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

Lutkiewicz, Karolina; Bieleninik, Łucja; Cieślak, Mariusz; Bidzan, Mariola

doi:10.3390/ijerph17155427

Cited by 72 publications

(66 citation statements)

References 39 publications

(66 reference statements)

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“…In a multiple regression analysis, however, the association between symptoms of anxiety and mother–infant bonding was not significant after controlling for the effect of depressive symptoms. Lutkiewicz et al 11 also reported similar results in 150 Polish mothers at 1–3 days after childbirth. These inconsistencies among studies may stem from differences in ethnicity, postpartum period, rating scale and statistical analysis.…”

Section: Discussionmentioning

confidence: 57%

“…7,8,15,16,18,21 The Edinburgh Postnatal Depression Scale (EPDS) is the most widely used self-report questionnaire for screening for peripartum depression. 6,[9][10][11]13,[15][16][17][18][19][23][24][25] However, this scale is not suitable for detecting peripartum anxiety. 23 We therefore used the Hospital Anxiety and Depression Scale (HADS), which is a self-report questionnaire designed to identify anxiety and depression in nonpsychiatric hospital outpatients.…”

Section: Measurementsmentioning

confidence: 99%

“…However, few studies have investigated the effects of peripartum anxiety and depression simultaneously on mother-infant bonding with small sample sizes. [6][7][8][9][10][11] One study found that 5.0% of 280 Japanese primiparas who were interviewed by trained midwives had experienced a major depressive episode within 3 months of childbirth. 12 A meta-analysis of self-report questionnaire surveys found that the prevalence of depression at one month after childbirth was 14.3% in 108,431 Japanese mothers.…”

Section: Introductionmentioning

confidence: 99%

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<p>Depression, Anxiety and Primiparity are Negatively Associated with Mother–Infant Bonding in Japanese Mothers</p>

Motegi

Watanabe

Fukui

et al. 2020

NDT

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Purpose Postpartum depression is a well-known risk factor, and postpartum anxiety and parity are potential risk factors, for mother–infant bonding disorder. However, few studies have focused on the relationships among these factors and mother–infant bonding. This cross-sectional study explored the associations between depression, anxiety and parity, and mother–infant bonding. Materials and Methods Japanese mothers, both primiparas and multiparas, completed the Mother-to-Infant Bonding Scale (MIBS) and the Hospital Anxiety and Depression Scale (HADS) one month after childbirth. We performed a stepwise multiple regression analysis with the forward selection method to assess the effects of HADS anxiety and depression scores and parity as independent variables on mother–infant bonding as the dependent variable. Results A total of 2379 Japanese mothers (1116 primiparas and 1263 multiparas) took part in the study. MIBS score (2.89 ± 2.68 vs 1.60 ± 2.11; p < 0.0001) was significantly higher in primiparas than in multiparas. HADS anxiety (6.55 ± 4.06 vs 4.63 ± 3.41; p < 0.0001) and depression (6.56 ± 3.43 vs 5.98 ± 3.20; p < 0.0001) scores were also significantly higher in primiparas than in multiparas. A stepwise multiple regression analysis with the forward selection method revealed that HADS depression and anxiety scores and parity were significantly associated with MIBS score ( p = 0.003, 0.015 and 0.023). Conclusion Depression, anxiety and primiparity were negatively associated with mother–infant bonding one month after childbirth.

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Section: Discussionmentioning

confidence: 57%

Section: Measurementsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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<p>Depression, Anxiety and Primiparity are Negatively Associated with Mother–Infant Bonding in Japanese Mothers</p>

Motegi

Watanabe

Fukui

et al. 2020

NDT

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“…A father's mental health during the antenatal and postpartum periods is a relatively under-researched topic in comparison with maternal mental health at that time (Ilska and Przybyła-Basista, 2014;Kucharska, 2020;Lutkiewicz et al, 2020). The prevalence of perinatal depression among fathers has been shown to be about 10% at the very beginning of pregnancy increasing to 25% around 6 months after birth (Paulson and Bazemore, 2010).…”

Section: Introductionmentioning

confidence: 99%

Paternal Postpartum Bonding and Its Predictors in the Early Postpartum Period: Cross-Sectional Study in a Polish Cohort

et al. 2021

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Introduction: Parental postpartum bonding has been studied by many researchers focusing on maternal bonding. The objective of this study was to examine the psychological and socio-demographic predictors of paternal postpartum bonding in the early postpartum period.Methods: In this cross-sectional study, 131 couples (fathers median age of 32.37 years, SD = 4.59; mothers median age of 30.23 years, SD = 3.90) of newborns from full-term pregnancies were recruited from November 2019 until March 2020. The primary outcome was paternal postpartum bonding as measured by the Postpartum Bonding Questionnaire (PBQ). Secondary outcomes included: maternal and paternal anxiety [with the Generalized Anxiety Disorder (GAD) Assessment]; maternal and paternal stress [with the Parental Stress Scale (PSS)]; maternal depressive symptoms [with the Edinburgh Postpartum Depression Scale (EPDS)]; and maternal and paternal socio-demographic variables as fathers’ presence at childbirth, education level, age, and parental experience.Results: Paternal postpartum bonding was significantly correlated with paternal anxiety (moderate strength), maternal stress (strong correlation), and maternal postpartum bonding. No significant correlations between paternal postpartum bonding, maternal depression symptoms, and maternal anxiety were found. The mediating role of paternal stress in paternal postpartum bonding was proven. Paternal anxiety strengthens paternal stress (b = 0.98). Further, a high level of paternal stress disrupts paternal postpartum bonding (b = 0.41). Results of regression analyses have revelated that maternal infant bonding (p < 0.01) and paternal stress (p < 0.01) are the only predictors of parental postpartum bonding across all included variables. None of investigated socio-demographic variables were associated with paternal postpartum bonding.Conclusion: Notwithstanding limitations, the current findings add to a growing body of literature on paternal postpartum bonding. The results have shown that paternal mental health is related to parental postpartum bonding directly after delivery.Clinical Trial Registration:ClinicalTrials.gov Identifier: NCT04118751.

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“…The prenatal depression experienced by pregnant women has various negative consequences for the wellbeing of the woman, her partner, family, and the birth and development of the child [ 5 ]. Furthermore, it increases the risk of postnatal depression [ 6 , 7 ], the consequences of which may be particularly unfavorable for the mother–infant relationship, namely, lower intensity of emotional attachment to the child, adverse effects on the mother–child relationship, delays in cognitive/emotional development of the infant, and behavioral problems in later childhood [ 3 , 8 , 9 , 10 , 11 , 12 , 13 ]. Focusing on the consequences of postnatal depression and its risk factors was the subject of many studies [ 4 , 5 , 10 , 14 , 15 , 16 , 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Body Acceptance by Pregnant Women and Their Attitudes toward Pregnancy and Maternity as Predictors of Prenatal Depression

Przybyła-Basista

Kwiecińska²,

Ilska

2020

IJERPH

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Background: Depressive symptoms during pregnancy may cause unfavorable consequences for both the mother and the infant’s physiological and psychological health. Recent evidence indicates that body image plays an important role in prenatal depression. The present study’s main purpose was to investigate the level of acceptance of physical appearance in pregnant women, their attitudes toward pregnancy and maternity, and some obstetric characteristics as significant predictors in the development of depression. Methods: A sample of 150 Polish pregnant women completed a set of self-report questionnaires, including the Edinburgh Postnatal Depression Scale (EPDS), Attitudes toward Maternity and Pregnancy Questionnaire (PRE-MAMA), and the Body-Self Questionnaire (EA-BSQ). All participants also answered a brief sociodemographic and obstetric information questionnaire. Results: A hierarchical binary logistic regression was conducted to predict prenatal depression from selected obstetric variables (unplanned pregnancy, multiparity, and miscarriages) and psychological variables (appearance evaluation and positive or anxious attitudes toward pregnancy and maternity). It was found that higher levels of negative evaluation of appearance increased chances of depression in pregnant women by almost one-and-a-half. The analysis revealed that positive attitudes toward pregnancy and maternity were the most important protective factor for depression. Conclusions: The results confirmed the importance of dissatisfaction with body image during pregnancy as a predictor of the onset of prenatal depression. However, in clinical practice, this risk factor should be considered in combination with positive maternal attitudes, not separately. The implications for future studies and interventions in the field of prenatal depression are discussed in this work.

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

Cited by 72 publications

References 39 publications

<p>Depression, Anxiety and Primiparity are Negatively Associated with Mother–Infant Bonding in Japanese Mothers</p>

<p>Depression, Anxiety and Primiparity are Negatively Associated with Mother–Infant Bonding in Japanese Mothers</p>

Paternal Postpartum Bonding and Its Predictors in the Early Postpartum Period: Cross-Sectional Study in a Polish Cohort

Body Acceptance by Pregnant Women and Their Attitudes toward Pregnancy and Maternity as Predictors of Prenatal Depression

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