The Relationship Between Maternal-fetus Attachment and Perceived Parental Bonds in Pregnant Women: Considering a Possible Mediating Role of Psychological Distress

Overview

Journal Front Psychol

Date 2023 Feb 2

PMID 36726507

Authors

Maria C Gioia

Antonio Cerasa

Vito M R Muggeo

Paolo Tonin

Juanita Cajiao

Alessia Aloi

Iolanda Martino

Flaviana Tenuta

Angela Costabile

Francesco Craig

Affiliations

Soon will be listed here.

Abstract

Methods: In this cross-sectional study, 1,177 pregnant women answered the Parental Bonding Instrument, the Maternal-Fetal Attachment Scale, State-Trait Anxiety Inventory (STAI-Y), and Beck-Depression Inventory (BDI-II).

Results: We found out that perceived maternal and paternal care had significant direct effects on maternal-infant bonding during the pregnancy period when controlling for some confounders, including gestational age and mother age among others. Such maternal and paternal perceived care effects were not mediated by levels of psychological distress, which in turn resulted to be a "borderline" significant predictor of prenatal attachment. Interestingly, the gestational age and the mother age emerged to have a significant and synergic nonlinear effect, suggesting the influence on the MFAS of the gestational age depends on the values of the mother age, and likewise, the effect of mother age on MFAS depends on the gestational week.

Conclusion: This study expands our knowledge of the intergenerational transmission of attachment pointing out the effects of a woman's perceived bond in relation to her parental figures during the development of the prenatal attachment process. Findings also suggests that parenting support interventions may have benefits that are realized across generations.

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References

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

Rohder K, Vaever M, Aarestrup A, Jacobsen R, Smith-Nielsen J, Schiotz M . Maternal-fetal bonding among pregnant women at psychosocial risk: The roles of adult attachment style, prenatal parental reflective functioning, and depressive symptoms. PLoS One. 2020; 15(9):e0239208. PMC: 7498041. DOI: 10.1371/journal.pone.0239208. View

Smorti M, Ponti L, Ghinassi S, Rapisardi G . The mother-child attachment bond before and after birth: The role of maternal perception of traumatic childbirth. Early Hum Dev. 2020; 142:104956. DOI: 10.1016/j.earlhumdev.2020.104956. View

Su Q, Zhang H, Zhang Y, Zhang H, Ding D, Zeng J . Maternal Stress in Gestation: Birth Outcomes and Stress-Related Hormone Response of the Neonates. Pediatr Neonatol. 2015; 56(6):376-81. DOI: 10.1016/j.pedneo.2015.02.002. View

Ossa X, Bustos L, Fernandez L . Prenatal attachment and associated factors during the third trimester of pregnancy in Temuco, Chile. Midwifery. 2011; 28(5):e689-96. DOI: 10.1016/j.midw.2011.08.015. View

Brandon A, Pitts S, Denton W, Stringer C, Evans H . A HISTORY OF THE THEORY OF PRENATAL ATTACHMENT. J Prenat Perinat Psychol Health. 2011; 23(4):201-222. PMC: 3083029. View

Isgut M, Smith A, Reimann E, Kucuk O, Ryan J . The impact of psychological distress during pregnancy on the developing fetus: biological mechanisms and the potential benefits of mindfulness interventions. J Perinat Med. 2017; 45(9):999-1011. DOI: 10.1515/jpm-2016-0189. View

Festa C, Ginsburg G . Parental and peer predictors of social anxiety in youth. Child Psychiatry Hum Dev. 2011; 42(3):291-306. PMC: 3359646. DOI: 10.1007/s10578-011-0215-8. View

van Bussel J, Spitz B, Demyttenaere K . Reliability and validity of the Dutch version of the maternal antenatal attachment scale. Arch Womens Ment Health. 2009; 13(3):267-77. DOI: 10.1007/s00737-009-0127-9. View

10.

Taccini F, Rossi A, Mannarini S . Intergenerational Transmission of Relational Styles: Current Considerations. Front Psychol. 2021; 12:672961. PMC: 8514634. DOI: 10.3389/fpsyg.2021.672961. View

11.

Wilson-Mitchell K, Bennett J, Stennett R . Psychological health and life experiences of pregnant adolescent mothers in Jamaica. Int J Environ Res Public Health. 2014; 11(5):4729-44. PMC: 4053888. DOI: 10.3390/ijerph110504729. View

12.

Kretchmar M, Jacobvitz D . Observing mother-child relationships across generations: boundary patterns, attachment, and the transmission of caregiving. Fam Process. 2002; 41(3):351-74. DOI: 10.1111/j.1545-5300.2002.41306.x. View

13.

Gobel A, Barkmann C, Arck P, Hecher K, Schulte-Markwort M, Diemert A . Couples' prenatal bonding to the fetus and the association with one's own and partner's emotional well-being and adult romantic attachment style. Midwifery. 2019; 79:102549. DOI: 10.1016/j.midw.2019.102549. View

14.

Alhusen J, Gross D, Hayat M, Woods A, Sharps P . The influence of maternal-fetal attachment and health practices on neonatal outcomes in low-income, urban women. Res Nurs Health. 2012; 35(2):112-20. PMC: 3313492. DOI: 10.1002/nur.21464. View

15.

Allison S, Stafford J, Anumba D . The effect of stress and anxiety associated with maternal prenatal diagnosis on feto-maternal attachment. BMC Womens Health. 2011; 11:33. PMC: 3148201. DOI: 10.1186/1472-6874-11-33. View

16.

Shahhosseini Z, Pourasghar M, Khalilian A, Salehi F . A Review of the Effects of Anxiety During Pregnancy on Children's Health. Mater Sociomed. 2015; 27(3):200-2. PMC: 4499279. DOI: 10.5455/msm.2015.27.200-202. View

17.

Lau Y, Htun T, Kwong H . Sociodemographic, obstetric characteristics, antenatal morbidities, and perinatal depressive symptoms: A three-wave prospective study. PLoS One. 2018; 13(2):e0188365. PMC: 5805167. DOI: 10.1371/journal.pone.0188365. View

18.

Branje S, Geeraerts S, de Zeeuw E, Oerlemans A, Koopman-Verhoeff M, Schulz S . Intergenerational transmission: Theoretical and methodological issues and an introduction to four Dutch cohorts. Dev Cogn Neurosci. 2020; 45:100835. PMC: 7451818. DOI: 10.1016/j.dcn.2020.100835. View

19.

Napoli A, Lamis D, Berardelli I, Canzonetta V, Sarubbi S, Rogante E . Anxiety, Prenatal Attachment, and Depressive Symptoms in Women with Diabetes in Pregnancy. Int J Environ Res Public Health. 2020; 17(2). PMC: 7013564. DOI: 10.3390/ijerph17020425. View

20.

Arguz Cildir D, Ozbek A, Topuzoglu A, Orcin E, Janbakhishov C . Association of prenatal attachment and early childhood emotional, behavioral, and developmental characteristics: A longitudinal study. Infant Ment Health J. 2019; 41(4):517-529. DOI: 10.1002/imhj.21822. View