The role of adult attachment style, birth intervention and support in posttraumatic stress after childbirth: A prospective study

Ayers, Susan; Jessop, Donna C.; Pike, Alison; Parfitt, Ylva; Ford, Elizabeth

doi:10.1016/j.jad.2013.10.022

Cited by 59 publications

(45 citation statements)

References 21 publications

(22 reference statements)

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“…This mirrors the findings of Rowlands and Redshaw (2012) and Ayers, Jessop, Pike, Parfitt, and Ford (2014), who investigated the effect of traumatic birth on future birth. Not all women explicitly ranked 'previous experience', but all discussed it, possibly indicating that it was more influential than they themselves realised.…”

Section: Previous Experiencesupporting

confidence: 83%

Birth after emergency caesarean section: Women’s perspectives on the factors influencing their decision making

Hughes¹

2016

Fields: Journal of Huddersfield Student Research

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The study explored the decisions women made in relation to mode of birth following a previous emergency lower segment caesarean section (emLSCS), particularly focusing on what different factors influenced women to choose a particular mode of birth and what they described as the rationale underpinning that decision.Participants were recruited from a population of students and staff within the School of Human and Health Sciences at a university in the north of England. Sixteen individuals were selected using convenience sampling, who then completed openended questionnaires. The questions were non-leading and asked the women to identify and expand upon factors that influenced their decision on mode of birth. Data were analysed using a basic thematic framework analysis.Many of the identified themes mirrored those well recognised in existing research: the woman's previous birth, her perception of risks, the influence of professionals and the influence of peers were all apparent. One factor not explored in existing literature, namely a sense of duty to existing children, appeared to be strongly influential in this data set. Interestingly, it was observed that each woman's philosophical framework and her relationship with the element of control substantially underpinned her consideration of key factors, leading her to an individual decision.This article provides an interesting insight into the complexity of individual decision making in maternity care. The findings highlight the fact that professional guidelines may fail to meet the personal and individual needs of their subjects. This is a thought-provoking topic for policy and guideline authors, as well as for the professionals who counsel patients through decision-making processes in maternity care and wider fields of healthcare.

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Section: Previous Experiencesupporting

confidence: 83%

Birth after emergency caesarean section: Women’s perspectives on the factors influencing their decision making

Hughes¹

2016

Fields: Journal of Huddersfield Student Research

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“…confirmed the effective role of the spouse or sexual partner's support in reducing this disorder. [41019]…”

Section: Discussionmentioning

confidence: 99%

“…PTSD is present if the subject achieves a score ≥1 in at least one reexperiencing item, three avoidance items, and two hyperarousal items. [1213141516171819] Concurrent validity and test–retest reliability of the PSS have been reported as 0.91 and 0.74, respectively. [12]…”

Section: Methodsmentioning

confidence: 99%

Correlation between kind of delivery and posttraumatic stress disorder

Mahmoodi

Dolatian

et al. 2016

Ann Med Health Sci Res

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Background:Posttraumatic stress disorder (PTSD) is a very common mental condition and a unique anxiety disorder.Aim:The present study tried to examine the correlation between kind of delivery and PTSD.Subjects and Methods:This prospective study evaluated 240 Iranian female residents of Tehran, Iran, during the third trimester of their pregnancy and 6–8 weeks after labor. Data were collected using the customized screening form, the Symptom Checklist-90, PTSD Symptom Scale (PSS), and Social Support Questionnaire. The collected data were then analyzed with SPSS software.Results:According to the participants' responses to the subscales of the PSS, reexperiencing, avoidance, and hyperarousal symptoms were present in 100, 25, and 77 participants, respectively. Moreover, 15 individuals manifested all three groups of symptoms. Therefore, the prevalence of PTSD in the studied population was 6.2%. The logistic regression analysis revealed PTSD to be 0.06 times more prevalent in women with poor social support after delivery than in those enjoying a desirable level of support (P < 0.01; odds ratio = 0.06). Based onChisquare test results, there was no significant correlation between the kind of delivery and the incidence of PTSD after delivery (P = 0.48).Conclusion:Since PTSD was more common after cesarean sections (than after vaginal deliveries), health policymakers need to develop efficient strategies to promote vaginal delivery.

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“…Thus, we further predicted that the different attachment styles will be associated with different patterns of bonding problems. Finally, as insecure attachment is linked with PTSD and depression (Besser & Neria, ; Bifulco et al., ; Bifulco, Moran, Ball, & Bernazzani, ; Mikulincer, Florian, & Weller, ), and both have been linked to bonding difficulties (e.g., Ayers, Jessop, Pike, Parfitt, & Ford, ; Brockington, Fraser, & Wilson, ), we predicted that the severity of symptoms of these disorders will mediate the relationship between adult attachment style and bonding.…”

mentioning

confidence: 97%

Postpartum Bonding Difficulties and Adult Attachment Styles: The Mediating Role of Postpartum Depression and Childbirth‐related PTSD

Hairston

Handelzalts

Assis

et al. 2018

Infant Mental Health Journal

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Despite decades of research demonstrating the role of adult attachment styles and early mother-infant bonding in parenting behaviors and maternal mental health, these constructs have seldom been studied together. The present study aimed to investigate the relationship between attachment styles and specific bonding difficulties of mothers. In addition, as postpartum depression and childbirth-related posttraumatic stress symptoms have been associated with both constructs, we explored their possible mediation effect. One hundred fourteen mothers, 4 to 12 weeks' postpartum, completed a demographic questionnaire, the Adult Attachment Style Questionnaire (M. Mikulincer, V. Florian, & A. Tolmacz, 1990), the Postpartum Bonding Questionnaire (L.F. Brockington, C. Fraser, & D. Wilson, 2006), the Modified Perinatal Posttraumatic Stress Disorder Questionnaire (J.L. Callahan, S.E. Borja, & M.T. Hynan, 2006), and the Edinburgh Postnatal Depression Scale (J.L. Cox, G. Chapman, D. Murray, & P. Jones, 1996), using an online survey system. As predicted, insecure attachment styles were associated with bonding difficulties wherein anxious/ambivalent attachment was associated with greater infant-focused anxiety, mediated by postpartum depression but not childbirth-related PTSD symptoms. In contrast, greater avoidant attachment style was associated with greater rejection and anger, mediated by childbirth-related posttraumatic stress disorder (PTSD), but not depression symptoms. The current study confirmed the association of different attachment styles with bonding as well as the mediating roles of childbirth-related PTSD and postpartum depression symptoms. Future psychological interventions may utilize such evidence to target interventions for bonding disorders in accordance with individual differences.

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The role of adult attachment style, birth intervention and support in posttraumatic stress after childbirth: A prospective study

Abstract: This is the unspecified version of the paper.This version of the publication may differ from the final published version. Permanent repository link

Cited by 59 publications

References 21 publications

Birth after emergency caesarean section: Women’s perspectives on the factors influencing their decision making

Birth after emergency caesarean section: Women’s perspectives on the factors influencing their decision making

Correlation between kind of delivery and posttraumatic stress disorder

Postpartum Bonding Difficulties and Adult Attachment Styles: The Mediating Role of Postpartum Depression and Childbirth‐related PTSD

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