Postpartum Bonding Disorder: Factor Structure, Validity, Reliability and a Model Comparison of the Postnatal Bonding Questionnaire in Japanese Mothers of Infants

Ohashi, Yukiko; Kitamura, Toshinori; Sakanashi, Kyoko; Tanaka, Tomoko

doi:10.3390/healthcare4030050

Cited by 44 publications

(31 citation statements)

References 34 publications

(47 reference statements)

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“…Furthermore, to examine the roles of functional connectivity between PAG and hypothalamus in possible dysregulation of maternal behaviours, we also explored how the PAG‐dependent rs‐FC may be related to symptoms of mother‐infant bonding impairments, as measured by the Postpartum Bonding Questionnaire (PBQ), in BT and CG mothers in the early postpartum period. The PBQ was chosen for this purpose because its subscales of Impaired Bonding (IB), Rejection and Pathological Anger (RPA) and Infant‐Focused Anxiety (IFA) have been linked to maternal psychological abuse of infants and maternal depression in multiple cultures . We know that depression is common comorbidity of OUD and that depressive symptoms, even if not meeting the clinical threshold, can seriously risk adverse child outcomes across cognitive, behavioural and social domains …”

Section: Introductionmentioning

confidence: 99%

“…The PBQ was chosen for this purpose because its subscales of Impaired Bonding (IB), Rejection and Pathological Anger (RPA) and Infant-Focused Anxiety (IFA) have been linked to maternal psychological abuse of infants and maternal depression in multiple cultures. [82][83][84][85] We know that depression is common comorbidity of OUD 86,87 and that depressive symptoms, even if not meeting the clinical threshold, 88-90 can seriously risk adverse child outcomes across cognitive, behavioural and social domains. [91][92][93][94][95][96] 2 | MATERIAL S AND ME THODS…”

Section: Introductionmentioning

confidence: 99%

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Early postpartum resting‐state functional connectivity for mothers receiving buprenorphine treatment for opioid use disorder: A pilot study

Swain

2019

J Neuroendocrinology

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Between 1999 and 2014, the prevalence of opioid use disorder (OUD) among pregnant women quadrupled in the USA. The standard treatment for peripartum women with OUD is buprenorphine. However, the maternal behavior neurocircuit that regulates maternal behavior and mother‐infant bonding has not been previously studied for human mothers receiving buprenorphine treatment for OUD (BT). Rodent research shows opioid effects on reciprocal inhibition between maternal care and defence maternal brain subsystems: the hypothalamus and periaqueductal gray, respectively. We conducted a longitudinal functional magnetic resonance imaging (fMRI) pilot study in humans to specifically examine resting‐state functional connectivity (rs‐FC) between the periaqueductal gray and hypothalamus, as well as to explore associations with maternal bonding for BT. We studied 32 mothers who completed fMRI scans at 1 month (T1) and 4 months postpartum (T2), including seven mothers receiving buprenorphine for OUD and 25 non‐OUD mothers as a comparison group (CG). The participants underwent a 6‐minute resting‐state fMRI scan at each time point. We measured potential bonding impairments using the Postpartum Bonding Questionnaire to explore how rs‐FC with periaqueductal gray is associated with bonding impairments. Compared to CG, BT mothers differed in periaqueductal gray‐dependent rs‐FC with the hypothalamus, amygdala, insular cortex and other brain regions at T1, with many of these differences disappearing at T2, suggesting potential therapeutic effects of continuing buprenorphine treatment. In contrast, the “rejection and pathological anger” subscale of the Postpartum Bonding Questionnaire at T1 and T2 was associated with the T1‐to‐T2 increases in periaqueductal gray‐dependent rs‐FC with the hypothalamus and amygdala. Preliminary evidence links maternal bonding problems for mothers with OUD early in the postpartum to connectivity between specific care and defence maternal brain circuits, which may be mitigated by buprenorphine treatment. This exploratory study supports a potential mechanism for investigating both the therapeutic benefits and risks of opioids for maternal care and bonding with infants.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Early postpartum resting‐state functional connectivity for mothers receiving buprenorphine treatment for opioid use disorder: A pilot study

Swain

2019

J Neuroendocrinology

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“…Bussel, 2010), Spanish (Garcia-Esteve, 2016), Chinese (Siu, 2010), and Japanese (Kaneko, 2014;Suetsugu, 2015;Ohashi, 2016). The PBQ was found to be a valid and reliable tool for mother-infant bonding assessment in almost all languages, with a reliability of 0.85 for the German, and 0.90 for the Spanish (Reck, 2006;Garcia-Esteve, 2016).…”

Section: Discussionmentioning

confidence: 99%

Assessment of Psychometric Properties of the Postpartum Bonding Questionnaire (PBQ) in Jordanian Mothers

Thekrallah¹,

AlRyalat²,

Qatawneh³

et al. 2019

RHS

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Background:Mother to infant bonding is the most important process in the puerperium, where many instruments have been designed to screen for mother-infant bonding issues. In this study, we will translate and validate the Postpartum Bonding Questionnaire (PBQ) to the Arabic and to measure the mother-infant bonding in a sample of Jordanian mothers. Materials and methods: This sample is a representative sample taken from multiple centers in Amman,Jordan. Post-partum lady who give a birth to a live healthy baby, regardless the mood of the delivery, who have been discharged with their babies home. Women with multiple pregnancies were also included. We calculated reliability indices and relevant statistics using SPSS.Results: A total of 120 participants included in this study. The mean age for the included sample was 28.1 (±6.3) years. Scale internal consistency measured via Cronbach's alpha is 0. 720. Average intraclass correlation coefficient for single measure is 0.067 (CI 0.045 to 0.097). Mean score for the 4 factors of the questionnaire were: Factor 1: 17.43 (±3.95), factor 2: 4.10 (±3.98), factor 3: 7.99 (±2.39), factor 4: 0.37 (±0.94). Conclusion: We translated and validated an Arabic version of the Postpartum Bonding Questionnaire(PBQ), an easy and widely used instrument to measure mother-infant bonding disorders. We observed a high frequency of bonding disorder among a Jordanian sample.

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“…This study is a secondary analysis using data from a longitudinal study conducted between 2011 and 2012 in Kumamoto Prefecture …”

Section: Methodsmentioning

confidence: 99%

Perinatal self‐report of thoughts of self‐harm, depressive symptoms, and personality traits: Prospective study of Japanese community women

Takegata

Takeda

Sakanashi

et al. 2019

Psychiatry Clin Neurosci

Self Cite

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Aim: The aim of this study was to identify women with thoughts of self-harm preceded by suicidal ideation, during the perinatal period, on cluster analysis and to clarify their psychological correlates.Methods: A secondary analysis was conducted using the data from a longitudinal study involving 18 obstetric clinics between 2011 and 2012 in Kumamoto Prefecture (Japan). Self-administered questionnaires including demographic data, Edinburgh Postnatal Depression Scale, Temperament and Character Inventory, and the Postnatal Bonding Questionnaire were distributed during the third trimester of pregnancy (wave 1), at 5 days (wave 2), and 1 month postpartum (wave 3).Results: On cluster analysis using the data of participants who answered all observational points, the participants were divided into two groups: cluster 1, normal (n = 201); and cluster 2, thoughts of self-harm (n = 42). Low self-directedness, low cooperativeness, higher anxiety, depression, and lack of affection and anger and rejection towards the baby were associated with cluster 2.Conclusions: The finding that low self-directedness and low cooperativeness were related to the cluster 2 group suggests that immature personality traits may work as a predisposing factor mediating between anxiety, depression and thoughts of self-harm.

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Postpartum Bonding Disorder: Factor Structure, Validity, Reliability and a Model Comparison of the Postnatal Bonding Questionnaire in Japanese Mothers of Infants

Cited by 44 publications

References 34 publications

Early postpartum resting‐state functional connectivity for mothers receiving buprenorphine treatment for opioid use disorder: A pilot study

Early postpartum resting‐state functional connectivity for mothers receiving buprenorphine treatment for opioid use disorder: A pilot study

Assessment of Psychometric Properties of the Postpartum Bonding Questionnaire (PBQ) in Jordanian Mothers

Perinatal self‐report of thoughts of self‐harm, depressive symptoms, and personality traits: Prospective study of Japanese community women

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