Maternal-Infant Bonding and Its Relationships with Maternal Depressive Symptoms, Stress and Anxiety in the Early Postpartum Period in a Polish Sample

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2020 Aug 1

PMID 32731490

Citations 39

Authors

Karolina Lutkiewicz

Lucja Bieleninik

Mariusz Cieslak

Mariola Bidzan

Affiliations

Soon will be listed here.

Abstract

A large body of literature indicates that there is a relationship between maternal psychological well-being and the early maternal-infant bond. However, this relationship is not fully understood, due to the different theoretical frameworks of maternal-infant bonding and different data collections points. Thus, the aim of this study was to examine the relationship between the maternal bond and the maternal psychological state including anxiety, stress, and maternal depressive symptoms. In this cohort study, 150 women who gave birth after 37 weeks of pregnancy completed the following self-reports 1-3 days post-delivery: Socio-demographic questionnaire, Postpartum Bonding Questionnaire (PBQ), Edinburgh Postpartum Depression Scale (EPDS), Postpartum Depression Screening Scale (PDSS), Generalized Anxiety Disorder Assessment (GAD-7), and Parental Stress Scale (PSS). The obtained results showed that the maternal level of stress, anxiety and postnatal depressive symptoms are significantly correlated with the maternal-infant bond in Polish mothers. In addition, regression analysis shows that postpartum depressive symptoms and maternal stress are significantly associated with the maternal-infant bonding process in the early postpartum period. This finding emphasizes the importance of identifying maternal mental state difficulties in the early postpartum period in order to provide interventions to help build healthy maternal-infant bonding.

Citing Articles

A Mindfulness-Based App Intervention for Pregnant Women: Qualitative Evaluation of a Prototype Using Multiple Case Studies.

Rizzi S, Pavesi M, Moser A, Paolazzi F, Marchesoni M, Poggianella S JMIR Form Res. 2024; 9:e58265.

PMID: 39625414 PMC: 11786139. DOI: 10.2196/58265.

Influence of postpartum depression on maternal-infant bonding and breastfeeding practices among mothers in Abeokuta, Ogun state.

Sanni S, Adeoye I, Bella-Awusah T, Bello O Discov Ment Health. 2024; 4(1):46.

PMID: 39453530 PMC: 11511802. DOI: 10.1007/s44192-024-00104-2.

Psychometric properties of the generalized anxiety disorder questionnaire (GAD-7) in a polish postpartum women sample.

Lutkiewicz K, Bieleninik L, Jurek P, Bidzan M BMC Public Health. 2024; 24(1):2706.

PMID: 39367428 PMC: 11451098. DOI: 10.1186/s12889-024-20194-5.

Incarceration Postpartum: Is There a Right to Prison Nurseries?.

Mitchell M, Yeturu S, Appel J J Bioeth Inq. 2024; .

PMID: 39356443 DOI: 10.1007/s11673-024-10390-8.

Postpartum-Specific Anxiety and Maternal-Infant Bonding: A Predictive Validity Study amongst Italian Women.

Ionio C, Ciuffo G, Christiansen P, Della Vedova A, Fallon V, Figlino M Eur J Investig Health Psychol Educ. 2024; 14(6):1614-1626.

PMID: 38921073 PMC: 11202692. DOI: 10.3390/ejihpe14060107.

References

Spitzer R, Kroenke K, Williams J, Lowe B . A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166(10):1092-7. DOI: 10.1001/archinte.166.10.1092. View

Grace S, Evindar A, Stewart D . The effect of postpartum depression on child cognitive development and behavior: a review and critical analysis of the literature. Arch Womens Ment Health. 2003; 6(4):263-74. DOI: 10.1007/s00737-003-0024-6. View

Nath S, Pearson R, Moran P, Pawlby S, Molyneaux E, Challacombe F . The association between prenatal maternal anxiety disorders and postpartum perceived and observed mother-infant relationship quality. J Anxiety Disord. 2019; 68:102148. DOI: 10.1016/j.janxdis.2019.102148. View

Nonnenmacher N, Noe D, Ehrenthal J, Reck C . Postpartum bonding: the impact of maternal depression and adult attachment style. Arch Womens Ment Health. 2016; 19(5):927-35. DOI: 10.1007/s00737-016-0648-y. View

Doster A, Wallwiener S, Muller M, Matthies L, Plewniok K, Feller S . Reliability and validity of the German version of the Maternal-Fetal Attachment Scale. Arch Gynecol Obstet. 2018; 297(5):1157-1167. DOI: 10.1007/s00404-018-4676-x. View

Vesga-Lopez O, Blanco C, Keyes K, Olfson M, Grant B, Hasin D . Psychiatric disorders in pregnant and postpartum women in the United States. Arch Gen Psychiatry. 2008; 65(7):805-15. PMC: 2669282. DOI: 10.1001/archpsyc.65.7.805. View

Hsu T, Chen C . Stress and maternal-fetal attachment of pregnant women during their third trimester. Kaohsiung J Med Sci. 2001; 17(1):36-45. View

van Bussel J, Spitz B, Demyttenaere K . Three self-report questionnaires of the early mother-to-infant bond: reliability and validity of the Dutch version of the MPAS, PBQ and MIBS. Arch Womens Ment Health. 2010; 13(5):373-84. DOI: 10.1007/s00737-009-0140-z. View

Brockington I . Diagnosis and management of post-partum disorders: a review. World Psychiatry. 2006; 3(2):89-95. PMC: 1414675. View

10.

Giardinelli L, Innocenti A, Benni L, Stefanini M, Lino G, Lunardi C . Depression and anxiety in perinatal period: prevalence and risk factors in an Italian sample. Arch Womens Ment Health. 2011; 15(1):21-30. DOI: 10.1007/s00737-011-0249-8. View

11.

Gavin N, Gaynes B, Lohr K, Meltzer-Brody S, Gartlehner G, Swinson T . Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol. 2005; 106(5 Pt 1):1071-83. DOI: 10.1097/01.AOG.0000183597.31630.db. View

12.

Dubber S, Reck C, Muller M, Gawlik S . Postpartum bonding: the role of perinatal depression, anxiety and maternal-fetal bonding during pregnancy. Arch Womens Ment Health. 2014; 18(2):187-195. DOI: 10.1007/s00737-014-0445-4. View

13.

McNamara J, Townsend M, Herbert J . A systemic review of maternal wellbeing and its relationship with maternal fetal attachment and early postpartum bonding. PLoS One. 2019; 14(7):e0220032. PMC: 6657859. DOI: 10.1371/journal.pone.0220032. View

14.

Zhu P, Sun M, Hao J, Chen Y, Jiang X, Tao R . Does prenatal maternal stress impair cognitive development and alter temperament characteristics in toddlers with healthy birth outcomes?. Dev Med Child Neurol. 2014; 56(3):283-9. DOI: 10.1111/dmcn.12378. View

15.

Brockington I, Aucamp H, Fraser C . Severe disorders of the mother-infant relationship: definitions and frequency. Arch Womens Ment Health. 2006; 9(5):243-51. DOI: 10.1007/s00737-006-0133-0. View

16.

Chang H, Chen S, Chen C . Predictors of Antenatal Psychosocial Stress in Taiwanese Women. J Nurs Res. 2015; 24(3):193-200. DOI: 10.1097/jnr.0000000000000122. View

17.

Kokubu M, Okano T, Sugiyama T . Postnatal depression, maternal bonding failure, and negative attitudes towards pregnancy: a longitudinal study of pregnant women in Japan. Arch Womens Ment Health. 2012; 15(3):211-6. DOI: 10.1007/s00737-012-0279-x. View

18.

Figueiredo B, Costa R . Mother's stress, mood and emotional involvement with the infant: 3 months before and 3 months after childbirth. Arch Womens Ment Health. 2009; 12(3):143-53. DOI: 10.1007/s00737-009-0059-4. View

19.

Kaitz M, Maytal H . Interactions between anxious mothers and their infants: An integration of theory and research findings. Infant Ment Health J. 2017; 26(6):570-597. DOI: 10.1002/imhj.20069. View

20.

Tietz A, Zietlow A, Reck C . Maternal bonding in mothers with postpartum anxiety disorder: the crucial role of subclinical depressive symptoms and maternal avoidance behaviour. Arch Womens Ment Health. 2014; 17(5):433-42. DOI: 10.1007/s00737-014-0423-x. View