Relationship between maternal depression and bonding failure: <scp>A</scp> prospective cohort study of pregnant women

Ohara, Masako; Okada, Takashi; Kubota, Chika; Nakamura, Yukako; Shiino, Tomoko; Aleksić, Branko; Morikawa, Mako; Yamauchi, Aya; Uno, Yuichi; Murase, Satomi; Goto, Setsuko; Kanai, Atsuko; Masuda, Tomoko; Ando, Masahiko; Ozaki, Norio

doi:10.1111/pcn.12541

Cited by 21 publications

(40 citation statements)

References 39 publications

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“…The included studies were mainly conducted in the US (10 papers) [80,[84][85][86][87][88][89][90][91][92] and in Europe (nine papers in Italy [93][94][95][96][97][98][99][100][101], four in Sweden [76,[102][103][104], two in Germany [105,106], one in the Netherlands [22], one in France [107], one in England [79], one in Belgium [108], and one in Portugal [75]). Four studies were carried out in Japan [81,[109][110][111], two in Australia [112,113], two in Iran [74,114], two in Turkey [78,115], one in India [116], one in Israel [117], one in Chile [118], one in Brazil [119], and one in Korea [120] (Figure 2). All the articles were published between 1988 and 2019 (…”

Section: Resultsmentioning

confidence: 99%

“…Considering the 45 studies included in the current review, 31 found a negative association between prenatal attachment and perinatal depression [22,74,75,81,84,86,[89][90][91][92]95,[97][98][99]101,102,[104][105][106][107][108][110][111][112][114][115][116][117][118][119][120], while a positive relation between perinatal depression and some dimensions of antenatal attachment was identified in three studies [94,102,106]. Thirteen studies did not highlight significant associations between these variables [76,[78][79][80]85,87,88,93,96,100,103,109,113].…”

Section: Main Findingsmentioning

confidence: 99%

“…Thirteen studies did not highlight significant associations between these variables [76,[78][79][80]85,87,88,93,96,100,103,109,113]. Specifically, the majority of the articles (28) observed a negative association between prenatal depressive symptoms and prenatal attachment [22,75,81,84,86,[89][90][91][92]94,97,98,102,[104][105][106][107][108][110][111][112][114][115][116][117][118][119][120]. In contrast, a positive association between prenatal depression and some dimensions of prenatal attachment (i.e., the "physical contact with the fetus and sensitivity to the fetal movement" subscale of the MFAS [102], the "empathy" subscale of the German version of the MFAS [106], and the "fantasy" and the "maternal sensitivity to the fetus" factors of the PAI [94]) was found in three studies…”

Section: Main Findingsmentioning

confidence: 99%

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Prenatal Attachment and Perinatal Depression: A Systematic Review

Rollé

Giordano

Santoniccolo

et al. 2020

IJERPH

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Pregnancy is a period of complex bio-psychological changes, during which the development of an attachment bond to the fetus takes on a central role. Depressive symptoms are common during this period. Both symptoms of depression and low levels of prenatal attachment are related to negative outcomes in caregivers and infants. Following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement, this systematic review analyzes and systematizes 41 studies concerning the association between prenatal attachment and perinatal depression. The majority of the studies reported a significant association between the two. Specifically, prenatal depressive symptoms were found to be negatively associated with prenatal attachment. Furthermore, lower levels of prenatal attachment were related to higher postnatal depressive symptoms, although fewer studies assessed this association. While these results were found across different populations, conflicting findings emerged, suggesting they should be interpreted with caution, particularly in male samples and in non-normative pregnancies (e.g., high-risk pregnancies, medically assisted pregnancies, and pregnancies with previous perinatal losses). These results are clinically important for the perinatal screening process and for implementing preventive and treatment programs. However, future studies are needed to further confirm and generalize these results.

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Section: Resultsmentioning

confidence: 99%

Section: Main Findingsmentioning

confidence: 99%

Section: Main Findingsmentioning

confidence: 99%

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Prenatal Attachment and Perinatal Depression: A Systematic Review

Rollé

Giordano

Santoniccolo

et al. 2020

IJERPH

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“…In the literature, a favored explanation for the possible association between maternal PPD and children's delays in expressive language development, other than the neurophysiological one, is poor maternal‐child relationship or bonding failure . Maternal responsiveness is also aggravated by the presence of depressive symptoms or PPD, while poor responsiveness has been implicated as hindering children's cognitive and language development .…”

Section: Language Developmentmentioning

confidence: 99%

Does maternal postpartum depression affect children's developmental outcomes?

Aoyagi

Tsuchiya

2019

J of Obstet and Gynaecol

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Aim: The etiology of maternal postpartum depression (PPD) remains inconclusive, and there is no consensus concerning whether maternal PPD affects children's developmental outcomes. Consequently, in this literature review, we examined whether maternal PPD affects children's physical, neuromotor, language and general cognitive development. Methods: We conducted an electronic search using PubMed to select case-control and cohort studies that addressed maternal depression, depressive episodes or depressive symptoms among postpartum (within 6 months) women. We omitted studies that focused on a specific population (e.g. preterm infants). Results: The methodological problems of prior studies indicate that their findings must be interpreted with caution. Insufficient and or inconsistent evidence has supported associations between maternal PPD and children's developmental trajectories. Nevertheless, some key studies have revealed findings that require further analysis, including the associations between maternal PPD and children's stunted growth/being underweight in developed countries, the slight delay in children's fine motor development, and in children's language development. Conclusion:Although several studies have investigated the longstanding effects of maternal PPD on children's physical and neurodevelopment, no conclusive evidence has elucidated a relationship between maternal PPD and all four domains of child developmentphysical, neuromotor, language and general cognitive ability. Therefore, large-scale, longitudinal studies with a long-term follow-up periodextending to school age and beyondare needed. Moreover, confounding factors should be carefully considered. Specifically, household income, parental education, breastfeeding, bonding/attachment and paternal mental health may be associated with maternal mental health and children's neurodevelopment.

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“…2,3 Several risk factors for DMIB have been identified, including maternal depression, anxiety, posttraumatic stress disorder, Caesarean section, the baby requiring ICU treatment, if the baby is female, and if there is domestic violence from partner. [4][5][6][7][8] Infertility treatments may also have some influence on DMIB.…”

Section: Introductionmentioning

confidence: 99%

Assisted reproductive technologies are slightly associated with maternal lack of affection toward the newborn: The Japan Environment and Children's Study

Yoshimasu

Miyauchi

Satô

et al. 2020

J of Obstet and Gynaecol

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Aim To evaluate the association between use of assisted reproductive technology (ART) and mother‐to‐infant bonding. Methods Using nationwide birth cohort study with periodical follow‐ups for mothers and children during pregnancy and at 1 year after delivery, mothers were classified following three groups; infertility group with ART: 2792 mothers; infertility group with non‐ART treatment (ovulation induction and intrauterine insemination): 3835 mothers and unaided pregnancy group: 78 726 mothers. Data on maternal and child health as well as basic characteristics were collected via medical records and self‐administered questionnaires. The Japanese version of Mother‐to‐Infant Bonding Scale was used to evaluate maternal bonding style. To evaluate the association between ART and maternal bonding toward babies, multivariate analysis was used with adjustment for potential confounders such as babies' sex, socio‐economic status and history of maternal mental disorders. Results Multivariate logistic regression analysis indicated that ART was slightly but significantly associated with an increased risk of maternal lack of affection toward their newborn (adjusted odds ratio 1.10, 95% confidence interval 1.02–1.20), while non‐ART was significantly associated with both maternal lack of affection and anger/rejection toward the newborn. No substantial association was observed between ART and overall Mother‐to‐Infant Bonding Scale score (adjusted odds ratio 1.03, 95% confidence interval 0.94–1.12). Very slight negative correlations were observed between poor mother‐to‐infant bonding and good infant mental and physical development at both 6 months and 1 year. Conclusion ART may exert a negative influence on maternal emotion after delivery, but this does not have strong correlation with child development evaluated by mothers.

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Relationship between maternal depression and bonding failure: A prospective cohort study of pregnant women

Cited by 21 publications

References 39 publications

Prenatal Attachment and Perinatal Depression: A Systematic Review

Prenatal Attachment and Perinatal Depression: A Systematic Review

Does maternal postpartum depression affect children's developmental outcomes?

Assisted reproductive technologies are slightly associated with maternal lack of affection toward the newborn: The Japan Environment and Children's Study

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