefeld, Germany

[8] Vrije Univ, Amsterdam Publ Hlth Inst, Dept Clin Neuro & Dev Psychol, Amsterdam, Netherlands

[9] Vrije Univ, World Hlth Org, Collaborating Ctr Res & Disseminat Psychol Interve, Amsterdam, Netherlands

[10] Univ Utrecht, Child & Adolescent Studies, Utrecht, Netherlands

来源：

JOURNAL OF CHILD AND FAMILY STUDIES | 2023年 / 32卷 / 07期

关键词：

Maternal anxiety; Maternal depression; Prenatal; Maternal bonding; Child behavioral and emotional problems; INTERGENERATIONAL TRANSMISSION; ANXIETY SYMPTOMS; EARLY-CHILDHOOD; STRESS; DEPRESSION; ATTACHMENT; ASSOCIATION; DISORDERS; PREGNANCY; CHILDREN;

D O I：

10.1007/s10826-022-02529-1

中图分类号：

D669 [社会生活与社会问题]; C913 [社会生活与社会问题];

学科分类号：

1204 ;

摘要：

Maternal prenatal distress (i.e., anxiety and depressive symptoms) increases the risk for childhood behavioral and emotional problems. So far, the potential role of maternal bonding in this association still needs further study. Maternal prenatal distress can affect the development of maternal bonding from pregnancy onwards. Maternal prenatal and postnatal bonding in turn have been shown to predict child behavioral functioning. We aimed to investigate whether maternal prenatal and postnatal bonding mediate the association between maternal prenatal distress and toddlers' internalizing and externalizing problems. Data from a Dutch prospective longitudinal sample (N = 666) were used to conduct single and multiple mediation models. Mothers reported prenatal anxiety (State Anxiety Inventory) and prenatal depressive symptoms (Edinburgh Postnatal Depression Scale) at 24 weeks' gestation and maternal prenatal bonding (Maternal Antenatal Attachment Scale) at 32 weeks' gestation. At 6 weeks and 6 months postpartum mothers completed questionnaires to assess maternal postnatal bonding (Maternal Postnatal Attachment Scale). Mothers reported child internalizing and externalizing problems (Child Behavior Checklist) at 28 months postpartum. Maternal prenatal and postnatal bonding mediated the link between maternal prenatal anxiety and child externalizing problems but not internalizing problems. Only maternal bonding 6 months postpartum mediated the link between maternal prenatal depressive symptoms and child internalizing problems but not externalizing problems. Our study showed that maternal postnatal bonding more consistently mediated links between measures of maternal prenatal distress and child behavioral and emotional problems than maternal prenatal bonding. Interventions reducing maternal prenatal distress and promoting maternal bonding should be developed.

引用

页码：2113 / 2126

页数：14

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