Document Detail


Mother-infant bonding impairment across the first 6 months postpartum: the primacy of psychopathology in women with childhood abuse and neglect histories.
MedLine Citation:
PMID:  23064898     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Our goal was to examine the trajectory of bonding impairment across the first 6 months postpartum in the context of maternal risk, including maternal history of childhood abuse and neglect and postpartum psychopathology, and to test the association between self-reported bonding impairment and observed positive parenting behaviors. In a sample of women with childhood abuse and neglect histories (CA+, n = 97) and a healthy control comparison group (CA-, n = 53), participants completed questionnaires related to bonding with their infants at 6 weeks, 4 months, and 6 months postpartum and psychopathology at 6 months postpartum. In addition, during a 6-month postpartum home visit, mothers and infants participated in a dyadic play interaction subsequently coded for positive parenting behaviors by blinded coders. We found that all women, independent of risk status, increased in bonding with their infant over the first 6 months postpartum; however, women with postpartum psychopathology (depression and posttraumatic stress disorder [PTSD]) showed consistently greater bonding impairment scores at all timepoints. Moreover, we found that, at the 6-month assessment, bonding impairment and observed parenting behaviors were significantly associated. These results highlight the adverse effects of maternal postpartum depression and PTSD on mother-infant bonding in early postpartum in women with child abuse and neglect histories. These findings also shed light on the critical need for early detection and effective treatment of postpartum mental illness in order to prevent problematic parenting and the development of disturbed mother-infant relationships. Results support the use of the Postpartum Bonding Questionnaire as a tool to assess parenting quality by its demonstrated association with observed parenting behaviors.
Authors:
Maria Muzik; Erika London Bocknek; Amanda Broderick; Patricia Richardson; Katherine L Rosenblum; Kelsie Thelen; Julia S Seng
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-10-12
Journal Detail:
Title:  Archives of women's mental health     Volume:  16     ISSN:  1435-1102     ISO Abbreviation:  Arch Womens Ment Health     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-16     Completed Date:  2013-07-01     Revised Date:  2014-06-03    
Medline Journal Info:
Nlm Unique ID:  9815663     Medline TA:  Arch Womens Ment Health     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  29-38     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Case-Control Studies
Child Abuse / prevention & control*
Child of Impaired Parents
Female
Follow-Up Studies
House Calls
Humans
Infant
Interviews as Topic
Logistic Models
Maternal Behavior
Mother-Child Relations*
Mothers / psychology*
Object Attachment*
Parenting / psychology*
Postpartum Period*
Psychiatric Status Rating Scales
Psychopathology
Questionnaires
Socioeconomic Factors
Stress Disorders, Post-Traumatic
Telephone
Grant Support
ID/Acronym/Agency:
K23 MH080147/MH/NIMH NIH HHS; MH080147/MH/NIMH NIH HHS; UL1 RR024986/RR/NCRR NIH HHS; UL1RR024986/RR/NCRR NIH HHS
Comments/Corrections

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