Factors affecting mother-infant bonding in a Polish group of mothers

IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Sexual & Reproductive Healthcare Pub Date : 2023-09-01 DOI:10.1016/j.srhc.2023.100880
Karolina Kossakowska, Andrzej Śliwerski
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引用次数: 1

Abstract

Aim

The study aimed to identify the factors affecting the mother-infant bond.

Methods

This cross-sectional study included 117 mothers of infants up to 12 months of age. The participants completed online versions of the Postpartum Depression Screening Scale – Short Form, the Postpartum Bonding Questionnaire, the Parenting Sense of Competence Scale, the Perception of Stress Questionnaire, and the Prenatal Expectations Scale, which included expectations toward the child, social functioning, and the partner. The results were analyzed using independent t-tests, one-way ANOVA, and multivariate linear regression.

Results

Mothers who experienced symptoms of postpartum depression reported lower satisfaction with motherhood, higher stress levels, and greater discrepancies between prenatal expectations and postpartum reality. Regression analysis revealed that postpartum depression symptoms did not significantly influence the three dimensions of bonding difficulties. However, stress, discrepancies between expectations toward the partner and child, and maternal sense of competence were found to potentially intensify bonding disorders. The study also found that greater disappointment with the partner was generally associated with a weaker bond with the child. However, in cases where caring for a child was more challenging than expected during pregnancy, high emotional tension was present, or the mother had lower parental competencies, having a partner who functioned better than expected may exacerbate the disruption of the bond between the mother and child.

Conclusions

Prenatal expectations, perceived stress levels, and maternal sense of competence are significant factors in bonding difficulties, with postpartum depression symptoms being an important as single variable. However, the role of postpartum depression symptoms in shaping the mother-infant bond diminishes when the overall functioning of the mother is considered.

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波兰母亲群体中影响母婴关系的因素
目的探讨影响母婴关系的因素。方法这项横断面研究包括117名12个月以下婴儿的母亲。参与者完成了在线版的产后抑郁筛查量表-简表、产后联系问卷、育儿能力感量表、压力感知问卷和产前期望量表,其中包括对孩子、社会功能和伴侣的期望。使用独立t检验、单因素方差分析和多元线性回归对结果进行分析。结果有产后抑郁症症状的母亲对母亲的满意度较低,压力水平较高,产前期望值与产后实际情况之间的差异较大。回归分析显示,产后抑郁症状对联结困难的三个维度没有显著影响。然而,压力、对伴侣和孩子的期望之间的差异以及母亲的能力感被发现可能会加剧联系障碍。研究还发现,对伴侣的失望程度越高,通常与孩子之间的联系越弱有关。然而,在怀孕期间照顾孩子比预期更具挑战性、情绪高度紧张或母亲的父母能力较低的情况下,有一个功能比预期更好的伴侣可能会加剧母子关系的破裂。结论父母期望值、感知压力水平和母亲能力感是导致联系困难的重要因素,产后抑郁症状是一个重要的单一变量。然而,当考虑到母亲的整体功能时,产后抑郁症状在形成母婴关系中的作用就会减弱。
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来源期刊
Sexual & Reproductive Healthcare
Sexual & Reproductive Healthcare PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.70
自引率
5.60%
发文量
73
审稿时长
45 days
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