Document Detail


Pertinence of the self-report mother-to-infant bonding scale in the neonatal unit of a maternity ward.
MedLine Citation:
PMID:  21316876     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To assess the relevance of the self-report Mother-to-Infant Bonding Scale (MIBS) to evaluate mother-infant bonding in the neonatal unit of a maternity ward. MATERIAL AND METHODS: Forty-eight hours after delivery, 78 mothers responded to the MIBS, the Edinburgh Postnatal Depression Scale (EPDS), the Adult Attachment Questionnaire (AAQ), and the Mother's Assessment of the Behavior of her Infant (MABI) questionnaire. They were then interviewed 24h later by a pediatric psychiatrist, who assessed the mother-infant relationship. The neonatology nurses also filled out the MIBS, imagining the mothers' responses, and responded anonymously to questionnaires on the use of the MIBS in their daily practice. RESULTS: MIBS satisfactorily detected difficulties in mother-child bonding: the area under the ROC curve was 0.93, with a sensitivity of 0.9 and a specificity of 0.8 for a threshold score ≥2. MIBS was independent of EPDS (r=0.11, p=0.29) and AAQ (r=0.05, p=0.63). However, it was influenced by the infant's behavioral characteristics (r=0.3, p=0.01). MIBS scores of the mothers and nurses showed low correlation (r=0.31, p=0.004) and the item-by-item responses were rarely concordant. Fully 100% of the nurses stated that the MIBS was helpful in evaluating mother-child bonding and 85% of the mothers found it beneficial. CONCLUSION: New mothers need to express their feelings about their babies, as hospital staff observation of mother-infant interactions is not sufficiently reliable for assessing the attachment process. The self-report MIBS is a useful tool for detecting difficulties in early mother-infant bonding.
Authors:
Marjorie Bienfait; Michèle Maury; Armelle Haquet; Jean-Luc Faillie; Nathalie Franc; Clémentine Combes; Hubert Daudé; Jean-Charles Picaud; Aline Rideau; Gilles Cambonie
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-11
Journal Detail:
Title:  Early human development     Volume:  -     ISSN:  1872-6232     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7708381     Medline TA:  Early Hum Dev     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier Ltd. All rights reserved.
Affiliation:
Neonatology Department, CHU Montpellier, F-34000 France; Child and Adolescent Psychiatry Department, CHU Montpellier, F-34000 France.
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