Mother-child bonding at 1 year; associations with symptoms of postnatal depression and bonding in the first few weeks

被引:129
作者
O'Higgins, Madeleine [1 ]
Roberts, Ian St James [2 ]
Glover, Vivette [3 ]
Taylor, Alyx [3 ,4 ]
机构
[1] Toronto Western Hosp, Krembil Neurosci Ctr, Toronto, ON M5T 2S8, Canada
[2] Univ London, Thomas Coram Res Unit, Inst Educ, London WC1H 0AA, England
[3] Univ London Imperial Coll Sci Technol & Med, Fac Med, Inst Reprod & Dev Biol, London W12 0NN, England
[4] Kings Coll London, Sch Biomed Sci, London SE1 9NH, England
关键词
Postnatal; Depression; Bonding; Mother; Infant; TO-INFANT; POSTPARTUM DEPRESSION; SEVERE DISORDERS; IMPACT; ATTACHMENT; PERIOD; SCALE; MOOD; OUTCOMES; VERSION;
D O I
10.1007/s00737-013-0354-y
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Some mothers experience neutral or negative feelings toward their new infant. This study examined the association between symptoms of postnatal depression and mother-infant bonding and the persistence of these feelings over the first year. Bonding was assessed using the Mother-Infant Bonding Scale (MIBQ), at four times postnatal, "early weeks" (1-4 weeks), 9 weeks, 16 weeks and 1 year, in 50 depressed, Edinburgh Postnatal Depression scale (EPDS) a parts per thousand yen13 at 4 weeks post natal, and 29 non-depressed mothers. A significant association between the EPDS score at 4 weeks and bonding score at 1-4 weeks, 9 weeks, and at 1 year postnatal, chi (2)(1) = 9.85, p < 0.01, 5.44, p < 0.05 and 5.21, p < 0.05, respectively, was found, with a trend at 16 weeks. There was a strong association between bonding in the early weeks and all later time points chi (2)(1) = 17.26, p < 0.001, 7.89, p < 0.01 and 13.69, p < 0.001, respectively. Regression showed early bonding rather than early depression was the major predictor of bonding at 1 year. Women who are depressed postnatally can fail to bond well with their baby and this can persist for a year. Early identification and intervention for poor bonding is indicated.
引用
收藏
页码:381 / 389
页数:9
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